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  5. Mendota Dental Associates, PLLC

Mendota Dental Associates, PLLC

Company Details

Name: Mendota Dental Associates, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 09 May 2007 (18 years ago)
Company Number: 92a7beb7-8fd4-e011-a886-001ec94ffe7f
File Number: 2347876-2
Registered Office Address: 720 Main Str #213, Mendota Heights, MN 55118, USA
Principal Executive Office Address: 720 Main Street, #213, Mendota Heights, MN 55118–1241, USA
ZIP code: 55118
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MENDOTA DENTAL 401(K) 2013 411919086 2014-07-25 MENDOTA DENTAL ASSOCIATES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6514541502
Plan sponsor’s address 720 MAIN ST., SUITE 213, MENDOTA HEIGHTS, MN, 55118

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing JANICE O FREDERICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-25
Name of individual signing JANICE O FREDERICK
Valid signature Filed with authorized/valid electronic signature
MENDOTA DENTAL 401(K) 2012 411919086 2013-07-26 MENDOTA DENTAL ASSOCIATES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6514541502
Plan sponsor’s address 720 MAIN ST., SUITE 213, MENDOTA HEIGHTS, MN, 55118

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing JANICE O. FREDERICK, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing JANICE O. FREDERICK, DDS
Valid signature Filed with authorized/valid electronic signature
MENDOTA DENTAL 401(K) 2011 411919086 2012-07-29 MENDOTA DENTAL ASSOCIATES, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6514541502
Plan sponsor’s address 720 MAIN ST., SUITE 213, MENDOTA HEIGHTS, MN, 55118

Plan administrator’s name and address
Administrator’s EIN 411919086
Plan administrator’s name MENDOTA DENTAL ASSOCIATES, PLLC
Plan administrator’s address 720 MAIN ST., SUITE 213, MENDOTA HEIGHTS, MN, 55118
Administrator’s telephone number 6514541502

Signature of
Role Plan administrator
Date 2012-07-29
Name of individual signing JANICE O FREDERICK
Valid signature Filed with authorized/valid electronic signature
MENDOTA DENTAL 401(K) 2010 411919086 2011-07-30 MENDOTA DENTAL ASSOCIATES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6514541502
Plan sponsor’s address 720 MAIN ST., MENDOTA HEIGHTS, MN, 55118

Plan administrator’s name and address
Administrator’s EIN 411919086
Plan administrator’s name MENDOTA DENTAL ASSOCIATES, PLLC
Plan administrator’s address 720 MAIN ST., MENDOTA HEIGHTS, MN, 55118
Administrator’s telephone number 6514541502

Signature of
Role Plan administrator
Date 2011-07-30
Name of individual signing JANICE O FREDERICK, DDS
Valid signature Filed with authorized/valid electronic signature
MENDOTA DENTAL 401(K) 2009 411919086 2010-07-25 MENDOTA DENTAL ASSOCIATES, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6514541502
Plan sponsor’s address 720 MAIN ST., MENDOTA HEIGHTS, MN, 55118

Plan administrator’s name and address
Administrator’s EIN 411919086
Plan administrator’s name MENDOTA DENTAL ASSOCIATES, PLLC
Plan administrator’s address 720 MAIN ST., MENDOTA HEIGHTS, MN, 55118
Administrator’s telephone number 6514541502

Signature of
Role Plan administrator
Date 2010-07-25
Name of individual signing JANICE O FREDERICK, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-25
Name of individual signing JANICE O FREDERICK, DDS
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Janice Frederick Manager 720 Main Street, Suite 213, Mendota Heights, MN 55118–1800, USA

Agent

Name Role
Janice Frederick Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Consent to Use of Name - Limited Liability Company (Domestic) 2015-08-13
Administrative Termination - Limited Liability Company (Domestic) 2015-06-10
Registered Office and/or Agent - Limited Liability Company (Domestic) 2011-12-16
Original Filing - Limited Liability Company (Domestic) 2007-05-09
Limited Liability Company (Domestic) Business Name (Business Name: Mendota Dental Associates, PLLC) 2007-05-09

Related by officers

Janice Frederick

JANICE O. FREDERICK, DDS, P.A.

Related by address

720 Main Str #213, Mendota Heights, MN 55118, USA

Center for Oral Implantology Mendota Dental Associates Mallinger Dental, P.L.L.C. MENDOTA DENTAL

Date of last update: 05 Oct 2024

Sources: Minnesota's Official State Website

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