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  5. SUMMIT DENTAL GROUP, P.L.L.C.

SUMMIT DENTAL GROUP, P.L.L.C.

Company Details

Name: SUMMIT DENTAL GROUP, P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Nov 2005 (19 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 146791
Place of Formation: IDAHO
File Number: 146791
ZIP code: 83702
County: Ada County
Principal Address: 782 S. AMERICANA BLVD. BOISE, ID 83702
Mailing Address: 782 S AMERICANA BLVD BOISE, ID 83702-6733

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2023 203898920 2024-10-10 SUMMIT DENTAL GROUP, P.L.L.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing AMY LEBERMAN
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2022 203898920 2023-07-18 SUMMIT DENTAL GROUP, P.L.L.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing MS. AMY LEBERMAN
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2021 203898920 2022-06-23 SUMMIT DENTAL GROUP, P.L.L.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2022-06-23
Name of individual signing MS. AMY LEBERMAN
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2020 203898920 2021-07-15 SUMMIT DENTAL GROUP, P.L.L.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing MS. AMY LEBERMAN
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2019 203898920 2020-10-05 SUMMIT DENTAL GROUP, P.L.L.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing MS. AMY LEBERMAN
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2018 203898920 2019-07-15 SUMMIT DENTAL GROUP, P.L.L.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing MS. NELLY GOMEZ
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2017 203898920 2018-07-11 SUMMIT DENTAL GROUP, P.L.L.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing MS. NELLY GOMEZ
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2016 203898920 2017-05-02 SUMMIT DENTAL GROUP, P.L.L.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2017-05-02
Name of individual signing MS. NELLY GOMEZ
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2015 203898920 2016-08-01 SUMMIT DENTAL GROUP, P.L.L.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing MS. NELLY GOMEZ
Valid signature Filed with authorized/valid electronic signature
SUMMIT DENTAL GROUP, P.L.L.C. 401(K) PROFIT SHARING PLAN 2014 203898920 2015-10-15 SUMMIT DENTAL GROUP, P.L.L.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-08-01
Business code 621210
Sponsor’s telephone number 2083458962
Plan sponsor’s address 782 S. AMERICANA BLVD., BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing NELLY GOMEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CARSON MOONEY Agent 782 S AMERICANA BLVD, BOISE, ID 83702

Member

Name Role Address Appointed On
Carson Mooney Member 782 S AMERICANA BLVD, BOISE, ID 83702 2020-10-04

Filing

Filing Name Filing Number Filing date
Annual Report 0005929082 2024-10-04
Annual Report 0005420112 2023-10-03
Annual Report 0004929955 2022-10-03
Annual Report 0004433442 2021-10-03
Annual Report 0004022208 2020-10-04
Annual Report 0003762583 2020-02-03
Amendment to Certificate 0003741180 2020-01-08
Annual Report 0003353762 2018-11-27
Annual Report 0001490070 2017-09-26
Annual Report 0001490068 2016-10-01

Related by officers

CARSON MOONEY

LAST MINUTE LAB, LLC MM LAKE, LLC

Carson Mooney

SHORELINE PROPERTIES, LLP

Related by address

782 S AMERICANA BLVD BOISE, ID 83702-6733

SHORELINE PROPERTIES, LLP LAST MINUTE LAB, LLC

Date of last update: 01 Dec 2024

Sources: Idaho Secretary of State

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