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  5. Lakeview Family Dentistry, LLC

Lakeview Family Dentistry, LLC

Company Details

Name: Lakeview Family Dentistry, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 15 Sep 2014 (10 years ago)
Company Number: e967d05d-263d-e411-ae2a-001ec94ffe7f
File Number: 782495700027
Registered Office Address: 838 Fox Road, Lino Lakes, MN 55014, USA
Principal Executive Office Address: 14475 FOREST BLVD NORTH, HUGO, MN 55038, USA
ZIP code: 55014
County: Anoka County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2023 472366053 2024-06-17 LAKEVIEW FAMILY DENTISTRY 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2024-06-17
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2022 472366053 2023-06-22 LAKEVIEW FAMILY DENTISTRY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2021 472366053 2022-09-21 LAKEVIEW FAMILY DENTISTRY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2022-09-21
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2020 472366053 2021-07-26 LAKEVIEW FAMILY DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2021-07-26
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2019 472366053 2020-06-29 LAKEVIEW FAMILY DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2018 472366053 2019-07-09 LAKEVIEW FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2017 472366053 2018-07-15 LAKEVIEW FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2018-07-15
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2016 472366053 2017-07-26 LAKEVIEW FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature
LAKEVIEW FAMILY DENTISTRY 401(K) PLAN 2015 472366053 2016-09-16 LAKEVIEW FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6123840761
Plan sponsor’s address 14475 FOREST BLVD NORTH, BOX 288, HUGO, MN, 55038

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing ANDREW CARRELL
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Drew J Carrell Manager 1120 Pecks Woods Drive, New Brighton, MN 55112, USA

Filing

Filing Name Filing date
Registered Office and/or Agent - Limited Liability Company (Domestic) 2018-01-15
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) (Business Name: Lakeview Family Dentistry, LLC)Professional Service - Dentistry & Dental Hygiene 2014-09-15

Related by officers

Drew J Carrell

Carrell Properties, LLC

Related by address

838 Fox Road, Lino Lakes, MN 55014, USA

Carrell Properties, LLC Brand Rentals, LLC

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website

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