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Kevin Holly, DDS, PLLC

Company Details

Name: Kevin Holly, DDS, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 11 May 2021 (4 years ago)
Company Number: d50f10e3-6bb2-eb11-9186-00155d01c40e
File Number: 1234942800022
Registered Office Address: 520 Highway 96 West, Suite 400, Shoreview, MN 55126, USA
ZIP code: 55126
County: Ramsey County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VIBRANT DENTAL 401(K) RETIREMENT SAVINGS PLAN 2023 863833948 2024-08-07 KEVIN HOLLY DDS PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-08-01
Business code 621210
Sponsor’s telephone number 6087386361
Plan sponsor’s address 520 WEST HIGHWAY 96, SUITE 400, SHOREVIEW, MN, 55126

Signature of

Role Plan administrator
Date 2024-08-07
Name of individual signing KEVIN HOLLY
Valid signature Filed with authorized/valid electronic signature
VIBRANT DENTAL 401(K) RETIREMENT SAVINGS PLAN 2022 863833948 2023-07-13 KEVIN HOLLY DDS PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-08-01
Business code 621210
Sponsor’s telephone number 6087386361
Plan sponsor’s address 520 WEST HIGHWAY 96, SUITE 400, SHOREVIEW, MN, 55126

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing KEVIN HOLLY
Valid signature Filed with authorized/valid electronic signature
VIBRANT DENTAL 401(K) RETIREMENT SAVINGS PLAN 2021 863833948 2022-06-30 KEVIN HOLLY DDS PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-08-01
Business code 621210
Sponsor’s telephone number 6087386361
Plan sponsor’s address 520 WEST HIGHWAY 96, SUITE 400, SHOREVIEW, MN, 55126

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing KEVIN HOLLY
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Kevin Holly Manager 520 Highway 96 West, Suite 400, Shoreview, MN 55126, USA

Filing

Filing Name Filing date
Original Filing - Limited Liability Company (Domestic) (Business Name: Kevin Holly, DDS, PLLC)Professional Service - Dentistry & Dental Hygiene 2021-05-11

Date of last update: 14 Jan 2025

Sources: Minnesota's Official State Website