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  5. Northland Smiles LLC

Northland Smiles LLC

Company Details

Name: Northland Smiles LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Domestic)
Status: Active / In Good Standing
Date formed: 17 Oct 2012 (12 years ago)
Company Number: f6edb256-4319-e211-bc43-001ec94ffe7f
File Number: 622727000022
Registered Office Address: 21343 Archibald Rd, Deerwood, MN 56444, USA
Principal Executive Office Address: 21343 ARCHIBALD RD, DEERWOOD, MN 56444–2200, USA
ZIP code: 56444
County: Crow Wing County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHLAND SMILES 401(K) PLAN 2023 460626276 2024-06-25 NORTHLAND SMILES 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2024-06-25
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-25
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2022 460626276 2023-05-18 NORTHLAND SMILES 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2023-05-18
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-18
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2021 460626276 2022-02-23 NORTHLAND SMILES 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2022-02-22
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-22
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2020 460626276 2021-04-15 NORTHLAND SMILES 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2021-04-15
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-15
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2019 460626276 2020-04-28 NORTHLAND SMILES 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2018 460626276 2019-02-18 NORTHLAND SMILES 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2019-02-18
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-18
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2017 460626276 2018-02-28 NORTHLAND SMILES 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2018-02-26
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-26
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2016 460626276 2017-01-27 NORTHLAND SMILES 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2017-01-27
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-27
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2015 460626276 2016-01-29 NORTHLAND SMILES 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2016-01-28
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-01-28
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
NORTHLAND SMILES 401(K) PLAN 2014 460626276 2015-05-07 NORTHLAND SMILES 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621210
Sponsor’s telephone number 2185343141
Plan sponsor’s address 21343 ARCHIBALD ROAD, DEERWOOD, MN, 56444

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-07
Name of individual signing JOAN HOUGE
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Kendall Dammeier Manager 21343 ARCHIBALD RD, DEERWOOD, MN 56444–2200, USA

Agent

Name Role
Kendall Dammeier Agent

Filing

Filing Name Filing date
Annual Reinstatement - Limited Liability Company (Domestic) 2018-03-02
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) 2018-01-01
Administrative Termination - Limited Liability Company (Domestic) 2014-04-21
Original Filing - Limited Liability Company (Domestic) (Business Name: Northland Smiles LLC) 2012-10-17

Related by officers

Kendall Dammeier

Northland Smiles LIttle Falls Professional Association Northland Smiles Corporation P.A.

Related by address

21343 Archibald Rd, Deerwood, MN 56444, USA

Land Lover Company, LLC Northland Smiles Corporation P.A. Dental Facilities, LLC Dental Services, P.A. Deerwood Dental, P.A. The Smile Center Serpent Lake Denture Lab Smile Centers, Limited Dental Delivery Systems of Brooklyn Park, P.A.

21343 ARCHIBALD RD, DEERWOOD, MN 56444–2200, USA

Northland Smiles Corporation P.A.

Date of last update: 27 Sep 2024

Sources: Minnesota's Official State Website

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