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MODERN CARE ENDODONTICS OF LAKEVILLE, PLLC

Company Details

Name: MODERN CARE ENDODONTICS OF LAKEVILLE, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 25 Jan 2012 (13 years ago)
Company Number: d0486b0a-1b4d-e111-8159-001ec94ffe7f
File Number: 466698500021
Registered Office Address: 18572 Joplin Ave, Lakeville, MN 55044, USA
Principal Executive Office Address: 18572 JOPLIN AVE, LAKEVILLE, MN 55044–4218, USA
ZIP code: 55044
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MODERN CARE ENDODONTICS 401(K) PROFIT SHARING PLAN 2017 454525004 2018-07-11 MODERN CARE ENDODONTICS OF LAKEVILLE, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9529204400
Plan sponsor’s address 18572 JOPLIN AVENUE, LAKEVILLE, MN, 55044
MODERN CARE ENDODONTICS 401(K) P/S PLAN 2016 454525004 2017-10-11 MODERN CARE ENDODONTICS OF LAKEVILLE, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9529204400
Plan sponsor’s address 18572 JOPLIN AVENUE, LAKEVILLE, MN, 55044
MODERN CARE ENDODONTICS 401(K) P/S PLAN 2015 454525004 2016-07-06 MODERN CARE ENDODONTICS OF LAKEVILLE, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9529204400
Plan sponsor’s address 18572 JOPLIN AVENUE, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2016-07-06
Name of individual signing KENNETH LENZMEIER
Valid signature Filed with authorized/valid electronic signature
MODERN CARE ENDODONTICS 401(K) P/S PLAN 2014 454525004 2015-10-03 MODERN CARE ENDODONTICS OF LAKEVILLE, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9529204400
Plan sponsor’s address 18572 JOPLIN AVENUE, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2015-10-03
Name of individual signing JAY SIMONTON
Valid signature Filed with authorized/valid electronic signature
MODERN CARE ENDODONTICS 401(K) P/S PLAN 2013 454525004 2014-09-02 MODERN CARE ENDODONTICS OF LAKEVILLE, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 9529204400
Plan sponsor’s address 18572 JOPLIN AVENUE, LAKEVILLE, MN, 55044

Signature of

Role Plan administrator
Date 2014-09-02
Name of individual signing JAY SIMONTON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Jay D Simonton Manager 18572 JOPLIN AVE, LAKEVILLE, MN 55044–4218, USA

Agent

Name Role
Jay D Simonton Agent

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Amendment - Limited Liability Company (Domestic) (Business Name: MODERN CARE ENDODONTICS OF LAKEVILLE, PLLC) 2013-01-16
Original Filing - Limited Liability Company (Domestic) (Business Name: Modern Care Endodontics, L.L.C.)Professional Service - Dentistry & Dental Hygiene 2012-01-25

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website