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Carousel Pediatric Dentistry & Orthodontics

Company Details

Name: Carousel Pediatric Dentistry & Orthodontics
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 06 Sep 2024 (5 months ago)
Company Number: 9344e6a4-556c-ef11-9087-00155d32b947
File Number: 1490585600023
Principal Place of Business Address: STE 110, 15160 FOLIAGE AVE, APPLE VALLEY, MN 55124–5903, USA
ZIP code: 55124
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAROUSEL PEDIATRIC DENTISTRY & ORTHODONTICS 401(K) PLAN 2023 845007930 2024-06-24 CAROUSEL PEDIATRIC DENTISTRY & ORTHODONTICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 9522500310
Plan sponsor’s address 15160 FOLIAGE AVE, SUITE 110, APPLE VALLEY, MN, 55124

Plan administrator’s name and address

Administrator’s EIN 842925395
Plan administrator’s name 401GO, INC.
Plan administrator’s address 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088
Administrator’s telephone number 8012142125

Signature of

Role Plan administrator
Date 2024-06-24
Name of individual signing FIDUCIARY ASSISTANCE
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Carousel Pediatric Dentistry, PLLC Aplicant STE 110, 15160 FOLIAGE AVE, APPLE VALLEY, MN 55124 – 5903

Filing

Filing Name Filing date
Original Filing - Assumed Name (Business Name: Carousel Pediatric Dentistry & Orthodontics) 2024-09-06

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website