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  5. Long Prairie Dental Clinic, LLC

Long Prairie Dental Clinic, LLC

Company Details

Name: Long Prairie Dental Clinic, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 26 Feb 2004 (21 years ago)
Company Number: 87232be0-87d4-e011-a886-001ec94ffe7f
File Number: 804469-2
Registered Office Address: 917 1st Ave SE, Long Prairie, MN 56347, USA
Principal Executive Office Address: 919 4th Ave NE, Long Prairie, MN 56347, USA
ZIP code: 56347
County: Todd County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2018 411540049 2019-05-06 LONG PRAIRIE DENTAL CLINIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVENUE SE, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2019-05-06
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2018 411540049 2019-07-08 LONG PRAIRIE DENTAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVENUE SE, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2017 411540049 2018-06-20 LONG PRAIRIE DENTAL CLINIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVENUE SE, LONG PRAIRIE, MN, 56347

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2016 411540049 2017-06-06 LONG PRAIRIE DENTAL CLINIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVENUE SE, LONG PRAIRIE, MN, 563471416

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2015 411540049 2016-06-06 LONG PRAIRIE DENTAL CLINIC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVENUE SE, LONG PRAIRIE, MN, 563471416

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2014 411540049 2015-06-22 LONG PRAIRIE DENTAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVE SE, LONG PRAIRIE, MN, 563471416

Signature of
Role Plan administrator
Date 2015-06-22
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2013 411540049 2014-07-22 LONG PRAIRIE DENTAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVE SE, LONG PRAIRIE, MN, 563471416

Plan administrator’s name and address
Administrator’s EIN 411540049
Plan administrator’s name LONG PRAIRIE DENTAL CLINIC
Plan administrator’s address 917 1ST AVENUE SOUTH EAST, LONG PRAIRIE, MN, 56347
Administrator’s telephone number 3207326141

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2012 411540049 2013-08-21 LONG PRAIRIE DENTAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVE SE, LONG PRAIRIE, MN, 563471416

Plan administrator’s name and address
Administrator’s EIN 411540049
Plan administrator’s name LONG PRAIRIE DENTAL CLINIC
Plan administrator’s address 917 1ST AVENUE SOUTH EAST, LONG PRAIRIE, MN, 56347
Administrator’s telephone number 3207326141

Signature of
Role Plan administrator
Date 2013-08-21
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2011 411540049 2012-06-19 LONG PRAIRIE DENTAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVE SE, LONG PRAIRIE, MN, 563471416

Plan administrator’s name and address
Administrator’s EIN 411540049
Plan administrator’s name LONG PRAIRIE DENTAL CLINIC
Plan administrator’s address 917 1ST AVENUE SOUTH EAST, LONG PRAIRIE, MN, 56347
Administrator’s telephone number 3207326141

Signature of
Role Plan administrator
Date 2012-06-19
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature
LONG PRAIRIE DENTAL CLINIC 401(K) PLAN 2010 411540049 2011-07-14 LONG PRAIRIE DENTAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 3207326141
Plan sponsor’s address 917 1ST AVENUE SOUTH EAST, LONG PRAIRIE, MN, 56347

Plan administrator’s name and address
Administrator’s EIN 411540049
Plan administrator’s name LONG PRAIRIE DENTAL CLINIC
Plan administrator’s address 917 1ST AVENUE SOUTH EAST, LONG PRAIRIE, MN, 56347
Administrator’s telephone number 3207326141

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing JOHN NEI
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Michael Winge Manager 919 4th Ave NE, Long Prairie, MN 56347, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Annual Reinstatement - Limited Liability Company (Domestic) 2009-07-02
Administrative Termination - Limited Liability Company (Domestic) 2006-01-11
Original Filing - Limited Liability Company (Domestic) 2004-02-26
Limited Liability Company (Domestic) Business Name (Business Name: Long Prairie Dental Clinic, LLC) 2004-02-26

Related by officers

Michael Winge

Long Prairie Properties, LLC WEST CENTRAL DISTRICT DENTAL SOCIETY, INCORPORATED Xi Psi Phi Alumni Association of Minnesota, Incorporated

Related by address

917 1st Ave SE, Long Prairie, MN 56347, USA

Long Prairie Properties, LLC John P. Nei, P.A.

919 4th Ave NE, Long Prairie, MN 56347, USA

Long Prairie Properties, LLC

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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