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Distinctive Dental

Company Details

Name: Distinctive Dental
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Inactive
Date formed: 23 Jun 1998 (27 years ago)
Company Number: dcd9627b-a1d4-e011-a886-001ec94ffe7f
File Number: 208846
Principal Place of Business Address: 7631 W 145th Str, Apple Valley, MN 55124, USA
ZIP code: 55124
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2020 411897327 2021-06-16 DISTINCTIVE DENTAL 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2020 411897327 2021-09-16 DISTINCTIVE DENTAL 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2019 411897327 2020-06-24 DISTINCTIVE DENTAL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2018 411897327 2019-08-21 DISTINCTIVE DENTAL 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2017 411897327 2018-06-18 DISTINCTIVE DENTAL 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2016 411897327 2017-05-10 DISTINCTIVE DENTAL 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing KARL HANSON
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2015 411897327 2016-07-18 DISTINCTIVE DENTAL 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing CHARLES MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-18
Name of individual signing CHARLES MILLER
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2014 411897327 2015-07-16 DISTINCTIVE DENTAL 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2015-07-16
Name of individual signing CHARLES MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-16
Name of individual signing CHARLES MILLER
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2013 411897327 2014-07-23 DISTINCTIVE DENTAL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing CHARLES MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-23
Name of individual signing CHARLES MILLER
Valid signature Filed with authorized/valid electronic signature
DISTINCTIVE DENTAL EMPLOYEE SAVINGS PLAN 2012 411897327 2013-06-17 DISTINCTIVE DENTAL 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 9524328696
Plan sponsor’s address 7631 WEST 145TH STREET, APPLE VALLEY, MN, 55124

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing CHARLES MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-17
Name of individual signing CHARLES MILLER
Valid signature Filed with authorized/valid electronic signature

Aplicant

Name Role Address
Charles N Miller DDS PA Aplicant 7631 W 145th Str, Apple Valley, MN 55124

Filing

Filing Name Filing date
Expired - Assumed Name 2018-06-25
Assumed Name Renewal 2007-12-06
Original Filing - Assumed Name 1998-06-23
Assumed Name Business Name (Business Name: Distinctive Dental) 1998-06-23

Related by officers

Charles N Miller DDS PA

Distinctive Dental of Apple Valley

Related by address

7631 W 145th Str, Apple Valley, MN 55124, USA

CHARLES N. MILLER, D.D.S., P.A.

Date of last update: 24 Jan 2025

Sources: Minnesota's Official State Website

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