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  5. Orthodontic Specialists P.A.

Orthodontic Specialists P.A.

Company Details

Name: Orthodontic Specialists P.A.
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 16 Jun 2014 (11 years ago)
Company Number: 7a7a9619-94f5-e311-ac2f-001ec94ffe7f
File Number: 765891800025
Principal Place of Business Address: 20174 Heritage Drive, Lakeville, MN 55044, USA
ZIP code: 55044
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHODONTIC SPECIALISTS, P.A. EMPLOYEE SAVINGS PLAN 2014 411813147 2015-03-18 ORTHODONTIC SPECIALISTS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9524696760
Plan sponsor’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855

Plan administrator’s name and address
Administrator’s EIN 411813147
Plan administrator’s name ORTHODONTIC SPECIALISTS, P.A.
Plan administrator’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855
Administrator’s telephone number 9524696760

Signature of
Role Plan administrator
Date 2015-03-18
Name of individual signing JEANNE GAU
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC SPECIALISTS, P.A. EMPLOYEE SAVINGS PLAN 2013 411813147 2014-04-29 ORTHODONTIC SPECIALISTS, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9524696760
Plan sponsor’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855

Plan administrator’s name and address
Administrator’s EIN 411813147
Plan administrator’s name ORTHODONTIC SPECIALISTS, P.A.
Plan administrator’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855
Administrator’s telephone number 9524696760

Signature of
Role Plan administrator
Date 2014-04-29
Name of individual signing JEANNE GAU
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC SPECIALISTS, P.A. EMPLOYEE SAVINGS PLAN 2012 411813147 2013-08-28 ORTHODONTIC SPECIALISTS, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9524696760
Plan sponsor’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855

Plan administrator’s name and address
Administrator’s EIN 411813147
Plan administrator’s name ORTHODONTIC SPECIALISTS, P.A.
Plan administrator’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855
Administrator’s telephone number 9524696760

Signature of
Role Plan administrator
Date 2013-08-28
Name of individual signing JEANNE GAU
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC SPECIALISTS, P.A. EMPLOYEE SAVINGS PLAN 2011 411813147 2012-05-07 ORTHODONTIC SPECIALISTS, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Plan sponsor’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855

Plan administrator’s name and address
Administrator’s EIN 411813147
Plan administrator’s name ORTHODONTIC SPECIALISTS, P.A.
Plan administrator’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855
Administrator’s telephone number 9524696760

Signature of
Role Plan administrator
Date 2012-05-07
Name of individual signing JEANNE GAU
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC SPECIALISTS, P.A. EMPLOYEE SAVINGS PLAN 2010 411813147 2011-06-15 ORTHODONTIC SPECIALISTS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9524696760
Plan sponsor’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855

Plan administrator’s name and address
Administrator’s EIN 411813147
Plan administrator’s name ORTHODONTIC SPECIALISTS, P.A.
Plan administrator’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855
Administrator’s telephone number 9524696760

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing JEANNE GAU
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC SPECIALISTS, P.A. EMPLOYEE SAVINGS PLAN 2009 411813147 2010-10-08 ORTHODONTIC SPECIALISTS, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9524696760
Plan sponsor’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855

Plan administrator’s name and address
Administrator’s EIN 411813147
Plan administrator’s name ORTHODONTIC SPECIALISTS, P.A.
Plan administrator’s address 20174 HERITAGE DRIVE, LAKEVILLE, MN, 550446855
Administrator’s telephone number 9524696760

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing JEANNE GAU
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Basile Orthodontics, P.A. Aplicant 5116 Gateway Str SE #103, Prior Lake, MN 55372

Filing

Filing Name Filing date
Annual Reinstatement - Assumed Name 2019-01-16
Administrative Expiration - Assumed Name 2017-02-21
Original Filing - Assumed Name (Business Name: Orthodontic Specialists P.A. ) 2014-06-16

Related by officers

No related officers

Related by address

20174 Heritage Drive, Lakeville, MN 55044, USA

Basile Orthodontics, P.A. JMG Consulting, P.A.

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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