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  5. Michael H. Collins, DDS, PA

Michael H. Collins, DDS, PA

Company Details

Name: Michael H. Collins, DDS, PA
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 27 Jun 2006 (19 years ago)
Company Number: e7eb15f1-8dd4-e011-a886-001ec94ffe7f
File Number: 1912500-2
Registered Office Address: 121 7th Ave E, Alexandria, MN 56308, USA
Principal Executive Office Address: 121 7TH AVE E, ALEXANDRIA, MN 56308–1807, USA
ZIP code: 56308
County: Douglas County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2023 432107593 2024-07-29 MICHAEL H. COLLINS, DDS, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing MICHAEL HARRY COLLINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-29
Name of individual signing MICHAEL HARRY COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2022 432107593 2023-06-09 MICHAEL H. COLLINS, DDS, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2023-06-09
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2021 432107593 2022-07-22 MICHAEL H. COLLINS, DDS, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2020 432107593 2021-08-27 MICHAEL H. COLLINS, DDS, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2021-08-27
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2019 432107593 2020-06-20 MICHAEL H. COLLINS, DDS, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2020-06-20
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2018 432107593 2019-05-24 MICHAEL H. COLLINS, DDS, PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2017 432107593 2018-06-09 MICHAEL H. COLLINS, DDS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2018-06-09
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2016 432107593 2017-05-12 MICHAEL H. COLLINS, DDS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2015 432107593 2016-04-15 MICHAEL H. COLLINS, DDS, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2016-04-15
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature
MICHAEL H. COLLINS, DDS, PA 401(K) P/S PLAN 2014 432107593 2015-07-24 MICHAEL H. COLLINS, DDS, PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 3207635133
Plan sponsor’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308

Plan administrator’s name and address
Administrator’s EIN 432107593
Plan administrator’s name MICHAEL H. COLLINS, DDS, PA
Plan administrator’s address 121 7TH AVE E, ALEXANDRIA, MN, 56308
Administrator’s telephone number 3207635133

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing MICHAEL COLLINS
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
MICHAEL COLLINS Chief Executive Officer 121 7TH AVE E, ALEXANDRIA, MN 56308–1807, USA

Filing

Filing Name Filing date
Original Filing - Business Corporation (Domestic) (Business Name: Michael H. Collins, DDS, PA)Professional Service - Dentistry & Dental Hygiene 2006-06-27

Related by officers

MICHAEL COLLINS

Collins, LLC

Related by address

121 7th Ave E, Alexandria, MN 56308, USA

MA Collins Properties, LLC Robert J. Mohs, D.D.S., P.A.

121 7TH AVE E, ALEXANDRIA, MN 56308–1807, USA

MA Collins Properties, LLC

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website

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