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Orthodontic Specialists of Southern Minnesota, P. C.

Company Details

Name: Orthodontic Specialists of Southern Minnesota, P. C.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 06 May 2013 (12 years ago)
Company Number: ec08d38d-67b6-e211-82ac-001ec94ffe7f
File Number: 670970600023
Registered Office Address: 116 Country Club Drive, Mankato, MN 56001, USA
Principal Executive Office Address: 1591 Tullamore Street, Mankato, MN 56001, USA
ZIP code: 56001
County: Blue Earth County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA 401(K) PLAN 2023 462870630 2024-09-26 ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 5077797139
Plan sponsor’s address 1591 TULLAMORE STREET, MANKATO, MN, 56001

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing JAMESHULWI
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA CASH BALANCE PLAN 2023 462870630 2024-09-26 ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621399
Sponsor’s telephone number 5077797139
Plan sponsor’s address 1591 TULLAMORE STREET, MANKATO, MN, 56001

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing JAMESHULWI
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA CASH BALANCE PLAN 2022 462870630 2023-10-09 ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621399
Sponsor’s telephone number 5077797139
Plan sponsor’s address 1591 TULLAMORE STREET, MANKATO, MN, 56001

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing JAMESHULWI
Valid signature Filed with authorized/valid electronic signature
ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA 401(K) PLAN 2022 462870630 2023-10-09 ORTHODONTIC SPECIALISTS OF SOUTHERN MINNESOTA P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 5077797139
Plan sponsor’s address 1591 TULLAMORE STREET, MANKATO, MN, 56001

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing JAMESHULWI
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
James J Hulwi, III Chief Executive Officer 1591 Tullamore Street, Mankato, MN 56001, USA

Filing

Filing Name Filing date
Email Address for Official Notices 2014-08-26
Original Filing - Business Corporation (Domestic) (Business Name: Orthodontic Specialists of Southern Minnesota, P. C.)Professional Service - Dentistry & Dental Hygiene 2013-05-06

Date of last update: 30 Sep 2024

Sources: Minnesota's Official State Website