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  5. Birchwood Dental LLC

Birchwood Dental LLC

Company Details

Name: Birchwood Dental LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 29 Mar 2005 (20 years ago)
Company Number: e0b35857-8bd4-e011-a886-001ec94ffe7f
File Number: 1295022-3
Registered Office Address: 9418 Albano Trl, Inver Grove Heights, MN 55077, USA
Principal Executive Office Address: 3356 Sherman Ct #101, Eagan, MN 55121, USA
ZIP code: 55077
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIRCHWOOD DENTAL 401K PLAN 2023 202587129 2024-10-03 BIRCHWOOD DENTAL LLC 16
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN CT STE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401K PLAN 2023 202587129 2024-10-07 BIRCHWOOD DENTAL LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN CT STE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401K PLAN 2022 202587129 2023-09-22 BIRCHWOOD DENTAL LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN CT STE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401K PLAN 2021 202587129 2022-06-20 BIRCHWOOD DENTAL LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN CT STE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401(K) PLAN 2020 202587129 2021-06-11 BIRCHWOOD DENTAL 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN COURT, SUITE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2021-06-11
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-11
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401(K) PLAN 2019 202587129 2020-06-04 BIRCHWOOD DENTAL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN COURT, SUITE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2020-06-04
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-04
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401(K) PLAN 2018 202587129 2019-06-19 BIRCHWOOD DENTAL 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN COURT, SUITE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-19
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401(K) PLAN 2017 202587129 2018-05-29 BIRCHWOOD DENTAL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN COURT, SUITE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2018-05-29
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-29
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401(K) PLAN 2016 202587129 2017-05-24 BIRCHWOOD DENTAL 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN COURT, SUITE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2017-05-24
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-24
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
BIRCHWOOD DENTAL 401(K) PLAN 2015 202587129 2016-07-07 BIRCHWOOD DENTAL 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6519941700
Plan sponsor’s address 3356 SHERMAN COURT, SUITE 101, EAGAN, MN, 55121

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-07
Name of individual signing MAUREEN CARLSON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Maureen Carlson Manager 9418 Albano Trl, Inver Grove Heights, MN 55077, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Annual Reinstatement - Limited Liability Company (Domestic) 2009-03-24
Administrative Termination - Limited Liability Company (Domestic) 2009-01-05
Original Filing - Limited Liability Company (Domestic) 2005-03-29
Limited Liability Company (Domestic) Business Name (Business Name: Birchwood Dental LLC) 2005-03-29

Related by officers

Maureen Carlson

CCD Properties LLC DCMC Properties LLC Kenya Coffee Imports, LLC Birchwood Dental of Minneapolis LLC

Related by address

9418 Albano Trl, Inver Grove Heights, MN 55077, USA

DCMC Properties LLC Kenya Coffee Imports, LLC

3356 Sherman Ct #101, Eagan, MN 55121, USA

DCMC Properties LLC

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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