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  5. John A. Gawlik, Jr., D.D.S., P.A.

John A. Gawlik, Jr., D.D.S., P.A.

Company Details

Name: John A. Gawlik, Jr., D.D.S., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 15 Dec 2005 (19 years ago)
Company Number: 7b106ac0-8cd4-e011-a886-001ec94ffe7f
File Number: 1629412-3
Registered Office Address: 8100 Penn Ave S #172, Blmgtn, MN 55431, USA
Principal Executive Office Address: 8100 PENN AVE S STE 172, BLOOMINGTON, MN 55431–1325, USA
ZIP code: 55431
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN A. GAWLIK, JR. D.D.S., P.A. PROFIT SHARING PLAN 2018 841697206 2019-07-08 JOHN A. GAWLIK, JR. D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature
JOHN A. GAWLIK, JR. D.D.S., P.A. PROFIT SHARING PLAN 2017 841697206 2018-07-30 JOHN A. GAWLIK, JR. D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature
JOHN A. GAWLIK, JR. D.D.S., P.A. PROFIT SHARING PLAN 2016 841697206 2017-10-10 JOHN A. GAWLIK, JR. D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431
JOHN A. GAWLIK, JR. D.D.S., P.A. PROFIT SHARING PLAN 2015 841697206 2016-09-27 JOHN A. GAWLIK, JR. D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Signature of
Role Plan administrator
Date 2016-09-27
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature
JOHN A. GAWLIK, JR. D.D.S., P.A. PROFIT SHARING PLAN 2014 841697206 2015-08-25 JOHN A. GAWLIK, JR. D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Signature of
Role Plan administrator
Date 2015-08-25
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature
JOHN A. GAWLIK, JR. D.D.S., P.A. PROFIT SHARING PLAN 2013 841697206 2014-10-15 JOHN A. GAWLIK, JR. D.D.S., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature
JOHN A. GAWLIK, JR. D.D.S., P.A. PROFIT SHARING PLAN 2012 841697206 2013-05-13 JOHN A. GAWLIK, JR. D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Signature of
Role Plan administrator
Date 2013-05-13
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature
JOHN A. GAWLIK, JR. D.D.S., P.A. PROFIT SHARING PLAN 2011 841697206 2012-05-02 JOHN A. GAWLIK, JR. D.D.S., P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Plan administrator’s name and address
Administrator’s EIN 841697206
Plan administrator’s name JOHN A. GAWLIK, JR. D.D.S., P.A.
Plan administrator’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431
Administrator’s telephone number 9528848337

Signature of
Role Plan administrator
Date 2012-05-02
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature
JOHN GAWLIK CROSS TESTED/AGE WEIGHTED 401K PLAN 2010 841697206 2011-06-28 JOHN A. GAWLIK, JR. D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Plan administrator’s name and address
Administrator’s EIN 841697206
Plan administrator’s name JOHN A. GAWLIK, JR. D.D.S., P.A.
Plan administrator’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431
Administrator’s telephone number 9528848337

Signature of
Role Plan administrator
Date 2011-06-28
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature
JOHN GAWLIK CROSS TESTED/AGE WEIGHTED 401K PLAN 2009 841697206 2010-06-02 JOHN A. GAWLIK, JR. D.D.S., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621210
Sponsor’s telephone number 9528848337
Plan sponsor’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431

Plan administrator’s name and address
Administrator’s EIN 841697206
Plan administrator’s name JOHN A. GAWLIK, JR. D.D.S., P.A.
Plan administrator’s address 8100 PENN AVENUE SOUTH, SUITE 172, BLOOMINGTON, MN, 55431
Administrator’s telephone number 9528848337

Signature of
Role Plan administrator
Date 2010-06-02
Name of individual signing JOHN GAWLIK
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
John Anton Gawlik Chief Executive Officer 8100 PENN AVE S STE 172, BLOOMINGTON, MN 55431–1325, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2024-10-16
Merger - Business Corporation (Domestic) 2005-12-29
Original Filing - Business Corporation (Domestic) 2005-12-15
Business Corporation (Domestic) Business Name (Business Name: John A. Gawlik, Jr., D.D.S., P.A.) 2005-12-15
Original Filing - Business Corporation (Domestic)Professional Service - Dentistry & Dental Hygiene 2005-12-15

Related by officers

No related officers

Related by address

8100 Penn Ave S #172, Blmgtn, MN 55431, USA

John A. Gawlik, Jr., D.D.S., P.L.L.C.

8100 PENN AVE S STE 172, BLOOMINGTON, MN 55431–1325, USA

Lifesmiles Family Dentistry, P.L.L.C.

Date of last update: 02 Jan 2025

Sources: Minnesota's Official State Website

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