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  5. CHALET DENTAL CARE

CHALET DENTAL CARE

Company Details

Name: CHALET DENTAL CARE
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 28 Jun 1991 (34 years ago)
Company Number: 6e499ac0-9bd4-e011-a886-001ec94ffe7f
File Number: 105510
Principal Place of Business Address: 1651 N Dale Str, St Paul, MN 55117, USA
ZIP code: 55117
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHALET DENTAL CARE 401(K) PLAN 2023 411503208 2024-04-08 CHALET DENTAL CARE 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117
CHALET DENTAL CARE 401(K) PLAN 2022 411503208 2023-07-25 CHALET DENTAL CARE 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117
CHALET DENTAL CARE 401(K) PLAN 2021 411503208 2022-10-03 CHALET DENTAL CARE 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117
CHALET DENTAL CARE 401(K) PLAN 2020 411503208 2021-08-12 CHALET DENTAL CARE 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117
CHALET DENTAL CARE 401(K) PLAN 2019 411503208 2020-10-14 CHALET DENTAL CARE 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117
CHALET DENTAL CARE 401(K) PLAN 2018 411503208 2019-09-30 CHALET DENTAL CARE 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-30
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature
CHALET DENTAL CARE 401(K) PLAN 2017 411503208 2018-10-09 CHALET DENTAL CARE 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-08
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature
CHALET DENTAL CARE 401(K) PLAN 2016 411503208 2017-10-13 CHALET DENTAL CARE 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature
CHALET DENTAL CARE 401(K) PLAN 2015 411503208 2016-10-13 CHALET DENTAL CARE 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6514885888
Plan sponsor’s address 1651 DALE STREET NORTH, ST. PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature
CHALET DENTAL CARE 401(K) PLAN 2014 411503208 2015-08-28 CHALET DENTAL CARE 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-02-01
Business code 621210
Sponsor’s telephone number 6127491026
Plan sponsor’s address 1651 DALE ST. NORTH, SAINT PAUL, MN, 55117

Signature of
Role Plan administrator
Date 2015-08-28
Name of individual signing BRENT FREDRICKSON
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Brent C Fredrickson Aplicant 1060 Lincoln Ave, St Paul,
Lawrence J Record Aplicant 1588 Delaware Ave, St Paul,

Filing

Filing Name Filing date
Cancellation - Assumed Name 1999-08-23
Assumed Name Business Name (Business Name: CHALET DENTAL CARE) 1998-01-20
Assumed Name Nameholder 1998-01-20
Original Filing - Assumed Name 1991-06-28
Assumed Name Business Name (Business Name: CHALET DENTAL CLINIC) 1991-06-28

Related by officers

No related officers

Related by address

1651 N Dale Str, St Paul, MN 55117, USA

CHALET DENTAL CARE, P.A. Excelsior Dental Laboratory Boos Dental Lab THE GOLD RUSH BOYS

Date of last update: 29 Nov 2024

Sources: Minnesota's Official State Website

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