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Donabauer Family Dentistry, P.C.

Company Details

Name: Donabauer Family Dentistry, P.C.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 29 May 2008 (17 years ago)
Company Number: 9ca12af5-91d4-e011-a886-001ec94ffe7f
File Number: 2872498-2
Registered Office Address: 211 5th Str S, Moorhead, MN 56560, USA
ZIP code: 56560
County: Clay County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2023 262700546 2024-07-31 DONABAUER FAMILY DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-31
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2022 262700546 2023-07-24 DONABAUER FAMILY DENTISTRY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-24
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2021 262700546 2022-10-10 DONABAUER FAMILY DENTISTRY, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-10
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2020 262700546 2021-07-09 DONABAUER FAMILY DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-09
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2019 262700546 2020-07-29 DONABAUER FAMILY DENTISTRY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2018 262700546 2019-08-15 DONABAUER FAMILY DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2019-08-15
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-15
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2017 262700546 2018-07-31 DONABAUER FAMILY DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2018-07-31
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-31
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2016 262700546 2017-08-18 DONABAUER FAMILY DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2017-08-18
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-18
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2015 262700546 2016-09-12 DONABAUER FAMILY DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2016-09-12
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-12
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
DONABAUER FAMILY DENTISTRY P.C. 401(K) PLAN 2014 262700546 2015-10-14 DONABAUER FAMILY DENTISTRY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-07-01
Business code 621210
Sponsor’s telephone number 2182331754
Plan sponsor’s address 211 5TH STREET SOUTH, MOORHEAD, MN, 56560

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing BRAD DONABAUER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Bradly J Donabauer Chief Executive Officer 211 5th Str S, Moorhead, MN 56560, USA

Agent

Name Role
Bradly J Donabauer Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2019-08-14
Administrative Dissolution - Business Corporation (Domestic) 2017-02-27
Original Filing - Business Corporation (Domestic) (Business Name: Donabauer Family Dentistry, P.C.)Professional Service - Dentistry & Dental Hygiene 2008-05-29

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website