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  5. Chicago Lake Dental, LLC

Chicago Lake Dental, LLC

Company Details

Name: Chicago Lake Dental, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 21 Dec 2004 (20 years ago)
Company Number: f0f758ba-8ad4-e011-a886-001ec94ffe7f
File Number: 1159787-3
Registered Office Address: 2900 Chicago Ave S, Mpls, MN 55407, USA
Principal Executive Office Address: 21776 AUBRECHT SHORES DR, PINE CITY, MN 55063, USA
ZIP code: 55407
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID W JOHNSON PROFIT SHARING PLAN CARE OF DAVID W JOHNSON TTEE 2015 411754216 2016-02-25 CHICAGO LAKE DENTAL, LLC 6
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6128232080
Plan sponsor’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407

Signature of
Role Plan administrator
Date 2016-02-25
Name of individual signing DAVID W. JOHNSON
Valid signature Filed with authorized/valid electronic signature
DAVID W JOHNSON PROFIT SHARING PLAN CARE OF DAVID W JOHNSON TTEE 2014 411754216 2016-02-25 CHICAGO LAKE DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6128232080
Plan sponsor’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407

Signature of
Role Plan administrator
Date 2016-02-25
Name of individual signing DAVID W. JOHNSON
Valid signature Filed with authorized/valid electronic signature
DAVID W JOHNSON PROFIT SHARING PLAN CARE OF DAVID W JOHNSON TTEE 2014 411754216 2015-03-19 CHICAGO LAKE DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6128232080
Plan sponsor’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407

Signature of
Role Plan administrator
Date 2015-03-19
Name of individual signing DAVID W. JOHNSON
Valid signature Filed with authorized/valid electronic signature
DAVID W JOHNSON PROFIT SHARING PLAN CARE OF DAVID W JOHNSON TTEE 2013 411754216 2014-06-25 CHICAGO LAKE DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6128232080
Plan sponsor’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing DAVID W. JOHNSON
Valid signature Filed with authorized/valid electronic signature
CHICAGO LAKE DENTAL, LLC 401(K) PROFIT SHARING PLAN 2012 202046007 2013-07-17 CHICAGO LAKE DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6128232080
Plan sponsor’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407

Plan administrator’s name and address
Administrator’s EIN 202046007
Plan administrator’s name CHICAGO LAKE DENTAL, LLC
Plan administrator’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407
Administrator’s telephone number 6128232080

Signature of
Role Plan administrator
Date 2013-07-17
Name of individual signing DAVID W. JOHNSON
Valid signature Filed with authorized/valid electronic signature
CHICAGO LAKE DENTAL, LLC 401(K) PROFIT SHARING PLAN 2011 202046007 2012-05-15 CHICAGO LAKE DENTAL, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Plan sponsor’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407

Plan administrator’s name and address
Administrator’s EIN 202046007
Plan administrator’s name CHICAGO LAKE DENTAL, LLC
Plan administrator’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407
Administrator’s telephone number 6128232080

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing DAVID W. JOHNSON
Valid signature Filed with authorized/valid electronic signature
CHICAGO LAKE DENTAL, LLC 401(K) PROFIT SHARING PLAN 2010 202046007 2011-03-29 CHICAGO LAKE DENTAL, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621210
Sponsor’s telephone number 6128232080
Plan sponsor’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407

Plan administrator’s name and address
Administrator’s EIN 202046007
Plan administrator’s name CHICAGO LAKE DENTAL, LLC
Plan administrator’s address 2900 CHICAGO AVE. S., MINNEAPOLIS, MN, 55407
Administrator’s telephone number 6128232080

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing DAVID W. JOHNSON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
David William Johnson, Jr Manager 21776 AUBRECHT SHORES DR, PINE CITY, MN 55063, USA

Filing

Filing Name Filing date
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Original Filing - Limited Liability Company (Domestic) 2004-12-21
Limited Liability Company (Domestic) Business Name (Business Name: Chicago Lake Dental, LLC) 2004-12-21

Related by officers

David William Johnson, Jr

Midtown Business Association, Inc. DWJ Holdings, LLC Midtown Sweeping, LLC Snake River Outfitters MN, LLC

Related by address

2900 Chicago Ave S, Mpls, MN 55407, USA

DWJ Holdings, LLC Midtown Sweeping, LLC Chicago Lake Dental Snake River Outfitters MN, LLC Midtown Sweeping

21776 AUBRECHT SHORES DR, PINE CITY, MN 55063, USA

Midtown Sweeping, LLC

Date of last update: 28 Dec 2024

Sources: Minnesota's Official State Website

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