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Pine Lakes Endodontics PA

Company Details

Name: Pine Lakes Endodontics PA
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Dec 2021 (3 years ago)
Company Number: f82b524a-9269-ec11-91b6-00155d32b93a
File Number: 1283562900026
Registered Office Address: 7814 Excelsior Rd, Baxter, MN 56425, USA
Principal Executive Office Address: 1744 BLACKBERRY CIR, SARTELL, MN 56377–4524, USA
ZIP code: 56425
County: Crow Wing County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINE LAKES ENDODONTICS PA 401(K) PLAN 2023 874232216 2024-06-10 PINE LAKES ENDODONTICS PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2184542400
Plan sponsor’s address 7814 EXCELSIOR RD, BAXTER, MN, 56425
PINE LAKES ENDODONTICS PA 401(K) PLAN 2022 874232216 2023-05-30 PINE LAKES ENDODONTICS PA 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2184542400
Plan sponsor’s address 13046 FALCON DRIVE, SUITE 2, BAXTER, MN, 56425

Chief Executive Officer

Name Role Address
Brock A Droll Chief Executive Officer STE 2, 13046 FALCON DR, BAXTER, MN 56425–4201, USA

Agent

Name Role
Brock Droll Agent

Filing

Filing Name Filing date
Registered Office and/or Agent - Business Corporation (Domestic) 2023-08-28
Original Filing - Business Corporation (Domestic) (Business Name: Pine Lakes Endodontics PA)Professional Service - Dentistry & Dental Hygiene 2021-12-30

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website