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Penn Ave Dental PLLC

Company Details

Name: Penn Ave Dental PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 06 Jan 2021 (4 years ago)
Company Number: c9dd8ac4-5c50-eb11-917c-00155d01c43b
File Number: 1208131900029
Registered Office Address: 5346 Penn Ave S, Minneapolis, MN 55419, USA
Principal Executive Office Address: 8005 VINCENT AVE SO, MINNEAPOLIS, MN 55410, USA
ZIP code: 55419
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PENN AVE DENTAL PLLC 401K PLAN 2023 861305452 2024-06-06 PENN AVE DENTAL PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621210
Sponsor’s telephone number 6129220894
Plan sponsor’s address 5346 PENN AVENUE S, MINNEAPOLIS, MN, 55419

Signature of

Role Plan administrator
Date 2024-06-06
Name of individual signing LINDSEY WOLD
Valid signature Filed with authorized/valid electronic signature
PENN AVE DENTAL PLLC 401K PLAN 2022 861305452 2023-10-03 PENN AVE DENTAL PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621210
Sponsor’s telephone number 6129220894
Plan sponsor’s address 5346 PENN AVENUE S, MINNEAPOLIS, MN, 55419

Signature of

Role Plan administrator
Date 2023-10-03
Name of individual signing LINDSEY WOLD
Valid signature Filed with authorized/valid electronic signature
PENN AVE DENTAL PLLC 401K PLAN 2021 861305452 2022-09-27 PENN AVE DENTAL PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621210
Sponsor’s telephone number 6129220894
Plan sponsor’s address 5346 PENN AVENUE S, MINNEAPOLIS, MN, 55419

Signature of

Role Plan administrator
Date 2022-09-27
Name of individual signing LINDSEY WOLD
Valid signature Filed with authorized/valid electronic signature
PENN AVE DENTAL PLLC 401K PLAN 2020 861305452 2022-01-19 PENN AVE DENTAL PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-08-01
Business code 621210
Sponsor’s telephone number 6129220894
Plan sponsor’s address 5346 PENN AVENUE S, MINNEAPOLIS, MN, 55419

Signature of

Role Plan administrator
Date 2022-01-19
Name of individual signing SARA COOPER
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
SARA COOPER Manager 8005 VINCENT AVE SO, MINNEAPOLIS, MN 55410, USA

Agent

Name Role
Sara Cooper Agent

Filing

Filing Name Filing date
Amendment - Limited Liability Company (Domestic) 2022-07-21
Original Filing - Limited Liability Company (Domestic) (Business Name: Penn Ave Dental PLLC)Professional Service - Dentistry & Dental Hygiene 2021-01-06

Date of last update: 23 Dec 2024

Sources: Minnesota's Official State Website