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Buffalo Family Dentistry

Company Details

Name: Buffalo Family Dentistry
Jurisdiction: Minnesota
Legal type: Assumed Name
Status: Active / In Good Standing
Date formed: 14 Apr 2020 (5 years ago)
Company Number: f0724d68-827e-ea11-9197-00155d32b905
File Number: 1154139400026
Principal Place of Business Address: 106 Center Drive, Buffalo, MN 55313, USA
Mailing Address: 106 Center Drive, Buffalo, Mn 55313, USA
ZIP code: 55313
County: Wright County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BUFFALO FAMILY DENTISTRY 401(K) PLAN 2023 411669779 2024-05-22 BUFFALO FAMILY DENTISTRY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DRIVE, BUFFALO, MN, 55313

Signature of

Role Plan administrator
Date 2024-05-22
Name of individual signing CASSIE KOEHN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-22
Name of individual signing CASSIE KOEHN
Valid signature Filed with authorized/valid electronic signature
BUFFALO FAMILY DENTISTRY 401(K) PLAN 2022 411669779 2023-05-18 BUFFALO FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DRIVE, BUFFALO, MN, 55313

Signature of

Role Plan administrator
Date 2023-05-18
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-18
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
BUFFALO FAMILY DENTISTRY 401(K) PLAN 2021 411669779 2022-04-28 BUFFALO FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DRIVE, BUFFALO, MN, 55313

Signature of

Role Plan administrator
Date 2022-04-28
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-28
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
BUFFALO FAMILY DENTISTRY 401K PLAN 2020 411669779 2021-03-18 BUFFALO FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DR., BUFFALO, MN, 55313

Signature of

Role Plan administrator
Date 2021-03-18
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
BUFFALO FAMILY DENTISTRY 401K PLAN 2019 411669779 2020-05-04 BUFFALO FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DR., BUFFALO, MN, 55313

Signature of

Role Plan administrator
Date 2020-05-04
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
BUFFALO FAMILY DENTISTRY 401K PLAN 2018 411669779 2019-03-26 BUFFALO FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DR., BUFFALO, MN, 55313

Signature of

Role Plan administrator
Date 2019-03-26
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
BUFFALO FAMILY DENTISTRY 401K PLAN 2017 411669779 2018-02-02 BUFFALO FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DR., BUFFALO, MN, 55313

Signature of

Role Plan administrator
Date 2018-02-02
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-01
Name of individual signing JOELLE BARTHELEMY-LUDIN
Valid signature Filed with authorized/valid electronic signature
BUFFALO FAMILY DENTISTRY 401K PLAN 2016 411669779 2017-05-04 BUFFALO FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DR., BUFFALO, MN, 55313

Signature of

Role Plan administrator
Date 2017-05-04
Name of individual signing JOHN STANGL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-04
Name of individual signing JOELLE BARTHELEMY-LUDIN
Valid signature Filed with authorized/valid electronic signature
BUFFALO FAMILY DENTISTRY 401K PLAN 2015 411669779 2016-07-22 BUFFALO FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621210
Sponsor’s telephone number 7636826885
Plan sponsor’s address 106 CENTER DR., BUFFALO, MN, 55313

Aplicant

Name Role Address
John C. Stangl Aplicant 106 Center Drive, Buffalo, MN 55313

Filing

Filing Name Filing date
Annual Reinstatement - Assumed Name 2023-05-08
Administrative Expiration - Assumed Name 2022-01-27
Original Filing - Assumed Name (Business Name: Buffalo Family Dentistry) 2020-04-14

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website