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Einerson Family Dentistry, PLLC

Company Details

Name: Einerson Family Dentistry, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 10 Dec 2013 (11 years ago)
Company Number: a95a409d-d661-e311-8e3a-001ec94ffe7f
File Number: 717510000021
Registered Office Address: 300 - 22nd Avenue East, Alexandria, MN 56308, USA
Principal Executive Office Address: 300 22ND AVE E, ALEXANDRIA, MN 56308–4833, USA
Mailing Address: 1400 Hawthorne Street, Suite 1, Alexandria, MN 56308
ZIP code: 56308
County: Douglas County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EINERSON FAMILY DENTISTRY 401K PLAN 2023 464276002 2024-08-14 EINERSON FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 300 22ND AVE E, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2024-08-14
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2022 464276002 2023-03-27 EINERSON FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 300 22ND AVE E, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2023-03-27
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2021 464276002 2022-08-10 EINERSON FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 300 22ND AVE E, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2022-08-10
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2020 464276002 2021-05-05 EINERSON FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 300 22ND AVE E, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2021-05-05
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2019 464276002 2020-06-23 EINERSON FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 1400 HAWTHORNE STREET STE 1, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2020-06-23
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2018 464276002 2019-10-09 EINERSON FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 1400 HAWTHORNE STREET STE 1, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2019-10-09
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2017 464276002 2018-09-25 EINERSON FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 1400 HAWTHORNE STREET STE 1, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2018-09-25
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2016 464276002 2017-10-04 EINERSON FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 1400 HAWTHORNE STREET STE 1, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2017-10-04
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2015 464276002 2016-08-31 EINERSON FAMILY DENTISTRY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 1400 HAWTHORNE STREET STE 1, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2016-08-31
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature
EINERSON FAMILY DENTISTRY 401K PLAN 2014 464276002 2015-10-14 EINERSON FAMILY DENTISTRY 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3207633445
Plan sponsor’s address 1400 HAWTHORNE STREET STE 1, ALEXANDRIA, MN, 56308

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing DANIEL EINERSON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Daniel Einerson Manager 300 22ND AVE E, ALEXANDRIA, MN 56308–4833, USA

Agent

Name Role
Daniel Einerson Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2023-03-23
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Einerson Family Dentistry, PLLC)Professional Service - Dentistry & Dental Hygiene 2013-12-10

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website