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ERICKSON/AAMODT ORTHODONTICS, P.A.

Company Details

Name: ERICKSON/AAMODT ORTHODONTICS, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 20 Jul 1994 (30 years ago)
Company Number: abbba04a-a3d4-e011-a886-001ec94ffe7f
File Number: 8I-152
Registered Office Address: 4790 White Bear Pkwy, White Bear Lake, MN 55110, USA
Principal Executive Office Address: 2130 CLIFF RD STE 220, EAGAN, MN 55122–2487, USA
ZIP code: 55110
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ERICKSON/AAMODT ORTHODONTICS, P.A. 401(K) PLAN 2012 411785852 2013-08-29 ERICKSON/AAMODT ORTHODONTICS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-12
Business code 621210
Sponsor’s telephone number 6514051055
Plan sponsor’s mailing address 3600 TANGLEWOOD COURT, EAGAN, MN, 55123
Plan sponsor’s address 3600 TANGLEWOOD COURT, EAGAN, MN, 55123

Plan administrator’s name and address

Administrator’s EIN 411785852
Plan administrator’s name ERICKSON/AAMODT ORTHODONTICS, P.A.
Plan administrator’s address 3600 TANGLEWOOD COURT, EAGAN, MN, 55123
Administrator’s telephone number 6514051055

Number of participants as of the end of the plan year

Active participants 9
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 13
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-08-18
Name of individual signing KEITH ERICKSON
Valid signature Filed with authorized/valid electronic signature
ERICKSON/AAMODT ORTHODONTICS, P.A. 401(K) PLAN 2012 411785852 2013-08-29 ERICKSON/AAMODT ORTHODONTICS, P.A. 10
Three-digit plan number (PN) 001
Effective date of plan 2003-05-12
Business code 621210
Sponsor’s telephone number 6514051055
Plan sponsor’s mailing address 3600 TANGLEWOOD COURT, EAGAN, MN, 55123
Plan sponsor’s address 3600 TANGLEWOOD COURT, EAGAN, MN, 55123

Plan administrator’s name and address

Administrator’s EIN 411785852
Plan administrator’s name ERICKSON/AAMODT ORTHODONTICS, P.A.
Plan administrator’s address 3600 TANGLEWOOD COURT, EAGAN, MN, 55123
Administrator’s telephone number 6514051055

Number of participants as of the end of the plan year

Active participants 9
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 13
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-08-29
Name of individual signing KEITH ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-29
Name of individual signing KEITH ERICKSON
Valid signature Filed with authorized/valid electronic signature
ERICKSON/AAMODT ORTHODONTICS, P.A. 401(K) PLAN 2011 411785852 2012-08-18 ERICKSON/AAMODT ORTHODONTICS, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-12
Business code 621210
Sponsor’s telephone number 6514051055
Plan sponsor’s mailing address 2130 CLIFF ROAD SUITE 220, EAGAN, MN, 55122
Plan sponsor’s address 2130 CLIFF ROAD SUITE 220, EAGAN, MN, 55122

Plan administrator’s name and address

Administrator’s EIN 411785852
Plan administrator’s name ERICKSON/AAMODT ORTHODONTICS, P.A.
Plan administrator’s address 2130 CLIFF ROAD, SUITE 220, EAGAN, MN, 55122
Administrator’s telephone number 6514051055

Number of participants as of the end of the plan year

Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-08-18
Name of individual signing KEITH ERICKSON
Valid signature Filed with authorized/valid electronic signature
ERICKSON/AAMODT ORTHODONTICS, P.A. 401(K) PLAN 2010 411785852 2011-07-05 ERICKSON/AAMODT ORTHODONTICS, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-12
Business code 621210
Sponsor’s telephone number 6514051055
Plan sponsor’s mailing address 2130 CLIFF ROAD, SUITE 220, EAGAN, MN, 55122
Plan sponsor’s address 2130 CLIFF ROAD, SUITE 220, EAGAN, MN, 55122

Plan administrator’s name and address

Administrator’s EIN 411785852
Plan administrator’s name ERICKSON/AAMODT ORTHODONTICS, P.A.
Plan administrator’s address 2130 CLIFF ROAD, SUITE 220, EAGAN, MN, 55122
Administrator’s telephone number 6514051055

Number of participants as of the end of the plan year

Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 13
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-07-05
Name of individual signing KEITH ERICKSON
Valid signature Filed with authorized/valid electronic signature
ERICKSON/AAMODT ORTHODONTICS, P.A. 401K PLAN 2009 411785852 2010-09-17 ERICKSON/AAMODT ORTHODONTICS, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-12
Business code 621210
Sponsor’s telephone number 6514051055
Plan sponsor’s mailing address 2130 CLIFF ROAD, SUITE 220, EAGAN, MN, 55122
Plan sponsor’s address 2130 CLIFF ROAD, SUITE 220, EAGAN, MN, 55122

Plan administrator’s name and address

Administrator’s EIN 411785852
Plan administrator’s name ERICKSON/AAMODT ORTHODONTICS, P.A.
Plan administrator’s address 2130 CLIFF ROAD, SUITE 220, EAGAN, MN, 55122
Administrator’s telephone number 6514051055

Number of participants as of the end of the plan year

Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 13
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-09-17
Name of individual signing KEITH ERICKSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Keith R Erickson Chief Executive Officer 2130 CLIFF RD STE 220, EAGAN, MN 55122–2487, USA

Agent

Name Role
Keith R Erickson Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2013-08-07
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Business Corporation (Domestic) Change of Shares 2006-05-02
Business Corporation (Domestic) Business Name (Business Name: ERICKSON/AAMODT ORTHODONTICS, P.A.) 2006-05-02
Business Corporation (Domestic) Restated Articles 2006-05-02
Registered Office and/or Agent - Business Corporation (Domestic) 2003-02-26
Business Corporation (Domestic) Business Name (Business Name: Keith R. Erickson, D.D.S., P.A.) 1994-07-20
Original Filing - Business Corporation (Domestic) 1994-07-20

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website