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  5. Northland Dental, Ltd.

Northland Dental, Ltd.

Company Details

Name: Northland Dental, Ltd.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 26 Dec 2003 (21 years ago)
Company Number: fb597d8c-87d4-e011-a886-001ec94ffe7f
File Number: 734142-2
Registered Office Address: 2121 Hwy 10 E, Moorhead, MN 56560, USA
Principal Executive Office Address: 2121 HIGHWAY 10 E, MOORHEAD, MN 56560–2559, USA
ZIP code: 56560
County: Clay County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHLAND DENTAL 401(K) PLAN 2023 911787607 2024-08-16 NORTHLAND DENTAL, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560
NORTHLAND DENTAL 401(K) PLAN 2023 161693303 2024-11-29 NORTHLAND DENTAL, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560
NORTHLAND DENTAL 401(K) PLAN 2022 911787607 2023-08-17 NORTHLAND DENTAL, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2023-08-17
Name of individual signing ANDREW ATCHISON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND DENTAL 401(K) PLAN 2021 161693303 2022-07-27 NORTHLAND DENTAL, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing ANDREW ATCHISON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND DENTAL 401(K) PLAN 2020 161693303 2021-08-02 NORTHLAND DENTAL, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2021-08-02
Name of individual signing ANDREW ATCHISON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND DENTAL 401(K) PLAN 2019 161693303 2020-06-08 NORTHLAND DENTAL, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing ANDREW ATCHISON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND DENTAL 401(K) PLAN 2018 161693303 2019-08-01 NORTHLAND DENTAL, LTD. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2019-08-01
Name of individual signing ANDREW ATCHISON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND DENTAL 401(K) PLAN 2017 911787607 2018-09-06 NORTHLAND DENTAL, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2018-09-06
Name of individual signing ANDREW ATCHISON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND DENTAL 401(K) PLAN 2017 161693303 2018-09-11 NORTHLAND DENTAL, LTD. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2018-09-11
Name of individual signing ANDREW ATCHISON
Valid signature Filed with authorized/valid electronic signature
NORTHLAND DENTAL 401(K) PLAN 2016 911787607 2017-05-31 NORTHLAND DENTAL, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621210
Sponsor’s telephone number 2182367076
Plan sponsor’s address 2121 HIGHWAY 10 EAST, MOORHEAD, MN, 56560

Signature of
Role Plan administrator
Date 2017-05-31
Name of individual signing ANDREW ATCHISON
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Andrew Atchison Chief Executive Officer 2121 HIGHWAY 10 E, MOORHEAD, MN 56560–2559, USA

Filing

Filing Name Filing date
Amendment - Business Corporation (Domestic) (Business Name: Northland Dental, Ltd.) 2017-05-31
Annual Reinstatement - Business Corporation (Domestic) 2013-03-18
Administrative Dissolution - Business Corporation (Domestic) 2013-02-25
Original Filing - Business Corporation (Domestic) (Business Name: TOM G. ANDERSON, DDS, LTD.)Professional Service - Dentistry & Dental Hygiene 2003-12-26

Related by officers

Andrew Atchison

Skandia Properties LLC NORTHWESTERN DISTRICT DENTAL SOCIETY

Related by address

2121 Hwy 10 E, Moorhead, MN 56560, USA

DANIEL L. MENGEDOTH, DDS, LTD. NORTHLAND DENTAL, LTD. Northland Partners, LLP

2121 HIGHWAY 10 E, MOORHEAD, MN 56560–2559, USA

NORTHLAND DENTAL, LTD.

Date of last update: 02 Oct 2024

Sources: Minnesota's Official State Website

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