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Overby Orthodontics, LLC

Company Details

Name: Overby Orthodontics, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 12 Jun 2001 (24 years ago)
Company Number: 78f685a7-add4-e011-a886-001ec94ffe7f
File Number: 23192-LLC
Registered Office Address: 700 1st Ave SW, Austin, MN 55912, USA
ZIP code: 55912
County: Mower County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OVERBY ORTHODONTICS LLC 401(K) PLAN 2023 412009076 2024-06-11 OVERBY ORTHODONTICS LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8002471425
Plan sponsor’s address 700 1ST AVE SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2024-06-11
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature
OVERBY ORTHODONTICS LLC 401(K) PLAN 2022 412009076 2023-06-06 OVERBY ORTHODONTICS LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8002471425
Plan sponsor’s address 700 1ST AVE SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2023-06-06
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature
OVERBY ORTHODONTICS LLC 401(K) PLAN 2021 412009076 2022-09-27 OVERBY ORTHODONTICS LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8002471425
Plan sponsor’s address 700 1ST AVE SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2022-09-27
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature
OVERBY ORTHODONTICS LLC 401(K) PLAN 2020 412009076 2021-06-10 OVERBY ORTHODONTICS LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8002471425
Plan sponsor’s address 700 1ST AVE SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2021-06-10
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature
OVERBY ORTHODONTICS LLC 401(K) PLAN 2019 412009076 2020-06-25 OVERBY ORTHODONTICS LLC 15
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8002471425
Plan sponsor’s address 700 1ST AVE SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2020-06-25
Name of individual signing TBLIESE7275
Valid signature Filed with authorized/valid electronic signature
OVERBY ORTHODONTICS LLC 401(K) PLAN 2019 412009076 2020-06-30 OVERBY ORTHODONTICS LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8002471425
Plan sponsor’s address 700 1ST AVE SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature
OVERBY ORTHODONTICS LLC 401(K) PLAN 2018 412009076 2019-06-04 OVERBY ORTHODONTICS LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8002471425
Plan sponsor’s address 700 1ST AVE SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2019-06-04
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature
OVERBY ORTHODONTICS LLC 401(K) PLAN 2017 412009076 2018-07-10 OVERBY ORTHODONTICS LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8002471425
Plan sponsor’s address 700 1ST AVE SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2018-07-10
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature
OVERYBY ORTHODONTICS, LLC 401(K) PLAN 2016 412009076 2017-04-26 OVERBY ORTHODONTICS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5074373269
Plan sponsor’s address 700 1ST STREET SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2017-04-26
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature
OVERYBY ORTHODONTICS, LLC 401(K) PLAN 2015 412009076 2016-07-01 OVERBY ORTHODONTICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5074373269
Plan sponsor’s address 700 1ST STREET SW, AUSTIN, MN, 55912

Signature of

Role Plan administrator
Date 2016-07-01
Name of individual signing TAYLOR BLIESE
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Eric Overby Manager 700 1st Ave. SW, Austin, MN 55912, USA

Filing

Filing Name Filing date
Statement of Authority - Limited Liability Company 2019-05-08
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Limited Liability Company (Domestic) Business Name (Business Name: Overby Orthodontics, LLC) 2003-09-22
Original Filing - Limited Liability Company (Domestic) 2001-06-12
Limited Liability Company (Domestic) Business Name (Business Name: ERIC OVERBY, LLC) 2001-06-12

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website