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  5. Southill Dental Group P.A.

Southill Dental Group P.A.

Company Details

Name: Southill Dental Group P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 10 Apr 1980 (45 years ago)
Company Number: eb7b3f25-a8d4-e011-a886-001ec94ffe7f
File Number: 3Q-485
Registered Office Address: 2850 Curvecrest Blvd #200, Stillwater, MN 55082, USA
Principal Executive Office Address: 2850 Curvecrest Blvd Suite 200, Stillwater, MN 55082, USA
ZIP code: 55082
County: Washington County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHILL DENTAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2012 411377161 2013-07-12 SOUTHILL DENTAL GROUP, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6514399400
Plan sponsor’s address 2950 CURVE CREST BLVD, SUITE 200, STILLWATER, MN, 55082

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing DONNA KOBS
Valid signature Filed with authorized/valid electronic signature
SOUTHILL DENTAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2011 411377161 2012-08-17 SOUTHILL DENTAL GROUP, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6514399400
Plan sponsor’s address 2850 CURVE CREST BLVD., SUITE 200, STILLWATER, MN, 55082

Plan administrator’s name and address
Administrator’s EIN 411377161
Plan administrator’s name SOUTHILL DENTAL GROUP, P.A.
Plan administrator’s address 2850 CURVE CREST BLVD., SUITE 200, STILLWATER, MN, 55082
Administrator’s telephone number 6514399400

Signature of
Role Plan administrator
Date 2012-08-17
Name of individual signing PHILIP V. FLODIN
Valid signature Filed with authorized/valid electronic signature
SOUTHILL DENTAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2010 411377161 2011-10-12 SOUTHILL DENTAL GROUP, P.A. 25
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6514399400
Plan sponsor’s address 2850 CURVE CREST BLVD., SUITE 200, STILLWATER, MN, 55082

Plan administrator’s name and address
Administrator’s EIN 411377161
Plan administrator’s name SOUTHILL DENTAL GROUP, P.A.
Plan administrator’s address 2850 CURVE CREST BLVD., SUITE 200, STILLWATER, MN, 55082
Administrator’s telephone number 6514399400
SOUTHILL DENTAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2010 411377161 2011-10-13 SOUTHILL DENTAL GROUP, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6514399400
Plan sponsor’s address 2850 CURVE CREST BLVD., SUITE 200, STILLWATER, MN, 55082

Plan administrator’s name and address
Administrator’s EIN 411377161
Plan administrator’s name SOUTHILL DENTAL GROUP, P.A.
Plan administrator’s address 2850 CURVE CREST BLVD., SUITE 200, STILLWATER, MN, 55082
Administrator’s telephone number 6514399400

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing PHILIP V. FLODIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing PHILIP V. FLODIN
Valid signature Filed with authorized/valid electronic signature
SOUTHILL DENTAL GROUP, P.A. RETIREMENT PLAN 2009 411377161 2010-07-21 SOUTHILL DENTAL GROUP, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6514399400
Plan sponsor’s address 2850 CURVE CREST BOULEVARD STE 200, STILLWATER, MN, 550824073

Plan administrator’s name and address
Administrator’s EIN 411377161
Plan administrator’s name SOUTHILL DENTAL GROUP, P.A.
Plan administrator’s address 2850 CURVE CREST BOULEVARD STE 200, STILLWATER, MN, 550824073
Administrator’s telephone number 6514399400

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing PHILIP FLODIN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Phil Flodin Chief Executive Officer 2850 Curvecrest Blvd Suite 200, Stillwater, MN 55082, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2014-02-26
Intent to Dissolve - Business Corporation (Domestic) 2014-02-26
Registered Office and/or Agent - Business Corporation (Domestic) 2010-03-16
Business Corporation (Domestic) Business Name (Business Name: Southill Dental Group P.A.) 1999-05-03
Business Corporation (Domestic) Business Name (Business Name: Torgerson, Nelson & Flodin, D.D.S., P.A.) 1981-02-05
Original Filing - Business Corporation (Domestic) 1980-04-10
Business Corporation (Domestic) Business Name (Business Name: Stillwater Dental Clinic, P.A.) 1980-04-10

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Date of last update: 19 Jan 2025

Sources: Minnesota's Official State Website

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