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  5. MICHAEL A. BLOOM, DMD, PLLC

MICHAEL A. BLOOM, DMD, PLLC

Company Details

Name: MICHAEL A. BLOOM, DMD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Dec 2004 (20 years ago)
Financial Date End: 31 Dec 2024
Entity Number: 118033
Place of Formation: IDAHO
File Number: 118033
ZIP code: 83814
County: Kootenai County
Principal Address: 110 E WALLACE AVE COEUR D ALENE, ID 83814
Mailing Address: STE 301 505 E FRONT AVE COEUR D ALENE, ID 83814-2776

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2023 421654720 2024-11-19 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2023 421654720 2024-10-20 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2022 421654720 2023-07-28 MICHAEL A. BLOOM, DMD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2021 421654720 2022-07-28 MICHAEL A. BLOOM, DMD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2020 421654720 2021-10-14 MICHAEL A. BLOOM, DMD, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2019 421654720 2020-07-29 MICHAEL A. BLOOM, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2018 421654720 2019-07-30 MICHAEL A. BLOOM, DMD, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2017 421654720 2018-07-24 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2016 421654720 2017-03-31 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2015 421654720 2016-03-21 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425

Agent

Name Role Address
PAUL W DAUGHARTY Agent 505 E FRONT STREET, SUITE 301, COEUR D ALENE, ID 83814

Member

Name Role Address Appointed On
MICHAEL A BLOOM DMD Member 9928 N GOVERNMENT WAY, HAYDEN, ID 83835 2023-12-20

Filing

Filing Name Filing Number Filing date
Annual Report 0005524050 2023-12-20
Annual Report 0003660242 2019-11-01
Statement of Change of Business Mailing Address 0003445186 2019-03-07
Change of Registered Office/Agent/Both (by Entity) 0003445082 2019-03-07
Annual Report 0003364021 2018-12-06
Annual Report 0001368790 2017-12-11
Annual Report 0001368789 2016-12-27
Annual Report 0001368788 2015-11-09
Annual Report 0001368787 2014-11-11
Annual Report 0001368786 2013-10-17

Related by officers

PAUL W DAUGHARTY

RUDE, JACKSON & DAUGHARTY DAUGHARTY INVESTMENTS, L.L.C. TOMBSTONE INVESTMENTS, L.L.C. D. SQUARED, L.L.C. XANADU, L.L.C. CRYSTAL CREEK, L.L.C. DUCKPOND INVESTMENTS, L.L.C. BLOOM INVESTMENTS, L.L.C. ERVIN J. ARTHUR, L.L.C.

Related by address

110 E WALLACE AVE COEUR D ALENE, ID 83814

TOMBSTONE INVESTMENTS, L.L.C. XANADU, L.L.C. CROSS ILLUMINATION, L.L.C. H & S INVESTMENTS, L.L.C. S & E INVESTMENTS, LLC CRYSTAL CREEK, L.L.C. CCM INVESTMENTS SHERMAN, LLC CHELAN INVESTMENTS, L.L.C. MGS HOLDINGS, L.L.C. PRO-LAND GROUP, LLC

STE 301 505 E FRONT AVE COEUR D ALENE, ID 83814-2776

RUDE, JACKSON & DAUGHARTY DAUGHARTY INVESTMENTS, L.L.C. TOMBSTONE INVESTMENTS, L.L.C. D. SQUARED, L.L.C. JAKE INVESTMENTS, L.L.C. RJD&S INVESTMENTS, L.L.C. CRYSTAL CREEK, L.L.C. R.T.G., L.L.C. CHERILEE C. BLOOM, D.D.S., P.L.L.C. CHELAN INVESTMENTS, L.L.C.

Date of last update: 30 Nov 2024

Sources: Idaho Secretary of State

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