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  5. Med City Dental PLLC

Med City Dental PLLC

Company Details

Name: Med City Dental PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Inactive
Date formed: 02 Oct 2003 (21 years ago)
Company Number: 95e7f31a-87d4-e011-a886-001ec94ffe7f
File Number: 645717-2
Registered Office Address: 206 S Broadway #700, Rochester, MN 55904–6560, USA
Principal Executive Office Address: 206 S Broadway # 700, ROCHESTER, MN 55904, USA
ZIP code: 55904
County: Olmsted County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FREDERICK P CARLSON DDS, PLLC PROFIT SHARING PLAN 2018 200299448 2019-07-11 MED CITY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5072898707
Plan sponsor’s address 30 3RD STREET SE, SUITE 202, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing FREDERICK P. CARLSON DDS
Valid signature Filed with authorized/valid electronic signature
FREDERICK P CARLSON DDS, PLLC PROFIT SHARING PLAN 2017 200299448 2018-10-11 MED CITY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5072898707
Plan sponsor’s address 30 3RD STREET SE, SUITE 202, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing FREDERICK P. CARLSON DDS
Valid signature Filed with authorized/valid electronic signature
FREDERICK P CARLSON DDS, PLLC PROFIT SHARING PLAN 2016 200299448 2017-08-09 MED CITY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5072898707
Plan sponsor’s address 30 3RD STREET SE, SUITE 202, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2017-08-01
Name of individual signing FREDERICK P. CARLSON DDS
Valid signature Filed with authorized/valid electronic signature
FREDERICK P CARLSON DDS, PLLC PROFIT SHARING PLAN 2015 200299448 2016-07-29 MED CITY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5072898707
Plan sponsor’s address 30 3RD STREET SE, SUITE 202, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing FREDERICK P. CARLSON DDS
Valid signature Filed with authorized/valid electronic signature
FREDERICK P CARLSON DDS, PLLC PROFIT SHARING PLAN 2014 200299448 2015-07-07 MED CITY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5072898707
Plan sponsor’s address 206 BROADWAY SOUTH, SUITE 700, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2015-06-26
Name of individual signing FREDERICK P. CARLSON DDS
Valid signature Filed with authorized/valid electronic signature
FREDERICK P CARLSON DDS, PLLC PROFIT SHARING PLAN 2013 200299448 2014-10-08 MED CITY DENTAL PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5072898707
Plan sponsor’s address 206 BROADWAY SOUTH, SUITE 700, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2014-09-26
Name of individual signing FREDERICK P. CARLSON DDS
Valid signature Filed with authorized/valid electronic signature
FREDERICK P CARLSON DDS, PLLC PROFIT SHARING PLAN 2012 200299448 2013-10-15 MED CITY DENTAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 5072898707
Plan sponsor’s address 206 BROADWAY SOUTH, SUITE 700, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing FREDERICK P. CARLSON DDS
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Frederick Carlson Manager 206 S Broadway #700, Rochester, MN 55904, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Limited Liability Company (Domestic) Business Name (Business Name: Med City Dental PLLC) 2009-06-29
Annual Reinstatement - Limited Liability Company (Domestic) 2005-06-29
Administrative Termination - Limited Liability Company (Domestic) 2005-02-02
Original Filing - Limited Liability Company (Domestic) 2003-10-02
Limited Liability Company (Domestic) Business Name (Business Name: Frederick P. Carlson, PLLC) 2003-10-02

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Date of last update: 05 Oct 2024

Sources: Minnesota's Official State Website

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