| Name: | Glacial Lakes Dental, PLLP |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Partnership (Domestic) |
| Status: | Inactive |
| Date formed: | 31 Aug 2010 (14 years ago) |
| Company Number: | 820f166c-96d4-e011-a886-001ec94ffe7f |
| File Number: | 3965440-2 |
| Chief Executive Office Address: | 509 16th Ave SW, Willmar, MN 56201, USA |
| ZIP code: | 56201 |
| County: | Kandiyohi County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GLACIAL LAKES DENTAL 401K PLAN | 2011 | 411338068 | 2012-10-03 | GLACIAL LAKES DENTAL PLLP | 15 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 411338068 |
| Plan administrator’s name | GLACIAL LAKES DENTAL PLLP |
| Plan administrator’s address | 509 16TH AVENUE SOUTHWEST, WILLMAR, MN, 56201 |
| Administrator’s telephone number | 3202357742 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-03 |
| Name of individual signing | JOHN P IVERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1997-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3202357742 |
| Plan sponsor’s address | 509 16TH AVENUE SOUTHWEST, WILLMAR, MN, 56201 |
Plan administrator’s name and address
| Administrator’s EIN | 461524199 |
| Plan administrator’s name | GLACIAL LAKES DENTAL PLLP |
| Plan administrator’s address | 509 16TH AVENUE SOUTHWEST, WILLMAR, MN, 56201 |
| Administrator’s telephone number | 3202357742 |
Signature of
| Role | Plan administrator |
| Date | 2013-02-13 |
| Name of individual signing | JOHN IVERSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Filing Name | Filing date |
|---|---|
| Revocation Name Hold Release - Limited Liability Partnership (Domestic) | 2014-02-28 |
| Revocation - Limited Liability Partnership (Domestic) | 2013-02-28 |
| Limited Liability Partnership (Domestic) Business Name (Business Name: Glacial Lakes Dental, PLLP) | 2010-09-24 |
| Original Filing - Limited Liability Partnership (Domestic) | 2010-08-31 |
| Limited Liability Partnership (Domestic) Business Name (Business Name: Medin and Iverson, PLLP) | 2010-08-31 |
| Limited Liability Partnership (Domestic) Chief Executive Office | 2010-08-31 |
Date of last update: 26 Sep 2024
Sources: Minnesota's Official State Website
