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Hope Dental Clinic

Company Details

Name: Hope Dental Clinic
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 20 Oct 2016 (8 years ago)
Company Number: 8f3fa7a0-d296-e611-816f-00155d01c56d
File Number: 910188900037
Registered Office Address: 800 Minnehaha Avenue East #465, St. Paul, MN 55106, USA
ZIP code: 55106
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOPE DENTAL CLINIC 401(K) PLAN 2023 814068287 2024-10-09 HOPE DENTAL CLINIC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-03
Business code 621210
Sponsor’s telephone number 6517897659
Plan sponsor’s address 800 MINNEHAHA AVE E, SUITE 465, SAINT PAUL, MN, 55106

Signature of

Role Plan administrator
Date 2024-10-09
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature
HOPE DENTAL CLINIC 401(K) P/S PLAN 2022 814068287 2023-06-07 HOPE DENTAL CLINIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-03
Business code 621210
Sponsor’s telephone number 6517897659
Plan sponsor’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106

Plan administrator’s name and address

Administrator’s EIN 814068287
Plan administrator’s name HOPE DENTAL CLINIC
Plan administrator’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106
Administrator’s telephone number 6517897659

Signature of

Role Plan administrator
Date 2023-06-07
Name of individual signing ERICA MAZHARY
Valid signature Filed with authorized/valid electronic signature
HOPE DENTAL CLINIC 401(K) P/S PLAN 2021 814068287 2022-09-06 HOPE DENTAL CLINIC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-03
Business code 621210
Sponsor’s telephone number 6517897659
Plan sponsor’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106

Plan administrator’s name and address

Administrator’s EIN 814068287
Plan administrator’s name HOPE DENTAL CLINIC
Plan administrator’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106
Administrator’s telephone number 6517897659

Signature of

Role Plan administrator
Date 2022-09-06
Name of individual signing ERICA MAZHARY
Valid signature Filed with authorized/valid electronic signature
HOPE DENTAL CLINIC 401(K) P/S PLAN 2020 814068287 2021-07-22 HOPE DENTAL CLINIC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-03
Business code 621210
Sponsor’s telephone number 6517897604
Plan sponsor’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106

Plan administrator’s name and address

Administrator’s EIN 814068287
Plan administrator’s name HOPE DENTAL CLINIC
Plan administrator’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106
Administrator’s telephone number 6517897604

Signature of

Role Plan administrator
Date 2021-07-22
Name of individual signing JESSICA FLOTTERUD
Valid signature Filed with authorized/valid electronic signature
HOPE DENTAL CLINIC 401(K) P/S PLAN 2019 814068287 2020-08-31 HOPE DENTAL CLINIC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-03
Business code 621210
Sponsor’s telephone number 6517897604
Plan sponsor’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106

Plan administrator’s name and address

Administrator’s EIN 814068287
Plan administrator’s name HOPE DENTAL CLINIC
Plan administrator’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106
Administrator’s telephone number 6517897604

Signature of

Role Plan administrator
Date 2020-08-31
Name of individual signing JESSICA FLOTTERUD
Valid signature Filed with authorized/valid electronic signature
HOPE DENTAL CLINIC 401(K) P/S PLAN 2018 814068287 2019-02-27 HOPE DENTAL CLINIC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-03
Business code 621210
Sponsor’s telephone number 6517897604
Plan sponsor’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106

Plan administrator’s name and address

Administrator’s EIN 814068287
Plan administrator’s name HOPE DENTAL CLINIC
Plan administrator’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106
Administrator’s telephone number 6517897604

Signature of

Role Plan administrator
Date 2019-02-27
Name of individual signing JESSICA FLOTTERUD
Valid signature Filed with authorized/valid electronic signature
HOPE DENTAL CLINIC 401(K) P/S PLAN 2017 814068287 2018-06-12 HOPE DENTAL CLINIC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-03
Business code 621210
Sponsor’s telephone number 6517897604
Plan sponsor’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106

Plan administrator’s name and address

Administrator’s EIN 814068287
Plan administrator’s name HOPE DENTAL CLINIC
Plan administrator’s address 800 MINNEHAHA AVE E STE 465, SAINT PAUL, MN, 55106
Administrator’s telephone number 6517897604

Signature of

Role Plan administrator
Date 2018-06-12
Name of individual signing JESSICA FLOTTERUD
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Jan Hallstrom President 800 Minnehaha Ave E, #465, Saint Paul, MN 55106, USA

Filing

Filing Name Filing date
Annual Reinstatement - Nonprofit Corporation (Domestic) 2018-07-12
Registered Office - Nonprofit Corporation (Domestic) 2018-07-12
Involuntary Dissolution - Nonprofit Corporation (Domestic) 2018-03-08
Original Filing - Nonprofit Corporation (Domestic) (Business Name: Hope Dental Clinic) 2016-10-20

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website