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  5. DeMers Dental, P.A.

DeMers Dental, P.A.

Company Details

Name: DeMers Dental, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 24 Oct 1983 (41 years ago)
Company Number: 71920244-a9d4-e011-a886-001ec94ffe7f
File Number: 4M-363
Registered Office Address: 706 Demers Ave, East Grand Forks, MN 56721, USA
Principal Executive Office Address: 706 DeMers Ave, East Grand Forks, MN 56721, USA
ZIP code: 56721
County: Polk County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2023 411462927 2024-05-30 DEMERS DENTAL, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVENUE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2024-05-30
Name of individual signing RACHAEL HANSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-30
Name of individual signing RACHAEL HANSEN
Valid signature Filed with authorized/valid electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2022 411462927 2023-07-18 DEMERS DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing RACHAEL HANSEN
Valid signature Filed with authorized/valid electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2021 411462927 2022-10-10 DEMERS DENTAL, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-10
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2020 411462927 2021-06-24 DEMERS DENTAL, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-24
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2019 411462927 2020-07-07 DEMERS DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-07
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2018 411462927 2019-04-10 DEMERS DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2019-04-10
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-10
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2017 411462927 2018-07-10 DEMERS DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-10
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2016 411462927 2017-07-24 DEMERS DENTAL, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-24
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with incorrect/unrecognized electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2015 411462927 2016-06-21 DEMERS DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-21
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
DEMERS DENTAL, P.A. SAFE HARBOR 401(K) PLAN 2014 411462927 2015-07-28 DEMERS DENTAL, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-06-01
Business code 621210
Sponsor’s telephone number 2187737474
Plan sponsor’s address 706 DEMERS AVE, EAST GRAND FORKS, MN, 56721

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-28
Name of individual signing PAUL STADEM, DDS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Chelsea R Erickson Chief Executive Officer 706 DeMers Ave, East Grand Forks, MN 56721, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2013-03-18
Administrative Dissolution - Business Corporation (Domestic) 2012-08-01
Business Corporation (Domestic) Business Name (Business Name: DeMers Dental, P.A.) 2010-08-25
Registered Office and/or Agent - Business Corporation (Domestic) 1986-07-18
Original Filing - Business Corporation (Domestic) 1983-10-24
Business Corporation (Domestic) Business Name (Business Name: PAUL D. STADEM, P.A.) 1983-10-24

Related by officers

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Related by address

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Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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