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  5. LITCHFIELD FAMILY DENTISTRY, P.A.

LITCHFIELD FAMILY DENTISTRY, P.A.

Company Details

Name: LITCHFIELD FAMILY DENTISTRY, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 19 Nov 1975 (49 years ago)
Company Number: 95639462-b0d4-e011-a886-001ec94ffe7f
File Number: 2R-824
Registered Office Address: 715 N Sibley, Litchfield, MN 55355, USA
Principal Executive Office Address: 715 N SIBLEY AVE, LITCHFIELD, MN 55355–4560, United States
ZIP code: 55355
County: Meeker County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2023 411261799 2024-07-08 LITCHFIELD FAMILY DENTISTRY, P.A. 14
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2022 411261799 2023-06-22 LITCHFIELD FAMILY DENTISTRY, P.A. 16
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing RYAN SWENSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-22
Name of individual signing RYAN SWENSON
Valid signature Filed with authorized/valid electronic signature
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2021 411261799 2022-08-23 LITCHFIELD FAMILY DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355

Signature of
Role Plan administrator
Date 2022-08-23
Name of individual signing RYAN SWENSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-23
Name of individual signing RYAN SWENSON
Valid signature Filed with authorized/valid electronic signature
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2020 411261799 2021-07-27 LITCHFIELD FAMILY DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing RYAN SWENSON
Valid signature Filed with authorized/valid electronic signature
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2019 411261799 2020-07-31 LITCHFIELD FAMILY DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-31
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2018 411261799 2019-05-27 LITCHFIELD FAMILY DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355

Signature of
Role Plan administrator
Date 2019-05-27
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-27
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2017 411261799 2018-05-04 LITCHFIELD FAMILY DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355

Signature of
Role Plan administrator
Date 2018-05-04
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-04
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2016 411261799 2017-07-21 LITCHFIELD FAMILY DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355

Signature of
Role Plan administrator
Date 2017-07-21
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-21
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
LITCHFIELD FAMILY DENTISTRY, P.A. 401(K) PLAN AND TRUST 2015 411261799 2016-08-17 LITCHFIELD FAMILY DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1995-12-01
Business code 621210
Sponsor’s telephone number 3206932228
Plan sponsor’s address 715 NORTH SIBLEY AVENUE, SUITE 101, LITCHFIELD, MN, 55355

Signature of
Role Plan administrator
Date 2016-08-17
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-17
Name of individual signing MICHAEL SOLBRACK
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Ryan Swenson Chief Executive Officer 715 N SIBLEY AVE, LITCHFIELD, MN 55355–4560, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) (Business Name: LITCHFIELD FAMILY DENTISTRY, P.A.) 2014-04-10
Registered Office and/or Agent - Business Corporation (Domestic) 1988-11-17
Business Corporation (Domestic) Business Name (Business Name: James D. Haugo D.D.S., P.A.) 1987-05-05
Business Corporation (Domestic) Active Status Report 1979-12-04
Original Filing - Business Corporation (Domestic) 1975-11-19
Business Corporation (Domestic) Business Name (Business Name: Thomas A. Tranby D.D.S., Ltd.) 1975-11-19

Related by officers

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Related by address

715 N SIBLEY AVE, LITCHFIELD, MN 55355–4560, United States

Vali LLC

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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