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South Metro Endodontics, P.A.

Company Details

Name: South Metro Endodontics, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 17 May 2006 (19 years ago)
Company Number: ecd359b5-8dd4-e011-a886-001ec94ffe7f
File Number: 1855496-2
Registered Office Address: 9202 202nd Str W #202, Lakeville, MN 55044, USA
Principal Executive Office Address: 9202 202nd Street, West, Suite 202, Lakeville, MN 55044–7918, USA
ZIP code: 55044
County: Dakota County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SME RETIREMENT PLAN 2011 204912907 2012-05-02 SOUTH METRO ENDODONTICS, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529850999
Plan sponsor’s address 9202 202ND STREET W SUITE 202, LAKEVILLE, MN, 55044

Plan administrator’s name and address

Administrator’s EIN 204912907
Plan administrator’s name SOUTH METRO ENDODONTICS, P.A.
Plan administrator’s address 9202 202ND STREET W SUITE 202, LAKEVILLE, MN, 55044
Administrator’s telephone number 9529850999

Signature of

Role Plan administrator
Date 2012-05-02
Name of individual signing STEVE WEN
Valid signature Filed with authorized/valid electronic signature
SME RETIREMENT PLAN 2010 204912907 2011-06-06 SOUTH METRO ENDODONTICS, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529850999
Plan sponsor’s address 9202 202ND STREET W SUITE 202, LAKEVILLE, MN, 55044

Plan administrator’s name and address

Administrator’s EIN 204912907
Plan administrator’s name SOUTH METRO ENDODONTICS, P.A.
Plan administrator’s address 9202 202ND STREET W SUITE 202, LAKEVILLE, MN, 55044
Administrator’s telephone number 9529850999

Signature of

Role Plan administrator
Date 2011-06-06
Name of individual signing STEVE WEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-06
Name of individual signing STEVE WEN
Valid signature Filed with authorized/valid electronic signature
SME RETIREMENT PLAN 2009 204912907 2010-05-11 SOUTH METRO ENDODONTICS, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 9529850999
Plan sponsor’s address 9202 202ND STREET W SUITE 202, LAKEVILLE, MN, 55044

Plan administrator’s name and address

Administrator’s EIN 204912907
Plan administrator’s name SOUTH METRO ENDODONTICS, P.A.
Plan administrator’s address 9202 202ND STREET W SUITE 202, LAKEVILLE, MN, 55044
Administrator’s telephone number 9529850999

Signature of

Role Plan administrator
Date 2010-05-11
Name of individual signing STEVE WEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-11
Name of individual signing STEVE WEN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Zongshi Ji Chief Executive Officer 9202 202nd Street, West, Suite 202, Lakeville, MN 55044–7918, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2018-03-22
Original Filing - Business Corporation (Domestic) (Business Name: South Metro Endodontics, P.A.)Professional Service - Dentistry & Dental Hygiene 2006-05-17

Date of last update: 09 Oct 2024

Sources: Minnesota's Official State Website