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  5. Le Center Dental Clinic, LLC

Le Center Dental Clinic, LLC

Company Details

Name: Le Center Dental Clinic, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 25 Feb 2014 (11 years ago)
Company Number: 7df7b056-569e-e311-97ba-001ec94ffe7f
File Number: 735776900020
Registered Office Address: 101 South Park Avenue, Le Center, MN 56057, USA
Principal Executive Office Address: 101 S Park Ave, Le Center, MN 56057, USA
ZIP code: 56057
County: Le Sueur County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LE CENTER DENTAL CLINIC, LLC 401(K) PLAN 2018 464614395 2019-07-03 LE CENTER DENTAL CLINIC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 621210
Sponsor’s telephone number 5073574982
Plan sponsor’s address 101 SOUTH PARK AVE, LE CENTER, MN, 56057

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing DAWN STAVISH
Valid signature Filed with authorized/valid electronic signature
LE CENTER DENTAL CLINIC, LLC 401(K) PLAN 2018 464614395 2019-04-23 LE CENTER DENTAL CLINIC, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 621210
Sponsor’s telephone number 5073574982
Plan sponsor’s address 101 SOUTH PARK AVE, LE CENTER, MN, 56057

Signature of
Role Plan administrator
Date 2019-04-23
Name of individual signing DAWN STAVISH
Valid signature Filed with authorized/valid electronic signature
LE CENTER DENTAL CLINIC, LLC 401(K) PLAN 2017 464614395 2018-06-14 LE CENTER DENTAL CLINIC, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 621210
Sponsor’s telephone number 5073574982
Plan sponsor’s address 101 SOUTH PARK AVE, LE CENTER, MN, 56057

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing DAWN STAVISH
Valid signature Filed with authorized/valid electronic signature
LE CENTER DENTAL CLINIC, LLC 401(K) PLAN 2016 464614395 2017-03-17 LE CENTER DENTAL CLINIC, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 621210
Sponsor’s telephone number 5073574982
Plan sponsor’s address 101 SOUTH PARK AVE, LE CENTER, MN, 56057

Signature of
Role Plan administrator
Date 2017-03-17
Name of individual signing DAWN STAVISH
Valid signature Filed with authorized/valid electronic signature
LE CENTER DENTAL CLINIC, LLC 401(K) PLAN 2015 464614395 2016-06-27 LE CENTER DENTAL CLINIC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 621210
Sponsor’s telephone number 5073574982
Plan sponsor’s address 101 SOUTH PARK AVE, LE CENTER, MN, 56057

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing DAWN STAVISH
Valid signature Filed with authorized/valid electronic signature
LE CENTER DENTAL CLINIC, LLC 401(K) PLAN 2014 464614395 2015-04-21 LE CENTER DENTAL CLINIC, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 621210
Sponsor’s telephone number 5073574982
Plan sponsor’s address 101 SOUTH PARK AVE, LE CENTER, MN, 56057

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing DAWN STAVISH
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Dawn M Stavish Manager 101 S Park Ave, PO Box 97, Le Center, MN 56057–0097, USA

Agent

Name Role
Dawn M. Stavish, D.D.S. Agent

Filing

Filing Name Filing date
Statement of Termination – Limited Liability Company (Domestic) 2019-11-13
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Le Center Dental Clinic, LLC)Professional Service - Dentistry & Dental Hygiene 2014-02-25

Related by officers

Dawn M Stavish

Le Center Family Dental Clinic Stavish Properties, LLC

Related by address

101 South Park Avenue, Le Center, MN 56057, USA

Stavish Properties, LLC

101 S Park Ave, Le Center, MN 56057, USA

Ronald K. Leach, D.D.S., P.A.

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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