| Name: | Bezek Family Dentistry LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 26 Feb 2021 (4 years ago) |
| Company Number: | 73a41828-a778-eb11-91ac-00155d32b93a |
| File Number: | 1220802300021 |
| Registered Office Address: | 1026 4st SE, Suite 200, Saint Cloud, MN 56304, USA |
| Principal Executive Office Address: | STE 200, 1026 4TH ST SE, SAINT CLOUD, MN 56304–1371, USA |
| Mailing Address: | PO Box 2332, Saint Cloud, Minnesota 56302, United States |
| ZIP code: | 56304 |
| County: | Sherburne County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BEZEK FAMILY DENTISTRY 401(K) PLAN | 2023 | 862346132 | 2024-05-02 | BEZEK FAMILY DENTISTRY | 7 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-02 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3202521085 |
| Plan sponsor’s address | 1026 4TH ST SE, SUITE 200, SAINT CLOUD, MN, 563041371 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Bezek Family Dentistry | Manager | 1206 4th St SE, Suite 200, Saint Cloud, MN 56304, USA |
| Name | Role |
|---|---|
| Andrew Bezek | Agent |
| Filing Name | Filing date |
|---|---|
| Annual Reinstatement - Limited Liability Company (Domestic) | 2023-05-16 |
| Administrative Termination - Limited Liability Company (Domestic) | 2023-02-06 |
| Original Filing - Limited Liability Company (Domestic) (Business Name: Bezek Family Dentistry LLC)Professional Service - Dentistry & Dental Hygiene | 2021-02-26 |
Date of last update: 25 Sep 2024
Sources: Minnesota's Official State Website
