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Pine River Dental Arts, P. C.

Company Details

Name: Pine River Dental Arts, P. C.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 16 Dec 2015 (9 years ago)
Company Number: ef650707-37a4-e511-8163-00155d01c56d
File Number: 860331400020
Registered Office Address: 203 Park Avenue, Pine River, MN 56474, USA
Principal Executive Office Address: 203 PARK AVE, PO BOX 650, PINE RIVER, MN 56474–0650, USA
ZIP code: 56474
County: Cass County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINE RIVER DENTAL 401K PLAN 2023 812581600 2024-06-12 PINE RIVER DENTAL ARTS P C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2185874437
Plan sponsor’s address 203 PARK AVE, PINE RIVER, MN, 56474

Signature of

Role Plan administrator
Date 2024-06-12
Name of individual signing MARY WYNN
Valid signature Filed with authorized/valid electronic signature
PINE RIVER DENTAL 401K PLAN 2022 812581600 2023-10-16 PINE RIVER DENTAL ARTS P C 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2185874437
Plan sponsor’s address 203 PARK AVE, PINE RIVER, MN, 56474

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing MARY WYNN
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Jaime L Preble Chief Executive Officer 203 Park Ave, Pine River, MN 56474, USA

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2017-03-13
Administrative Dissolution - Business Corporation (Domestic) 2017-02-27
Original Filing - Business Corporation (Domestic) (Business Name: Pine River Dental Arts, P. C.)Professional Service - Dentistry & Dental Hygiene 2015-12-16

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website