| Name: | Dr. Kelsey Milbert, P. A. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 15 Sep 2020 (4 years ago) |
| Company Number: | 80ba1ae4-83f7-ea11-91a2-00155d32b905 |
| File Number: | 1177860200025 |
| Registered Office Address: | 1514 E. Minnesota Street, St. Joseph, MN 56374, USA |
| Principal Executive Office Address: | 1514 E MINNESOTA ST, SAINT JOSEPH, MN 56374–8618, USA |
| Mailing Address: | PO Box 607, St. Joseph, MN 56374, USA |
| ZIP code: | 56374 |
| County: | Stearns County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR. KELSEY MILBERT, P.A. EMPLOYEE 401(K) PLAN | 2023 | 853018091 | 2024-07-15 | DR. KELSEY MILBERT, P.A. | 13 | |||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||
| Active participants | 13 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 11 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-15 |
| Name of individual signing | MICHELE SCHRAMEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1990-04-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3203637729 |
| Plan sponsor’s mailing address | P.O. BOX 607, ST JOSEPH, MN, 56374 |
| Plan sponsor’s address | 1514 E. MINNESOTA ST., ST JOSEPH, MN, 56374 |
Number of participants as of the end of the plan year
| Active participants | 12 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 9 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-20 |
| Name of individual signing | MICHELE SCHRAMEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1990-04-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3203637729 |
| Plan sponsor’s mailing address | P.O. BOX 607, ST JOSEPH, MN, 56374 |
| Plan sponsor’s address | 1514 E. MINNESOTA ST., ST JOSEPH, MN, 56374 |
Number of participants as of the end of the plan year
| Active participants | 12 |
| Retired or separated participants receiving benefits | 1 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 9 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-18 |
| Name of individual signing | MICHELE SCHRAMEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Kelsey Milbert | Chief Executive Officer | 1514 E MINNESOTA ST, SAINT JOSEPH, MN 56374–8618, USA |
| Filing Name | Filing date |
|---|---|
| Original Filing - Business Corporation (Domestic) (Business Name: Dr. Kelsey Milbert, P. A.)Professional Service - Dentistry & Dental Hygiene | 2020-09-15 |
Date of last update: 30 Sep 2024
Sources: Minnesota's Official State Website
