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Elbow Lake Dentistry, PLLC

Company Details

Name: Elbow Lake Dentistry, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 07 Jul 2020 (5 years ago)
Company Number: c14a53b6-71c0-ea11-919d-00155d32b905
File Number: 1166444400025
Registered Office Address: 8300 Norman Center Drive, Ste 1000, Minneapolis, MN 55437–1060, USA
Principal Executive Office Address: 18 W DIVISION ST, ELBOW LAKE, MN 56531, USA
ZIP code: 56531
County: Grant County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELBOW LAKE DENTISTRY, PLLC 401(K) P/S PLAN 2023 852485475 2024-06-11 ELBOW LAKE DENTISTRY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2186854710
Plan sponsor’s address 18 W DIVISION PO BOX 26, ELBOW LAKE, MN, 56531

Signature of

Role Plan administrator
Date 2024-06-11
Name of individual signing BRADY WEISPFENNIG
Valid signature Filed with authorized/valid electronic signature
ELBOW LAKE DENTISTRY, PLLC 401(K) P/S PLAN 2022 852485475 2023-10-02 ELBOW LAKE DENTISTRY, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2186854710
Plan sponsor’s address 18 W DIVISION PO BOX 26, ELBOW LAKE, MN, 56531

Signature of

Role Plan administrator
Date 2023-10-02
Name of individual signing BRADY WEISPFENNIG
Valid signature Filed with authorized/valid electronic signature
ELBOW LAKE DENTISTRY, PLLC 401(K) P/S PLAN 2021 852485475 2022-09-16 ELBOW LAKE DENTISTRY, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 3204910300
Plan sponsor’s address 18 WEST DIVISION STREET, ELBOW LAKE, MN, 56531

Signature of

Role Plan administrator
Date 2022-09-16
Name of individual signing BRADY WEISPFENNIG
Valid signature Filed with authorized/valid electronic signature
ELBOW LAKE DENTISTRY, PLLC 401(K) P/S PLAN 2020 852485475 2021-07-25 ELBOW LAKE DENTISTRY, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 3204910300
Plan sponsor’s address 18 W DIVISION, ELBOW LAKE, MN, 56531

Plan administrator’s name and address

Administrator’s EIN 852485475
Plan administrator’s name ELBOW LAKE DENTISTRY, PLLC
Plan administrator’s address 18 W DIVISION, ELBOW LAKE, MN, 56531
Administrator’s telephone number 3204910300

Signature of

Role Plan administrator
Date 2021-07-25
Name of individual signing BRADY WEISPFENNIG
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Brady Weispfennig Manager 18 W DIVISION ST, ELBOW LAKE, MN 56531, USA

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2022-03-29
Administrative Termination - Limited Liability Company (Domestic) 2022-02-02
Original Filing - Limited Liability Company (Domestic) (Business Name: Elbow Lake Dentistry, PLLC)Professional Service - Dentistry & Dental Hygiene 2020-07-07

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website