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  5. DENTAL HEALTH CENTER, P.A.

DENTAL HEALTH CENTER, P.A.

Company Details

Name: DENTAL HEALTH CENTER, P.A.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 24 Nov 1992 (32 years ago)
Company Number: ed66eb58-acd4-e011-a886-001ec94ffe7f
File Number: 7P-681
Registered Office Address: 111 N Broadway, Crookston, MN 56716, USA
ZIP code: 56716
County: Polk County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2018 411734250 2019-11-19 DENTAL HEALTH CENTER, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Signature of
Role Plan administrator
Date 2019-11-19
Name of individual signing JOHN
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2018 411734250 2019-05-29 DENTAL HEALTH CENTER, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing JOHN
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2017 411734250 2018-09-09 DENTAL HEALTH CENTER, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2018-09-09
Name of individual signing JOHN
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2016 411734250 2017-03-31 DENTAL HEALTH CENTER, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2017-03-31
Name of individual signing JOHN
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2015 411734250 2016-03-25 DENTAL HEALTH CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2016-03-25
Name of individual signing JOHN
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2014 411734250 2015-03-02 DENTAL HEALTH CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2015-03-02
Name of individual signing PETER GRAHAM, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2013 411734250 2014-06-03 DENTAL HEALTH CENTER, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing PETER GRAHAM, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2012 411734250 2013-06-07 DENTAL HEALTH CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2013-06-07
Name of individual signing PETER GRAHAM, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2011 411734250 2012-06-20 DENTAL HEALTH CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing PETER GRAHAM, D.D.S.
Valid signature Filed with authorized/valid electronic signature
DENTAL HEALTH CENTER, P.A. 401(K) PROFIT-SHARING PLAN 2010 411734250 2011-07-19 DENTAL HEALTH CENTER, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2182817240
Plan sponsor’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716

Plan administrator’s name and address
Administrator’s EIN 411734250
Plan administrator’s name DENTAL HEALTH CENTER, P.A.
Plan administrator’s address 111 NORTH BROADWAY, CROOKSTON, MN, 56716
Administrator’s telephone number 2182817240

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing PETER GRAHAM, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing PETER GRAHAM, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
John Schoeneberger Chief Executive Officer 111 N Broadway, Crookston, MN 56716, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2020-06-03
Intent to Dissolve - Business Corporation (Domestic) 2020-03-12
Consent to Use of Name - Business Corporation (Domestic) 2002-01-18
Original Filing - Business Corporation (Domestic) 1992-11-24
Business Corporation (Domestic) Business Name (Business Name: DENTAL HEALTH CENTER, P.A.) 1992-11-24

Related by officers

No related officers

Related by address

111 N Broadway, Crookston, MN 56716, USA

Crookston Dental Health Center

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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