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Circle Drive Dental, PLLC

Company Details

Name: Circle Drive Dental, PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 15 Apr 2015 (10 years ago)
Company Number: dc6b189f-8ae3-e411-b14d-001ec94ffe7f
File Number: 822659900024
Registered Office Address: 2633 Superior Drive NW, Rochester, MN 55901, USA
Principal Executive Office Address: 2633 Superior Drive NW #200, Rochester, MN 55901, USA
ZIP code: 55901
County: Olmsted County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CIRCLE DRIVE DENTAL 401(K) PLAN 2017 473748011 2018-05-11 CIRCLE DRIVE DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5072892055
Plan sponsor’s address 2633 SUPERIOR DR NW #200, ROCHESTER, MN, 55901

Signature of

Role Plan administrator
Date 2018-05-11
Name of individual signing KRISTI PENCILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-11
Name of individual signing MICHEAL SAWYER
Valid signature Filed with authorized/valid electronic signature
CIRCLE DRIVE DENTAL 401(K) PLAN 2016 473748011 2017-05-10 CIRCLE DRIVE DENTAL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5072892055
Plan sponsor’s address 2633 SUPERIOR DR NW #200, ROCHESTER, MN, 55901

Signature of

Role Plan administrator
Date 2017-05-10
Name of individual signing KRISTI PENCILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-10
Name of individual signing KRISTI PENCILLE
Valid signature Filed with authorized/valid electronic signature
CIRCLE DRIVE DENTAL 401(K) PLAN 2015 473748011 2016-10-12 CIRCLE DRIVE DENTAL, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5072892055
Plan sponsor’s address 2633 SUPERIOR DR NW #200, ROCHESTER, MN, 55901

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing KRISTI PENCILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing KRISTI PENCILLE
Valid signature Filed with authorized/valid electronic signature
CIRCLE DRIVE DENTAL 401(K) PLAN 2014 411852938 2015-09-30 CIRCLE DRIVE DENTAL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 5072892055
Plan sponsor’s address 2633 SUPERIOR DRIVE NW #200, ROCHESTER, MN, 55901

Signature of

Role Plan administrator
Date 2015-09-30
Name of individual signing KRISTI PENCILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-30
Name of individual signing KRISTI PENCILLE
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Mike Sawyer Manager 2633 Superior Drive NW #200, Rochester, MN 55901, USA

Agent

Name Role
Michael Sawyer Agent

Filing

Filing Name Filing date
Email Address for Official Notices 2018-10-23
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Circle Drive Dental, PLLC)Professional Service - Dentistry & Dental Hygiene 2015-04-15

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website