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Great River Endodontics, P.A.

Company Details

Name: Great River Endodontics, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 02 Aug 2010 (14 years ago)
Company Number: 99643a4e-96d4-e011-a886-001ec94ffe7f
File Number: 3933894-2
Registered Office Address: 622 Roosevelt Rd #180, St Cloud, MN 56301, USA
Principal Executive Office Address: 622 Roosevelt Road, Suite 180, Saint Cloud, MN 56301, USA
ZIP code: 56301
County: Stearns County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2023 273155032 2024-10-29 GREAT RIVER ENDODONTICS, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2024-10-28
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-28
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2022 273155032 2023-11-01 GREAT RIVER ENDODONTICS, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2023-10-31
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-31
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2021 273155032 2022-10-24 GREAT RIVER ENDODONTICS, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2022-10-24
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-24
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2020 273155032 2021-10-29 GREAT RIVER ENDODONTICS, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2021-10-28
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-28
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2019 273155032 2020-12-09 GREAT RIVER ENDODONTICS, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2020-12-09
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-12-09
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2018 273155032 2019-10-23 GREAT RIVER ENDODONTICS, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2019-10-23
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-23
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2017 273155032 2018-11-21 GREAT RIVER ENDODONTICS, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2018-11-16
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-11-16
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2016 273155032 2017-11-15 GREAT RIVER ENDODONTICS, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2017-11-14
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-14
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2015 273155032 2016-11-28 GREAT RIVER ENDODONTICS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2016-11-25
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-11-25
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
GREAT RIVER ENDODONTICS, P.A. 401(K) PLAN 2014 273155032 2016-03-10 GREAT RIVER ENDODONTICS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 3202595078
Plan sponsor’s address 622 ROOSEVELT ROAD, SUITE 180, ST. CLOUD, MN, 56301

Signature of

Role Plan administrator
Date 2016-03-10
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-10
Name of individual signing THOMAS KARN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Thomas A Karn Chief Executive Officer 622 Roosevelt Road, Suite180, Saint Cloud, MN 56301, USA

Filing

Filing Name Filing date
Merger - Business Corporation (Domestic) 2010-10-01
Original Filing - Business Corporation (Domestic) 2010-08-02
Business Corporation (Domestic) Business Name (Business Name: Great River Endodontics, P.A.) 2010-08-02

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website