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Bomstad Dental, LLC

Company Details

Name: Bomstad Dental, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 03 Jun 2004 (21 years ago)
Company Number: 87a87387-88d4-e011-a886-001ec94ffe7f
File Number: 928238-2
Registered Office Address: 911 1st Str N, Hopkins, MN 55343, USA
Principal Executive Office Address: 911 1ST ST N, HOPKINS, MN 55343–7526, U.S.A.
ZIP code: 55343
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN 2023 201198234 2024-04-09 BOMSTAD DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 9529387746
Plan sponsor’s address 911 1ST ST N, HOPKINS, MN, 553437526

Signature of

Role Plan administrator
Date 2024-04-09
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-09
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN 2022 201198234 2023-07-27 BOMSTAD DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 9529387746
Plan sponsor’s address 911 1ST ST N, HOPKINS, MN, 553437526

Signature of

Role Plan administrator
Date 2023-07-27
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-27
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN 2021 201198234 2022-04-12 BOMSTAD DENTAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 9529387746
Plan sponsor’s address 911 1ST ST N, HOPKINS, MN, 553437526

Signature of

Role Plan administrator
Date 2022-04-12
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-12
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN 2020 201198234 2021-04-08 BOMSTAD DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 9529387746
Plan sponsor’s address 911 1ST ST N, HOPKINS, MN, 553437526

Signature of

Role Plan administrator
Date 2021-04-08
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-08
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN 2019 201198234 2020-07-01 BOMSTAD DENTAL LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 9529387746
Plan sponsor’s address 911 1ST ST N, HOPKINS, MN, 553437526

Signature of

Role Plan administrator
Date 2020-07-01
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-01
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN 2018 201198234 2019-07-01 BOMSTAD DENTAL LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 9529387746
Plan sponsor’s address 911 1ST ST N, HOPKINS, MN, 553437526

Signature of

Role Plan administrator
Date 2019-07-01
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-01
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
BOMSTAD DENTAL LLC 401(K) AND PROFIT SHARING PLAN 2017 201198234 2018-07-02 BOMSTAD DENTAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 9529387746
Plan sponsor’s address 911 1ST ST N, HOPKINS, MN, 553437526

Signature of

Role Plan administrator
Date 2018-07-02
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-02
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
HATCHER AND BOMSTAD DDS 401(K) AND PROFIT SHARING PLAN 2016 201198234 2017-05-16 BOMSTAD DENTAL LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 9529387746
Plan sponsor’s address 911 1ST ST N, HOPKINS, MN, 553437526

Signature of

Role Plan administrator
Date 2017-05-16
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-16
Name of individual signing KRIS BOMSTAD
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Kris Bomstad Manager 911 1ST ST N, HOPKINS, MN 55343–7526, U.S.A.

Agent

Name Role
Kris Bomstad Agent

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2020-01-09
Administrative Termination - Limited Liability Company (Domestic) 2019-03-18
Email Address for Official Notices 2016-01-26
Amendment - Limited Liability Company (Domestic) (Business Name: Bomstad Dental, LLC)Election to 322C 2015-12-18
Original Filing - Limited Liability Company (Domestic) 2004-06-03
Limited Liability Company (Domestic) Business Name (Business Name: Hatcher and Bomstad, DDS, LLC) 2004-06-03
Original Filing - Limited Liability Company (Domestic)Professional Service - Dentistry & Dental Hygiene 2004-06-03

Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website