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Brook West Family Dentistry, P.A.

Company Details

Name: Brook West Family Dentistry, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 12 Apr 1983 (42 years ago)
Company Number: dd57d514-b0d4-e011-a886-001ec94ffe7f
File Number: 4J-185
Registered Office Address: 7950 Main Str #205, Maple Grove, MN 55369, USA
Principal Executive Office Address: 7950 MAIN ST N STE 205, MAPLE GROVE, MN 55369–7170, USA
ZIP code: 55369
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2023 411448222 2024-03-01 BROOK WEST FAMILY DENTISTRY P.A. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2022 411448222 2023-05-26 BROOK WEST FAMILY DENTISTRY P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2021 411448222 2022-05-23 BROOK WEST FAMILY DENTISTRY P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2020 411448222 2021-06-30 BROOK WEST FAMILY DENTISTRY P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2019 411448222 2020-05-12 BROOK WEST FAMILY DENTISTRY P.A. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2018 411448222 2019-05-23 BROOK WEST FAMILY DENTISTRY P.A. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2017 411448222 2018-04-25 BROOK WEST FAMILY DENTISTRY P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2016 411448222 2017-05-18 BROOK WEST FAMILY DENTISTRY P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2015 411448222 2016-05-11 BROOK WEST FAMILY DENTISTRY P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369
BROOK WEST FAMILY DENTISTY P.A. PROFIT SHARING PLAN 2014 411448222 2015-03-26 BROOK WEST FAMILY DENTISTRY P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-11-15
Business code 621210
Sponsor’s telephone number 7635618901
Plan sponsor’s address 7950 MAIN STREET N SUITE 205, MAPLE GROVE, MN, 55369

Signature of

Role Plan administrator
Date 2015-03-26
Name of individual signing DAVID DOMAAS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
David E Domaas Chief Executive Officer 7950 MAIN ST N # 20, MAPLE GROVE, MN 55369–7018, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 1992-07-07
Original Filing - Business Corporation (Domestic) 1983-04-12
Business Corporation (Domestic) Business Name (Business Name: Brook West Family Dentistry, P.A.) 1983-04-12

Date of last update: 02 Jan 2025

Sources: Minnesota's Official State Website