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  5. Northwoods Dental, P.A.

Northwoods Dental, P.A.

Company Details

Name: Northwoods Dental, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 17 Oct 1995 (29 years ago)
Company Number: 82488b62-a3d4-e011-a886-001ec94ffe7f
File Number: 8W-880
Registered Office Address: 5385 Lake Sarah Heights Drv, Loretto, MN 55357, USA
Principal Executive Office Address: 5385 Lake Sarah Heights Drive, 5385 Lake Sarah Heights Drive, loretto, Minnesota 55357–5535, United States
ZIP code: 55357
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWOODS DENTAL, P. A. 401(K) PLAN 2016 411797770 2017-08-25 NORTHWOODS DENTAL, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 7636078933
Plan sponsor’s address 5385 LAKE SARAH HEIGHTS DR, LORETTO, MN, 55357

Signature of
Role Plan administrator
Date 2017-08-25
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-25
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS DENTAL, P.A. 401(K) PLAN 2015 411797770 2016-09-08 NORTHWOODS DENTAL, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 7635570911
Plan sponsor’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446

Signature of
Role Plan administrator
Date 2016-09-08
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-08
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS DENTAL, P.A. 401(K) PLAN 2014 411797770 2015-10-01 NORTHWOODS DENTAL, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 7635570911
Plan sponsor’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS DENTAL, P.A. 401(K) PLAN 2013 411797770 2014-09-22 NORTHWOODS DENTAL, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 7635570911
Plan sponsor’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS DENTAL, P.A. 401(K) PLAN 2012 411797770 2013-05-13 NORTHWOODS DENTAL, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 7635570911
Plan sponsor’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446

Signature of
Role Plan administrator
Date 2013-05-10
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-10
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS DENTAL, P.A. 401(K) PLAN 2011 411797770 2012-07-24 NORTHWOODS DENTAL, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 7635570911
Plan sponsor’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446

Plan administrator’s name and address
Administrator’s EIN 411797770
Plan administrator’s name NORTHWOODS DENTAL, P.A.
Plan administrator’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446
Administrator’s telephone number 7635570911

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-24
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS DENTAL, P.A. 401(K) PLAN 2010 411797770 2011-04-27 NORTHWOODS DENTAL, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 7635570911
Plan sponsor’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446

Plan administrator’s name and address
Administrator’s EIN 411797770
Plan administrator’s name NORTHWOODS DENTAL, P.A.
Plan administrator’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446
Administrator’s telephone number 7635570911

Signature of
Role Plan administrator
Date 2011-04-27
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-27
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
NORTHWOODS DENTAL, P.A. 401(K) PLAN 2009 411797770 2010-07-28 NORTHWOODS DENTAL, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621210
Sponsor’s telephone number 7635570911
Plan sponsor’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446

Plan administrator’s name and address
Administrator’s EIN 411797770
Plan administrator’s name NORTHWOODS DENTAL, P.A.
Plan administrator’s address 15600 36TH AVENUE NORTH, SUITE 270, PLYMOUTH, MN, 55446
Administrator’s telephone number 7635570911

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing SCOTT SCHARF
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Scott Douglas Scharf Chief Executive Officer 5385 Lake Sarah Heights Drive, Loretto, MN 55357–5535, United States

Agent

Name Role
Scott Douglas Scharf Agent

Filing

Filing Name Filing date
Administrative Dissolution Name Hold Release - Business Corporation (Domestic) 2014-02-26
Registered Office and/or Agent - Business Corporation (Domestic) 2008-05-07
Annual Reinstatement - Business Corporation (Domestic) 2008-05-07
Administrative Dissolution - Business Corporation (Domestic) 2008-01-09
Business Corporation (Domestic) Business Name (Business Name: Northwoods Dental, P.A.) 2003-02-25
Original Filing - Business Corporation (Domestic)Professional Service - Dentistry & Dental Hygiene 1995-10-17
Business Corporation (Domestic) Business Name (Business Name: Xenium Dental Ltd.) 1995-10-17
Original Filing - Business Corporation (Domestic) 1995-10-17

Related by officers

Scott Douglas Scharf

Xenium Dental Ltd.

Related by address

No related companies by address

Date of last update: 30 Dec 2024

Sources: Minnesota's Official State Website

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