Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Scott County
    4. ›
  4. 55379
    5. ›
  5. Dakota Valley Oral and Maxillofacial Surgery, P.A.

Dakota Valley Oral and Maxillofacial Surgery, P.A.

Company Details

Name: Dakota Valley Oral and Maxillofacial Surgery, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 18 Oct 1993 (31 years ago)
Company Number: e14d4f63-b7d4-e011-a886-001ec94ffe7f
File Number: 7Z-299
Registered Office Address: 8170 Old Carriage Ct #120, Shakopee, MN 55379, USA
ZIP code: 55379
County: Scott County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY RETIREMENT SAVINGS PLAN 2019 411762699 2020-07-27 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6519054828
Plan sponsor’s address 8170 OLDD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing JULIE BURKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing JULIE BURKE
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY RETIREMENT SAVINGS PLAN 2019 411762699 2020-11-13 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6519054828
Plan sponsor’s address 8170 OLDD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2020-11-13
Name of individual signing JULIE BURKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-11-13
Name of individual signing JULIE BURKE
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY RETIREMENT SAVINGS PLAN 2018 411762699 2019-10-15 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Plan sponsor’s address 8170 OLDD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing JULIE BURKE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing JULIE BURKE
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A. CASH BALANCE PLAN 2016 411762699 2017-05-10 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514526933
Plan sponsor’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing JULIE BURKE
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A. CASH BALANCE PLAN 2015 411762699 2016-10-12 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514526933
Plan sponsor’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing JULIE BURKE
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A. CASH BALANCE PLAN 2014 411762699 2015-10-12 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 30
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514526933
Plan sponsor’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing JULIE CARLSON
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A. CASH BALANCE PLAN 2013 411762699 2014-10-09 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514526933
Plan sponsor’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing JULIE CARLSON
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A. CASH BALANCE PLAN 2012 411762699 2013-07-15 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514526933
Plan sponsor’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing JULIE CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing JULIE CARLSON
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A. CASH BALANCE PLAN 2011 411762699 2012-10-10 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514526933
Plan sponsor’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Plan administrator’s name and address
Administrator’s EIN 411762699
Plan administrator’s name DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A.
Plan administrator’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379
Administrator’s telephone number 6514526933

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing JULIE CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing JULIE CARLSON
Valid signature Filed with authorized/valid electronic signature
DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY P.A. CASH BALANCE PLAN 2010 411762699 2011-08-17 DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 6514526933
Plan sponsor’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379

Plan administrator’s name and address
Administrator’s EIN 411762699
Plan administrator’s name DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A.
Plan administrator’s address 8170 OLD CARRIAGE COURT, SUITE 120, SHAKOPEE, MN, 55379
Administrator’s telephone number 6514526933

Signature of
Role Plan administrator
Date 2011-08-17
Name of individual signing JULIE CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-17
Name of individual signing JULIE CARLSON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Scott A Rake Chief Executive Officer 8170 Old Carriage Ct #120, Shakopee, MN 55379, USA

Filing

Filing Name Filing date
Converted to Limited Liability Company (Domestic) 2020-01-10
Business Corporation (Domestic) Business Name (Business Name: Dakota Valley Oral and Maxillofacial Surgery, P.A.) 2006-02-06
Business Corporation (Domestic) Change of Shares 2006-02-06
Business Corporation (Domestic) Restated Articles 2006-02-06
Registered Office and/or Agent - Business Corporation (Domestic) 1999-06-10
Business Corporation (Domestic) Business Name (Business Name: DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, P.A.) 1993-10-18
Original Filing - Business Corporation (Domestic) 1993-10-18

Related by officers

No related officers

Related by address

8170 Old Carriage Ct #120, Shakopee, MN 55379, USA

Dakota Valley Oral and Maxillofacial Surgery, PLLC

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 mnprof.com, Part of Big Data Integrated