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Champlin Family Dental
Company Details
| Name: |
Champlin Family Dental |
| Jurisdiction: |
Minnesota |
| Legal type: |
Assumed Name |
| Status: |
Inactive
|
| Date formed: |
13 Aug 1991 (33 years ago)
|
| Company Number: |
a69e65f5-a7d4-e011-a886-001ec94ffe7f |
| File Number: |
107092 |
| Principal Place of Business Address: |
12233 Champlin Drv, Champlin, MN 55316, USA |
| ZIP code: |
55316
|
| County: |
Hennepin County |
| Place of Formation: |
Minnesota |
form 5500
| Plan Name |
Plan Year |
EIN/PN |
Received |
Sponsor |
Total number of participants |
|
|
CHAMPLIN FAMILY DENTAL 401(K) PLAN
|
2023
|
134228119
|
2024-06-24
|
CHAMPLIN FAMILY DENTAL
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2023-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
6122347937
|
| Plan sponsor’s
address |
11942 BUSINESS PARK BLVD, N CHAMPLIN, MN, 55316
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-24 |
| Name of individual signing |
KRISTA BAUER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
Aplicant
| Name |
Role |
Address |
|
Krista S Bauer
|
Aplicant
|
6545 Fountain Ln N, Maple Grove, MN 55311
|
Filing
| Filing Name |
Filing date |
|
Expired - Assumed Name
|
2021-08-16
|
|
Assumed Name Renewal
|
2001-01-30
|
|
Assumed Name Nameholder
|
1998-07-20
|
|
Assumed Name Principal Place of Business
|
1998-07-20
|
|
Assumed Name Business Name (Business Name: Champlin Family Dental)
|
1998-07-20
|
|
Original Filing - Assumed Name
|
1991-08-13
|
|
Assumed Name Business Name (Business Name: Champlin Plaza Dental)
|
1991-08-13
|
Date of last update: 02 Oct 2024
Sources:
Minnesota's Official State Website
