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  5. Pediatric & Adolescent Dentistry, Ltd.

Pediatric & Adolescent Dentistry, Ltd.

Company Details

Name: Pediatric & Adolescent Dentistry, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 11 Dec 1980 (44 years ago)
Company Number: a5bc372b-a8d4-e011-a886-001ec94ffe7f
File Number: 3U-198
Registered Office Address: 212 Star Str, Mankato, MN 56001, USA
Principal Executive Office Address: 212 Star Str, Mankato, MN 56001–4892, USA
ZIP code: 56001
County: Blue Earth County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. CASH BALANCE PLAN 2023 411387857 2024-09-10 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 24
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2024-09-10
Name of individual signing SAUL OVALLE, DDS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 401(K) PROFIT SHARING PLAN 2023 411387857 2024-09-11 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2024-09-11
Name of individual signing SAUL OVALLE, DDS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 401(K) PROFIT SHARING PLAN 2022 411387857 2023-09-06 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing SAUL OVALLE, DDS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. CASH BALANCE PLAN 2022 411387857 2023-04-17 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2023-04-17
Name of individual signing SAUL OVALLE, DDS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. CASH BALANCE PLAN 2022 411387857 2023-09-06 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 19
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing SAUL OVALLE, DDS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. CASH BALANCE PLAN 2021 411387857 2022-10-11 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing SAUL OVALLE, DDS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 401(K) PROFIT SHARING PLAN 2021 411387857 2022-09-08 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2022-09-08
Name of individual signing SAUL OVALLE, DDS
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 401(K) PROFIT SHARING PLAN 2020 411387857 2021-10-04 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing SAUL OVALLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-04
Name of individual signing SAUL OVALLE
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. CASH BALANCE PLAN 2020 411387857 2021-10-04 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing SAUL OVALLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-04
Name of individual signing SAUL OVALLE
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC & ADOLESCENT DENTISTRY, LTD. CASH BALANCE PLAN 2019 411387857 2020-08-31 PEDIATRIC & ADOLESCENT DENTISTRY, LTD. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 5073874078
Plan sponsor’s address 212 STAR STREET, MANKATO, MN, 56001

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing SAUL OVALLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing SAUL OVALLE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Saul Ovalle Chief Executive Officer 212 Star Str, Mankato, MN 56001–4892, USA

Filing

Filing Name Filing date
Business Corporation (Domestic) Business Name (Business Name: Pediatric & Adolescent Dentistry, Ltd.) 1988-11-14
Registered Office and/or Agent - Business Corporation (Domestic) 1988-06-10
Original Filing - Business Corporation (Domestic) 1980-12-11
Business Corporation (Domestic) Business Name (Business Name: James L. Walton, D.D.S., M.S., Ltd.) 1980-12-11

Related by officers

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Date of last update: 23 Sep 2024

Sources: Minnesota's Official State Website

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