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Hawley Family Dentistry PLLC

Company Details

Name: Hawley Family Dentistry PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 15 Jun 2015 (10 years ago)
Company Number: cdd86c4c-a013-e511-b14d-001ec94ffe7f
File Number: 830068200026
Registered Office Address: 500 Sixth Street, Hawley, MN 56549, USA
Principal Executive Office Address: 500 6 St, Hawley, MN 56549, USA
ZIP code: 56549
County: Clay County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAWLEY FAMILY DENTISTRY 401(K) PLAN 2023 474297675 2024-06-11 HAWLEY FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-02-01
Business code 621210
Sponsor’s telephone number 2184834295
Plan sponsor’s address 500 6TH STREET, HAWLEY, MN, 56549

Signature of

Role Plan administrator
Date 2024-06-11
Name of individual signing LUKE HVIDSTON
Valid signature Filed with authorized/valid electronic signature
HAWLEY FAMILY DENTISTRY 401(K) PLAN 2022 474297675 2023-05-15 HAWLEY FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-02-01
Business code 621210
Sponsor’s telephone number 2184834295
Plan sponsor’s address 500 6TH STREET, HAWLEY, MN, 56549

Signature of

Role Plan administrator
Date 2023-05-15
Name of individual signing LUKE HVIDSTON
Valid signature Filed with authorized/valid electronic signature
HAWLEY FAMILY DENTISTRY 401(K) PLAN 2021 474297675 2022-07-11 HAWLEY FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-02-01
Business code 621210
Sponsor’s telephone number 2184834295
Plan sponsor’s address 500 6TH STREET, P O BOX 160, HAWLEY, MN, 56549

Signature of

Role Plan administrator
Date 2022-07-11
Name of individual signing LUKE HVIDSTON
Valid signature Filed with authorized/valid electronic signature
HAWLEY FAMILY DENTISTRY 401(K) PLAN 2020 474297675 2021-05-06 HAWLEY FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-02-01
Business code 621210
Sponsor’s telephone number 2184834295
Plan sponsor’s address 500 6TH STREET, P O BOX 160, HAWLEY, MN, 56549

Signature of

Role Plan administrator
Date 2021-05-06
Name of individual signing LUKE HVIDSTON
Valid signature Filed with authorized/valid electronic signature
HAWLEY FAMILY DENTISTRY 401(K) PLAN 2019 474297675 2020-06-15 HAWLEY FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-02-01
Business code 621210
Sponsor’s telephone number 2184834295
Plan sponsor’s address 500 6TH STREET, P O BOX 160, HAWLEY, MN, 56549

Signature of

Role Plan administrator
Date 2020-06-15
Name of individual signing LUKE HVIDSTON
Valid signature Filed with authorized/valid electronic signature
HAWLEY FAMILY DENTISTRY 401(K) PLAN 2018 474297675 2019-07-19 HAWLEY FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-02-01
Business code 621210
Sponsor’s telephone number 2184834295
Plan sponsor’s address 500 6TH STREET, P O BOX 160, HAWLEY, MN, 56549

Signature of

Role Plan administrator
Date 2019-07-19
Name of individual signing LUKE HVIDSTON
Valid signature Filed with authorized/valid electronic signature
HAWLEY FAMILY DENTISTRY 401(K) PLAN 2017 474297675 2018-07-12 HAWLEY FAMILY DENTISTRY 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-02-01
Business code 621210
Sponsor’s telephone number 2184834295
Plan sponsor’s address 500 6TH STREET, P O BOX 160, HAWLEY, MN, 56549

Signature of

Role Plan administrator
Date 2018-07-12
Name of individual signing LUKE HVIDSTON
Valid signature Filed with authorized/valid electronic signature
HAWLEY FAMILY DENTISTRY 401(K) PLAN 2016 474297675 2017-08-17 HAWLEY FAMILY DENTISTRY 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-02-01
Business code 621210
Sponsor’s telephone number 2184834295
Plan sponsor’s address 500 6TH STREET, P O BOX 160, HAWLEY, MN, 56549

Signature of

Role Plan administrator
Date 2017-08-17
Name of individual signing LUKE HVIDSTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
Luke A Hvidston Agent

Manager

Name Role Address
Luke Hvidston Manager 500 6 St, Hawley, MN 56549, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Hawley Family Dentistry PLLC)Professional Service - Dentistry & Dental Hygiene 2015-06-15

Date of last update: 01 Oct 2024

Sources: Minnesota's Official State Website