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  5. Orchard Dental Group, P.L.L.C.

Orchard Dental Group, P.L.L.C.

Company Details

Name: Orchard Dental Group, P.L.L.C.
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 17 Mar 2009 (16 years ago)
Company Number: e1e26885-93d4-e011-a886-001ec94ffe7f
File Number: 3259634-4
Registered Office Address: 12 Long Lk Rd #12, Mahtomedi, MN 55115, USA
Principal Executive Office Address: 12 LONG LAKE RD STE 12, MAHTOMEDI, MN 55115–1200, USA
ZIP code: 55115
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2023 264589834 2024-05-07 ORCHARD DENTAL GROUP, P.L.L.C 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115

Signature of
Role Plan administrator
Date 2024-05-07
Name of individual signing LAURIE BROWN
Valid signature Filed with authorized/valid electronic signature
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2022 264589834 2023-05-31 ORCHARD DENTAL GROUP, P.L.L.C 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115

Signature of
Role Plan administrator
Date 2023-05-31
Name of individual signing LAURIE BROWN
Valid signature Filed with authorized/valid electronic signature
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2021 264589834 2022-09-15 ORCHARD DENTAL GROUP, P.L.L.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2020 264589834 2021-07-21 ORCHARD DENTAL GROUP, P.L.L.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2019 264589834 2020-07-15 ORCHARD DENTAL GROUP, P.L.L.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2018 264589834 2019-07-25 ORCHARD DENTAL GROUP, P.L.L.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2017 264589834 2018-05-07 ORCHARD DENTAL GROUP, P.L.L.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2016 264589834 2017-05-30 ORCHARD DENTAL GROUP, P.L.L.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115

Plan administrator’s name and address
Administrator’s EIN 264589834
Plan administrator’s name ORCHARD DENTAL GROUP, P.L.L.C.
Plan administrator’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115
Administrator’s telephone number 6517702699
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2015 264589834 2016-04-20 ORCHARD DENTAL GROUP, P.L.L.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115

Plan administrator’s name and address
Administrator’s EIN 264589834
Plan administrator’s name ORCHARD DENTAL GROUP, P.L.L.C.
Plan administrator’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115
Administrator’s telephone number 6517702699
ORCHARD DENTAL GROUP, P.L.L.C. 401(K) PLAN 2014 264589834 2015-07-15 ORCHARD DENTAL GROUP, P.L.L.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 6517702699
Plan sponsor’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115

Plan administrator’s name and address
Administrator’s EIN 264589834
Plan administrator’s name ORCHARD DENTAL GROUP, P.L.L.C.
Plan administrator’s address 12 LONG LAKE ROAD #12, MAHTOMEDI, MN, 55115
Administrator’s telephone number 6517702699

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing DR. ROBERT J. MAROLT
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Perri Kauls Manager 12 LONG LAKE RD STE 12, MAHTOMEDI, MN 55115–1200, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) 2009-03-17
Limited Liability Company (Domestic) Business Name (Business Name: Orchard Dental Group, P.L.L.C.) 2009-03-17

Related by officers

Perri Kauls

KM Dental Associates, LLC

Related by address

No related companies by address

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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