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Smile Design Dentistry, PLLC

Company Details

Name: Smile Design Dentistry, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 27 Jan 2011 (14 years ago)
Company Number: a8813237-97d4-e011-a886-001ec94ffe7f
File Number: 4156598-2
Registered Office Address: 3475 Plymouth Blvd #100, Plymouth, MN 55447, USA
Principal Executive Office Address: 3475 Plymouth Blvd., #100, Plymouth, MN 55447, USA
ZIP code: 55447
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2023 274668471 2024-10-09 SMILE DESIGN DENTISTRY, PLLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD, STE 100, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2024-10-09
Name of individual signing BRETT MOORE
Valid signature Filed with authorized/valid electronic signature
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2022 274668471 2023-10-17 SMILE DESIGN DENTISTRY, PLLC 37
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD, STE 100, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing TIMOTHY FLANNERY
Valid signature Filed with authorized/valid electronic signature
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2021 274668471 2022-10-17 SMILE DESIGN DENTISTRY, PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD, STE 100, PLYMOUTH, MN, 55447
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2020 274668471 2021-08-10 SMILE DESIGN DENTISTRY, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD, STE 100, PLYMOUTH, MN, 55447
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2019 274668471 2020-09-25 SMILE DESIGN DENTISTRY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD, STE 100, PLYMOUTH, MN, 55447
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2018 274668471 2019-10-01 SMILE DESIGN DENTISTRY, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD, STE 100, PLYMOUTH, MN, 55447
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2017 274668471 2018-05-15 SMILE DESIGN DENTISTRY, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD. SUITE 100, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2018-05-15
Name of individual signing COREY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-15
Name of individual signing COREY JENSEN
Valid signature Filed with authorized/valid electronic signature
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2016 274668471 2017-05-25 SMILE DESIGN DENTISTRY, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD. SUITE 100, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2017-05-25
Name of individual signing COREY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing COREY JENSEN
Valid signature Filed with authorized/valid electronic signature
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2015 274668471 2016-06-15 SMILE DESIGN DENTISTRY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD. SUITE 100, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2016-06-15
Name of individual signing COREY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-15
Name of individual signing COREY JENSEN
Valid signature Filed with authorized/valid electronic signature
SMILE DESIGN DENTISTRY, PLLC 401(K) PLAN 2014 274668471 2015-06-16 SMILE DESIGN DENTISTRY, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 7635371238
Plan sponsor’s address 3475 PLYMOUTH BLVD. SUITE 100, PLYMOUTH, MN, 55447

Signature of

Role Plan administrator
Date 2015-06-16
Name of individual signing COREY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-16
Name of individual signing COREY JENSEN
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Smile Design Dentistry Manager 3475 Plymouth Blvd, #100, Plymouth, MN 55447, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Smile Design Dentistry, PLLC)Professional Service - Dentistry & Dental Hygiene 2011-01-27

Date of last update: 30 Nov 2024

Sources: Minnesota's Official State Website