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Bluestem Dental PLLC

Company Details

Name: Bluestem Dental PLLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 19 Jul 2019 (6 years ago)
Company Number: e94c3b35-62aa-e911-9177-00155d01b32c
File Number: 1093298500026
Registered Office Address: 210 13th St. S., Benson, MN 56215, USA
Principal Executive Office Address: 33494 290th Ave, Benson, MN 56215, USA
ZIP code: 56215
County: Swift County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLUESTEM DENTAL, PLLC 401(K) PLAN 2023 842543566 2024-07-25 BLUESTEM DENTAL, PLLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3208424191
Plan sponsor’s address 33494 290TH AVENUE, BENSON, MN, 56215

Signature of

Role Plan administrator
Date 2024-07-24
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-24
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
BLUESTEM DENTAL, PLLC 401(K) PLAN 2022 842543566 2023-07-12 BLUESTEM DENTAL, PLLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3208424191
Plan sponsor’s address 33494 290TH AVENUE, BENSON, MN, 56215

Signature of

Role Plan administrator
Date 2023-07-12
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-12
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
BLUESTEM DENTAL, PLLC 401(K) PLAN 2021 842543566 2022-10-14 BLUESTEM DENTAL, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3208424191
Plan sponsor’s address 33494 290TH AVENUE, BENSON, MN, 56215

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
BLUESTEM DENTAL, PLLC 401(K) PLAN 2020 842543566 2021-08-25 BLUESTEM DENTAL, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3208424191
Plan sponsor’s address 33494 290TH AVENUE, BENSON, MN, 56215

Signature of

Role Plan administrator
Date 2021-08-25
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-25
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
BLUESTEM DENTAL, PLLC 401(K) PLAN 2019 842543566 2020-09-30 BLUESTEM DENTAL, PLLC 19
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3208424191
Plan sponsor’s address 33494 290TH AVENUE, BENSON, MN, 56215

Signature of

Role Plan administrator
Date 2020-09-30
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-30
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
BLUESTEM DENTAL, PLLC 401(K) PLAN 2019 842543566 2020-10-07 BLUESTEM DENTAL, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 3208424191
Plan sponsor’s address 33494 290TH AVENUE, BENSON, MN, 56215

Signature of

Role Plan administrator
Date 2020-09-30
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-30
Name of individual signing NANCY HILLEREN
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Anthony J Hilleren Manager 33494 290th Ave., Benson, MN 56215, USA

Filing

Filing Name Filing date
Original Filing - Limited Liability Company (Domestic) (Business Name: Bluestem Dental PLLC)Professional Service - Dentistry & Dental Hygiene 2019-07-19

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website