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DAVID E. ANDERSEN, D.D.S., P.A.

Company Details

Name: DAVID E. ANDERSEN, D.D.S., P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 02 Dec 1996 (28 years ago)
Company Number: ccecb893-abd4-e011-a886-001ec94ffe7f
File Number: 9K-621
Registered Office Address: 19033 US Hwy 71, Park Rapids, MN 56470, USA
Principal Executive Office Address: 19033 US 71, Park Rapids, MN 56470, USA
ZIP code: 56470
County: Hubbard County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID E. ANDERSEN, D.D.S., P.A. DEFINED BENEFIT PENSION PLAN 2020 411859672 2021-09-27 DAVID E. ANDERSEN, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14216 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. 401(K) PLAN 2020 411859672 2021-09-25 DAVID E. ANDERSEN, D.D.S., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14216 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. DEFINED BENEFIT PENSION PLAN 2019 411859672 2020-09-16 DAVID E. ANDERSEN, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14216 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. 401(K) PLAN 2019 411859672 2020-09-16 DAVID E. ANDERSEN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14216 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. 401(K) PLAN 2018 411859672 2019-10-08 DAVID E. ANDERSEN, D.D.S., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14216 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. DEFINED BENEFIT PENSION PLAN 2018 411859672 2019-10-03 DAVID E. ANDERSEN, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14216 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. DEFINED BENEFIT PENSION PLAN 2017 411859672 2018-09-24 DAVID E. ANDERSEN, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14216 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. 401(K) PLAN 2017 411859672 2018-10-03 DAVID E. ANDERSEN, D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14216 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. DEFINED BENEFIT PENSION PLAN 2016 411859672 2017-08-31 DAVID E. ANDERSEN, D.D.S., P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14206 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293
DAVID E. ANDERSEN, D.D.S., P.A. 401(K) PLAN 2016 411859672 2017-08-31 DAVID E. ANDERSEN, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2187323291
Plan sponsor’s address 14206 EAGLE POINTE DRIVE, PARK RAPIDS, MN, 564703293

Chief Executive Officer

Name Role Address
David E Andersen Chief Executive Officer 19033 US 71, Park Rapids, MN 56470, USA

Filing

Filing Name Filing date
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Registered Office and/or Agent - Business Corporation (Domestic) 2000-06-22
Original Filing - Business Corporation (Domestic) 1996-12-02
Business Corporation (Domestic) Business Name (Business Name: DAVID E. ANDERSEN, D.D.S., P.A.) 1996-12-02

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website