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  5. A Gentle Dental Center of Rogers LLC

A Gentle Dental Center of Rogers LLC

Company Details

Name: A Gentle Dental Center of Rogers LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 21 Jan 2005 (20 years ago)
Company Number: e62bfdea-8ad4-e011-a886-001ec94ffe7f
File Number: 1202652-4
Registered Office Address: 14115 James Rd #303, Rogers, MN 55374, USA
Principal Executive Office Address: 14115 JAMES RD STE 303, ROGERS, MN 55374–9417, USA
ZIP code: 55374
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2023 753181124 2024-07-30 A GENTLE DENTAL CENTER OF ROGERS, LLC 20
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing JILL PUCEL KOOPMAN D.D.S.
Valid signature Filed with authorized/valid electronic signature
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2022 753181124 2023-07-03 A GENTLE DENTAL CENTER OF ROGERS, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2023-07-03
Name of individual signing JILL PUCEL KOOPMAN D.D.S.
Valid signature Filed with authorized/valid electronic signature
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2021 753181124 2022-09-23 A GENTLE DENTAL CENTER OF ROGERS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing JILL PUCEL KOOPMAN D.D.S.
Valid signature Filed with authorized/valid electronic signature
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2020 753181124 2021-07-27 A GENTLE DENTAL CENTER OF ROGERS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing JILL PUCEL KOOPMAN D.D.S.
Valid signature Filed with authorized/valid electronic signature
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2019 753181124 2020-10-02 A GENTLE DENTAL CENTER OF ROGERS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2020-10-02
Name of individual signing JILL PUCEL KOOPMAN D.D.S.
Valid signature Filed with authorized/valid electronic signature
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2018 753181124 2019-05-31 A GENTLE DENTAL CENTER OF ROGERS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2019-05-31
Name of individual signing JILL PUCEL KOOPMAN D.D.S.
Valid signature Filed with authorized/valid electronic signature
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2017 753181124 2018-07-22 A GENTLE DENTAL CENTER OF ROGERS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2018-07-22
Name of individual signing JILL PUCEL KOOPMAN D.D.S.
Valid signature Filed with authorized/valid electronic signature
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2016 753181124 2017-10-12 A GENTLE DENTAL CENTER OF ROGERS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing JILL PUCEL KOOPMAN D.D.S.
Valid signature Filed with authorized/valid electronic signature
A GENTLE DENTAL CENTER OF ROGERS, LLC 401(K) PLAN 2015 753181124 2016-08-08 A GENTLE DENTAL CENTER OF ROGERS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14115 JAMES RD STE 303, ROGERS, MN, 55374
A GENTLE DENTAL CENTER OF ROGERS, LLC 401K PLAN 2014 753181124 2015-07-31 A GENTLE DENTAL CENTER OF ROGERS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 812990
Sponsor’s telephone number 7634282226
Plan sponsor’s address 14155 JAMES ROAD, STE. 303, ROGERS, MN, 55374

Signature of
Role Plan administrator
Date 2015-07-31
Name of individual signing JILL PUCEL KOOPMAN
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Jill Koopman Manager 14115 JAMES RD STE 303, ROGERS, MN 55374–9417, 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) 2008-03-20
Administrative Termination - Limited Liability Company (Domestic) 2008-01-07
Limited Liability Company (Domestic) Other 2006-05-09
Original Filing - Limited Liability Company (Domestic) 2005-01-21
Limited Liability Company (Domestic) Business Name (Business Name: A Gentle Dental Center of Rogers LLC) 2005-01-21

Related by officers

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Related by address

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Date of last update: 01 Jan 2025

Sources: Minnesota's Official State Website

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