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  5. SOUTHEAST IDAHO ORTHODONTICS, PLLC

SOUTHEAST IDAHO ORTHODONTICS, PLLC

Company Details

Name: SOUTHEAST IDAHO ORTHODONTICS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Dec 2005 (19 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 147656
Place of Formation: IDAHO
File Number: 147656
ZIP code: 83201
County: Bannock County
Principal Address: 625 E. ALAMEDA RD POCATELLO, ID 83201
Mailing Address: 625 E ALAMEDA RD POCATELLO, ID 83201-3622

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2022 203946735 2023-08-11 SOUTHEAST IDAHO ORTHODONTICS, PLLC 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2023-08-11
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2021 203946735 2022-10-12 SOUTHEAST IDAHO ORTHODONTICS, PLLC 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2020 203946735 2021-06-30 SOUTHEAST IDAHO ORTHODONTICS, PLLC 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-30
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2019 203946735 2020-06-23 SOUTHEAST IDAHO ORTHODONTICS, PLLC 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-23
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2018 203946735 2019-07-03 SOUTHEAST IDAHO ORTHODONTICS, PLLC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2017 203946735 2018-07-18 SOUTHEAST IDAHO ORTHODONTICS, PLLC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2018-07-18
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-18
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2016 203946735 2017-08-04 SOUTHEAST IDAHO ORTHODONTICS, PLLC 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2017-08-04
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-04
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2015 203946735 2016-06-06 SOUTHEAST IDAHO ORTHODONTICS, PLLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2016-06-06
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-06
Name of individual signing JEFF MCMINN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2014 203946735 2015-07-20 SOUTHEAST IDAHO ORTHODONTICS, PLLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing ERIC JOHNSON
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST IDAHO ORTHODONTICS, PLLC 401(K) PLAN 2013 203946735 2014-07-08 SOUTHEAST IDAHO ORTHODONTICS, PLLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 2082370005
Plan sponsor’s address 625 EAST ALAMEDA ROAD, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2014-07-08
Name of individual signing ERIC JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-08
Name of individual signing ERIC JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ERIC L OLSEN Agent 505 PERSHING AVE, POCATELLO, ID 83201

Member

Name Role Address Appointed On Resigned On
Jeff McMinn Member 625 E ALAMEDA RD, POCATELLO, ID 83201 2020-11-16 2023-03-14
McMinn Orthodontics, INC. Member 625 E ALAMEDA RD, POCATELLO, ID 83201-3622 2023-11-03 2023-11-03
Brown Orthodontics, PLLC Member 625 E ALAMEDA RD, POCATELLO, ID 83201-3622 2023-03-14 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0005967944 2024-11-06
Annual Report 0005459636 2023-11-03
Application for Reinstatement 0005152369 2023-03-14
Dissolution/Revocation - Administrative 0005144392 2023-03-08
Annual Report 0004488599 2021-11-05
Annual Report 0004068116 2020-11-16
Annual Report 0003659416 2019-11-01
Annual Report 0003370683 2018-12-13
Annual Report 0001493604 2017-11-01
Annual Report 0001493600 2016-11-07

Related by officers

ERIC L OLSEN

G&R ENTERPRISES, LLP CIFRESE FAMILY, LLLP CEDAR CREEK VENTURES, LLLP VIRTUAL RADIATION, LLC NW PROPERTIES ECA, LLC ALAMEDA PROPERTIES, L.L.C. GOLD RUSH, LLC VLA MEDICAL LEGAL CONSULTING, LLC BRANDON A. WEST, D.O., PLLC GIFFORD DEVELOPMENT COMPANY, LLC

Jeff McMinn

TOY STORAGE, LLC PORTNEUF PROPERTIES, LLC IDAHO ORTHODONTICS - BURLEY, PLLC BURLEY PROPERTIES UNITED LLC MMJM PROPERTIES, LLC JKB ORTHODONTICS, PLLC MCMINN ORTHODONTICS, INC.

Related by address

625 E ALAMEDA RD POCATELLO, ID 83201-3622

IDAHO DENTAL SPECIALTIES, LLC IDAHO CRANIOFACIAL IMAGING, LLC TOY STORAGE, LLC BURLEY DENTAL SPECIALTIES, LLC IDAHO ORTHODONTICS - BURLEY, PLLC BURLEY PROPERTIES UNITED LLC MAGIC VALLEY ORTHODONTICS, PLLC IDAHO ORTHODONTICS TWIN FALLS, PLLC JKB ORTHODONTICS, PLLC

Date of last update: 02 Dec 2024

Sources: Idaho Secretary of State

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