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Dalseth Family & Cosmetic Dentistry, P.A.

Company Details

Name: Dalseth Family & Cosmetic Dentistry, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Dec 1975 (49 years ago)
Company Number: 759188cb-b9d4-e011-a886-001ec94ffe7f
File Number: 2S-224
Registered Office Address: 14505 Glazier Ave, Apple Valley, MN 55124, USA
ZIP code: 55124
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2023 411266175 2024-06-17 DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, ST. PAUL, MN, 55124

Signature of

Role Plan administrator
Date 2024-06-17
Name of individual signing PASCAL DALSETH
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2022 411266175 2023-06-29 DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, ST. PAUL, MN, 55124

Signature of

Role Plan administrator
Date 2023-06-29
Name of individual signing PASCAL DALSETH
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 401(K) PROFIT SHARING PLAN 2021 411266175 2022-07-18 DALSETH FAMILY & COSMETIC DENTISTRY, P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, ST. PAUL, MN, 55124

Signature of

Role Plan administrator
Date 2022-07-18
Name of individual signing PASCAL DALSETH
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN 2020 411266175 2021-07-13 DALSETH FAMILY & COSMETIC DENTISTRY P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, ST. PAUL, MN, 55124

Signature of

Role Plan administrator
Date 2021-07-13
Name of individual signing PASCAL DALSETH
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN 2019 411266175 2020-02-21 DALSETH FAMILY & COSMETIC DENTISTRY P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, ST. PAUL, MN, 55124

Signature of

Role Plan administrator
Date 2020-02-21
Name of individual signing PASCAL DALSETH, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-21
Name of individual signing PASCAL DALSETH D.D.S.
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN 2018 411266175 2019-05-20 DALSETH FAMILY & COSMETIC DENTISTRY P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, ST. PAUL, MN, 55124

Signature of

Role Plan administrator
Date 2019-05-20
Name of individual signing PASCAL DALSETH, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-20
Name of individual signing PASCAL DALSETH D.D.S.
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN 2017 411266175 2018-04-03 DALSETH FAMILY & COSMETIC DENTISTRY P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, APPLE VALLEY, MN, 55124

Signature of

Role Plan administrator
Date 2018-04-02
Name of individual signing STEPHEN E. DALSETH, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-02
Name of individual signing STEPHEN E. DALSETH D.D.S.
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN 2016 411266175 2017-05-19 DALSETH FAMILY & COSMETIC DENTISTRY P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, APPLE VALLEY, MN, 55124

Signature of

Role Plan administrator
Date 2017-05-18
Name of individual signing STEPHEN E. DALSETH, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-18
Name of individual signing STEPHEN E. DALSETH D.D.S.
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN 2015 411266175 2016-05-13 DALSETH FAMILY & COSMETIC DENTISTRY P.A. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, APPLE VALLEY, MN, 55124

Signature of

Role Plan administrator
Date 2016-05-13
Name of individual signing STEPHEN E. DALSETH, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-13
Name of individual signing STEPHEN E. DALSETH D.D.S.
Valid signature Filed with authorized/valid electronic signature
DALSETH FAMILY & COSMETIC DENTISTRY, PA 401(K) PROFIT SHARING PLAN 2014 411266175 2015-07-17 DALSETH FAMILY & COSMETIC DENTISTRY P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-02-01
Business code 621210
Sponsor’s telephone number 9524321101
Plan sponsor’s address 14505 GLAZIER AVENUE, APPLE VALLEY, MN, 55124

Signature of

Role Plan administrator
Date 2015-07-17
Name of individual signing STEPHEN E. DALSETH, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing STEPHEN E. DALSETH D.D.S.
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Pascal Dalseth Chief Executive Officer 14505 Glazier Ave, Apple Valley, MN 55124, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2015-11-18
Administrative Dissolution - Business Corporation (Domestic) 2015-06-08
Business Corporation (Domestic) Business Name (Business Name: Dalseth Family & Cosmetic Dentistry, P.A.) 2005-04-28
Registered Office and/or Agent - Business Corporation (Domestic) 2005-04-28
Business Corporation (Domestic) Active Status Report 1979-12-27
Business Corporation (Domestic) Business Name (Business Name: Stephen E. Dalseth D.D.S., P.A.) 1975-12-30
Original Filing - Business Corporation (Domestic) 1975-12-30

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website