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  5. Twelfth Street Dental Office, P.A.

Twelfth Street Dental Office, P.A.

Company Details

Name: Twelfth Street Dental Office, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 19 Apr 1979 (46 years ago)
Company Number: c1744902-a9d4-e011-a886-001ec94ffe7f
File Number: 3K-415
Registered Office Address: 1008 12th Str SE, Rochester, MN 55904, USA
ZIP code: 55904
County: Olmsted County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2023 411354980 2024-03-05 TWELFTH STREET DENTAL OFFICE, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2024-03-05
Name of individual signing KELLY SCHARBARTH AS TPA
Valid signature Filed with authorized/valid electronic signature
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2022 411354980 2023-07-19 TWELFTH STREET DENTAL OFFICE, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2021 411354980 2022-10-11 TWELFTH STREET DENTAL OFFICE, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2020 411354980 2021-05-19 TWELFTH STREET DENTAL OFFICE, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2019 411354980 2020-07-07 TWELFTH STREET DENTAL OFFICE, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2018 411354980 2019-05-22 TWELFTH STREET DENTAL OFFICE, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2017 411354980 2018-10-01 TWELFTH STREET DENTAL OFFICE, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2016 411354980 2017-09-14 TWELFTH STREET DENTAL OFFICE, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing DR. JOSEPH BECKER
Valid signature Filed with authorized/valid electronic signature
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2015 411354980 2016-03-29 TWELFTH STREET DENTAL OFFICE, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2016-03-29
Name of individual signing DR. JOSEPH BECKER
Valid signature Filed with authorized/valid electronic signature
TWELFTH STREET DENTAL OFFICE, P.A. 401(K) PROFIT SHARING PLAN 2014 411354980 2015-10-02 TWELFTH STREET DENTAL OFFICE, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-05-01
Business code 621210
Sponsor’s telephone number 5072826448
Plan sponsor’s address 1008 - 12TH STREET SE, ROCHESTER, MN, 55904

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing DR. JOSEPH BECKER
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Chris Lindquist Chief Executive Officer 1008 12th Str SE, Rochester, MN 55904, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1989-11-15
Business Corporation (Domestic) Business Name (Business Name: Twelfth Street Dental Office, P.A.) 1985-05-02
Business Corporation (Domestic) Active Status Report 1980-06-06
Original Filing - Business Corporation (Domestic) 1979-04-19
Business Corporation (Domestic) Business Name (Business Name: Francis J. Washburn, DDS, P.A.) 1979-04-19

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Date of last update: 26 Jan 2025

Sources: Minnesota's Official State Website

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