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55129
Pham DDS PLLC

Pham DDS PLLC

Company Details

Name:	Pham DDS PLLC
Jurisdiction:	Minnesota
Legal type:	Limited Liability Company (Domestic)
Status:	Active / In Good Standing
Date formed:	14 May 2014 (11 years ago)
Company Number:	9749f03f-7adb-e311-a9cc-001ec94ffe7f
File Number:	760941200025
Registered Office Address:	9520 Compass Pointe Rd, Woodbury, MN 55129, USA
Principal Executive Office Address:	1347 Larpenteur Ave W, Falcon Heights, Minnesota 55113–5511, United States
ZIP code:	55129
County:	Washington County
Place of Formation:	Minnesota

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SNELLING AVENUE DENTAL 401(K) PLAN

2016

465685563

2017-07-11

PHAM DDS, PLLC

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	6516995600
Plan sponsor’s address	604 SOUTH SNELLING AVENUE, ST PAUL, MN, 55116

Signature of

Role	Plan administrator
Date	2017-07-11
Name of individual signing	TAMI PHAM
Valid signature	Filed with authorized/valid electronic signature

SNELLING AVENUE DENTAL 401(K) PLAN

2016

465685563

2017-07-27

PHAM DDS, PLLC

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	6516995600
Plan sponsor’s address	604 SOUTH SNELLING AVENUE, ST PAUL, MN, 55116

Signature of

Role	Plan administrator
Date	2017-07-27
Name of individual signing	TAMI PHAM
Valid signature	Filed with authorized/valid electronic signature

SNELLING AVENUE DENTAL 401(K) PLAN

2015

465685563

2016-10-11

PHAM DDS, PLLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	5616995600
Plan sponsor’s address	604 SOUTH SNELLING AVENUE, ST PAUL, MN, 55116

Signature of

Role	Plan administrator
Date	2016-10-11
Name of individual signing	TAMI PHAM
Valid signature	Filed with authorized/valid electronic signature

SNELLING AVENUE DENTAL 401(K) PLAN

2014

465685563

2015-10-08

PHAM DDS, PLLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	5616995600
Plan sponsor’s address	604 SOUTH SNELLING AVENUE, ST PAUL, MN, 55116

Signature of

Role	Plan administrator
Date	2015-10-08
Name of individual signing	TAMI PHAM
Valid signature	Filed with authorized/valid electronic signature

Manager

Name	Role	Address
TAM PHAM	Manager	1347 Larpenteur Ave W, Falcon Heights, Minnesota 55113–5511, United States

Filing

Filing Name	Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic)	2019-04-15
Annual Reinstatement - Limited Liability Company (Domestic)	2018-07-25
Administrative Termination - Limited Liability Company (Domestic)	2018-03-15
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic)	2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Pham DDS PLLC)Professional Service - Dentistry & Dental Hygiene	2014-05-14

Date of last update: 23 Sep 2024

Sources: Minnesota's Official State Website