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SIOUXLAND DENTAL HEALTH MANAGEMENT, LLC

Company Details

Name: SIOUXLAND DENTAL HEALTH MANAGEMENT, LLC
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
File Date: 13 Sep 2011 (13 years ago)
Organization Date: 13 Sep 2011 (13 years ago)
Organization Number: 0800079
Primary County: Jefferson
Place of Formation: KENTUCKY
Last Annual Report: 14 Jun 2021 (3 years ago)
Managed By: Managers
Principal Office: 10300 LINN STATION ROAD, SUITE 100, LOUISVILLE, KY 40223
Principal Office ZIP code: 40223

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SIOUXLAND DENTAL HEALTH MANAGEMENT, LLC 401(K) PLAN 2013 453228351 2014-09-19 SIOUXLAND DENTAL HEALTH MANAGEMENT, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 5022449595
Plan sponsor’s address 134 EVERGREEN ROAD, SUITE 200, LOUISVILLE, KY, 40243

Signature of

Role Plan administrator
Date 2014-09-19
Name of individual signing STEPHEN JAMES
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
FBT LLC Registered Agent

Manager

Name Role
Mortenson Family Dental Holdings, Inc. Manager

Organizer

Name Role
Steven A Goodman Organizer

Former Company Names

Name Action
Siouxland Family Dental Management, LLC Old Name

Assumed Names

Name Status Expiration Date
SUMMIT DENTAL HEALTH Inactive 2025-01-27

Filings

Name File Date
Dissolution 2021-10-29
Annual Report 2021-06-14
Annual Report 2020-05-06
Certificate of Assumed Name 2020-01-27
Registered Agent name/address change 2019-07-31
Principal Office Address Change 2019-07-29
Annual Report 2019-05-03
Registered Agent name/address change 2019-04-10
Annual Report 2018-04-23
Registered Agent name/address change 2017-04-26

Date of last update: 16 Nov 2024

Sources: Kentucky Secretary of State