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Granite City Dental Laboratory, Inc.

Company Details

Name: Granite City Dental Laboratory, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 11 Dec 1981 (43 years ago)
Company Number: f5a61a9c-b6d4-e011-a886-001ec94ffe7f
File Number: 4A-352
Registered Office Address: 1109 7th Str SE, St Cloud, MN 56304, USA
ZIP code: 56304
County: Sherburne County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2017 411410011 2018-04-30 GRANITE CITY DENTAL LABORATORY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 339110
Sponsor’s telephone number 3202534825
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Signature of

Role Plan administrator
Date 2018-04-30
Name of individual signing KAREN YOUNG
Valid signature Filed with authorized/valid electronic signature
CREATED FROM GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2016 411410011 2018-02-01 GRANITE CITY DENTAL LABORATORY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 339110
Sponsor’s telephone number 3202534825
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Signature of

Role Plan administrator
Date 2018-02-01
Name of individual signing KAREN YOUNG
Valid signature Filed with authorized/valid electronic signature
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2016 411410011 2017-07-12 GRANITE CITY DENTAL LABORATORY, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 339110
Sponsor’s telephone number 3202534825
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Signature of

Role Plan administrator
Date 2017-07-12
Name of individual signing WILLIAM YOUNG
Valid signature Filed with authorized/valid electronic signature
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2015 411410011 2016-08-08 GRANITE CITY DENTAL LABORATORY, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 339110
Sponsor’s telephone number 3202534825
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Signature of

Role Plan administrator
Date 2016-08-08
Name of individual signing WILLIAM YOUNG
Valid signature Filed with authorized/valid electronic signature
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2014 411410011 2015-06-26 GRANITE CITY DENTAL LABORATORY, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 339110
Sponsor’s telephone number 3202534825
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing WILLIAM YOUNG
Valid signature Filed with authorized/valid electronic signature
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2013 411410011 2014-07-09 GRANITE CITY DENTAL LABORATORY, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 339110
Sponsor’s telephone number 3202534825
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Signature of

Role Plan administrator
Date 2014-07-09
Name of individual signing WILLIAM YOUNG
Valid signature Filed with authorized/valid electronic signature
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2012 411410011 2013-07-16 GRANITE CITY DENTAL LABORATORY, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 339110
Sponsor’s telephone number 3202534825
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Signature of

Role Plan administrator
Date 2013-07-16
Name of individual signing WILLIAM YOUNG
Valid signature Filed with authorized/valid electronic signature
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2011 411410011 2012-07-05 GRANITE CITY DENTAL LABORATORY, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 339110
Sponsor’s telephone number 3202534825
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Plan administrator’s name and address

Administrator’s EIN 411410011
Plan administrator’s name GRANITE CITY DENTAL LABORATORY, INC.
Plan administrator’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304
Administrator’s telephone number 3202534825

Signature of

Role Plan administrator
Date 2012-07-05
Name of individual signing WILLIAM YOUNG
Valid signature Filed with authorized/valid electronic signature
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2010 411410011 2011-10-06 GRANITE CITY DENTAL LABORATORY, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621510
Sponsor’s telephone number 3202534825
Plan sponsor’s mailing address 1109 7TH STREET SE, ST CLOUD, MN, 56304
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Plan administrator’s name and address

Administrator’s EIN 411410011
Plan administrator’s name GRANITE CITY DENTAL LABORATORY, INC.
Plan administrator’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304
Administrator’s telephone number 3202534825

Number of participants as of the end of the plan year

Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-06
Name of individual signing WILLIAM YOUNG
Valid signature Filed with authorized/valid electronic signature
GRANITE CITY DENTAL LABORATORY, INC. PROFIT SHARING 401(K) PLAN 2009 411410011 2010-07-23 GRANITE CITY DENTAL LABORATORY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621510
Sponsor’s telephone number 3202534825
Plan sponsor’s mailing address 1109 7TH STREET SE, ST CLOUD, MN, 56304
Plan sponsor’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304

Plan administrator’s name and address

Administrator’s EIN 411410011
Plan administrator’s name GRANITE CITY DENTAL LABORATORY, INC.
Plan administrator’s address 1109 7TH STREET SE, ST CLOUD, MN, 56304
Administrator’s telephone number 3202534825

Number of participants as of the end of the plan year

Active participants 15
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 14
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Employer/plan sponsor
Date 2010-07-23
Name of individual signing WILLIAM YOUNG
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
William C Young Chief Executive Officer 1109 7th Str SE, St Cloud, MN 56304, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2018-08-13
Intent to Dissolve - Business Corporation (Domestic) 2018-01-31
Annual Reinstatement - Business Corporation (Domestic) 2013-08-21
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Business Corporation (Domestic) Mailing Address 1994-04-26
Registered Office and/or Agent - Business Corporation (Domestic) 1994-04-26
Original Filing - Business Corporation (Domestic) 1981-12-11
Business Corporation (Domestic) Business Name (Business Name: Granite City Dental Laboratory, Inc.) 1981-12-11

Date of last update: 26 Sep 2024

Sources: Minnesota's Official State Website