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  5. Douglas M. Erickson, D.D.S., M.S., Inc.

Douglas M. Erickson, D.D.S., M.S., Inc.

Company Details

Name: Douglas M. Erickson, D.D.S., M.S., Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 27 May 1999 (26 years ago)
Company Number: d7d7598c-a3d4-e011-a886-001ec94ffe7f
File Number: 10R-815
Registered Office Address: 324 W Superior Str 1212 Medical Arts Bl, Duluth, MN 55802, USA
Principal Executive Office Address: 324 West Superior Street, Suite 1212, Duluth, MN 55802, USA
ZIP code: 55802
County: St. Louis County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2020 411944088 2021-11-18 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021712

Signature of
Role Plan administrator
Date 2021-11-18
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2020 411944088 2021-09-21 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021712

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2019 411944088 2020-09-18 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021712

Signature of
Role Plan administrator
Date 2020-09-18
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2018 411944088 2019-07-22 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021712

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2017 411944088 2018-09-21 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021702

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2016 411944088 2017-07-25 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021702

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2015 411944088 2016-09-08 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021702

Signature of
Role Plan administrator
Date 2016-09-08
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2014 411944088 2015-09-21 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021702

Signature of
Role Plan administrator
Date 2015-09-21
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2013 411944088 2014-06-24 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021702

Signature of
Role Plan administrator
Date 2014-06-24
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature
DOUGLAS M. ERICKSON, D.D.S., M.S., INC. PENSION PLAN 2012 411944088 2013-07-22 DOUGLAS M. ERICKSON, D.D.S., M.S., INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2187228118
Plan sponsor’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021702

Plan administrator’s name and address
Administrator’s EIN 411944088
Plan administrator’s name DOUGLAS M. ERICKSON, D.D.S., M.S., INC.
Plan administrator’s address 324 W.SUPERIOR ST., STE. 1212, DULUTH, MN, 558021702
Administrator’s telephone number 2187228118

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing DOUGLAS M. ERICKSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Douglas Erickson Chief Executive Officer 324 West Superior Street, Suite 1212, Duluth, MN 55802, USA

Agent

Name Role
Douglas M Erickson Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2021-02-17
Administrative Dissolution - Business Corporation (Domestic) 2021-02-11
Original Filing - Business Corporation (Domestic) (Business Name: Douglas M. Erickson, D.D.S., M.S., Inc.) 1999-05-27

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Related by address

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Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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