| Name: | Minnehaha Falls Family Dental, P.A. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 01 Jul 1993 (32 years ago) |
| Company Number: | d60c575d-b7d4-e011-a886-001ec94ffe7f |
| File Number: | 7W-314 |
| Registered Office Address: | 4721 Hiawatha Ave, Mpls, MN 55406, USA |
| Principal Executive Office Address: | 4554 Minnehaha Avenue South, Mpls, MN 55406, USA |
| ZIP code: | 55406 |
| County: | Hennepin County |
| Place of Formation: | Minnesota |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MINNEHAHA FALLS FAMILY DENTAL PA 401(K) PLAN | 2023 | 411755981 | 2024-05-02 | MINNEHAHA FALLS FAMILY DENTAL P.A. | 13 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-05-02 |
| Name of individual signing | JENNA SWENSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-05-02 |
| Name of individual signing | JENNA SWENSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6127213012 |
| Plan sponsor’s address | 4554 MINNEHAHA AVENUE, MINNEAPOLIS, MN, 55406 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-21 |
| Name of individual signing | JENNA SWENSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-06-21 |
| Name of individual signing | JENNA SWENSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6127213012 |
| Plan sponsor’s address | 4554 MINNEHAHA AVENUE, MINNEAPOLIS, MN, 55406 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-21 |
| Name of individual signing | JENNA SWENSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-06-21 |
| Name of individual signing | JENNA SWENSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 6127213012 |
| Plan sponsor’s address | 4554 MINNEHAHA AVENUE, MINNEAPOLIS, MN, 55406 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-19 |
| Name of individual signing | JOAN JAKUBAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-07-19 |
| Name of individual signing | JOAN JAKUBAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Joan Jakubas | Chief Executive Officer | 4554 Minnehaha Avenue South, Mpls, MN 55406, USA |
| Filing Name | Filing date |
|---|---|
| Amendment - Business Corporation (Domestic) (Business Name: Minnehaha Falls Family Dental, P.A.)Election to Become a Professional Firm Professional Service - Dentistry & Dental Hygiene | 2017-11-27 |
| Original Filing - Business Corporation (Domestic) (Business Name: Jakubas Dental Clinic, Ltd.) | 1993-07-01 |
Date of last update: 26 Dec 2024
Sources: Minnesota's Official State Website
