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  5. CORNERSTONE DENTAL CENTER, PLLC

CORNERSTONE DENTAL CENTER, PLLC

Company Details

Name: CORNERSTONE DENTAL CENTER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Dec 2005 (19 years ago)
Financial Date End: 31 Dec 2024
Entity Number: 149050
Place of Formation: IDAHO
File Number: 149050
ZIP code: 83835
County: Kootenai County
Principal Address: 8385 N CORNERSTONE DRIVE HAYDEN, ID 83835
Mailing Address: 8385 N CORNERSTONE DR HAYDEN, ID 83835-8684

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2023 820366252 2024-05-22 CORNERSTONE DENTAL CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2022 820366252 2023-07-13 CORNERSTONE DENTAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2021 820366252 2022-07-11 CORNERSTONE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2020 820366252 2021-09-21 CORNERSTONE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2019 820366252 2020-04-07 CORNERSTONE DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2018 820366252 2019-03-01 CORNERSTONE DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2017 820366252 2018-03-19 CORNERSTONE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2016 820366252 2017-06-13 CORNERSTONE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2015 820366252 2016-04-27 CORNERSTONE DENTAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2014 820366252 2015-04-27 CORNERSTONE DENTAL CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing MARTY J. HANN, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARTY J HANN Agent 8385 N CORNERSTONE DRIVE, HAYDEN, ID 83835

Member

Name Role Address Appointed On
Marty Hann Member 8385 N CORNERSTONE DRIVE, HAYDEN, ID 83835 2020-11-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005459366 2023-11-03
Annual Report 0004972476 2022-11-03
Annual Report 0004477532 2021-11-03
Annual Report 0004048693 2020-11-03
Annual Report 0003681440 2019-11-20
Annual Report 0003369760 2018-12-12
Annual Report 0001499341 2017-11-02
Annual Report 0001499340 2016-10-27
Annual Report 0001499342 2015-10-22
Annual Report 0001499339 2014-10-23

Related by officers

MARTY J HANN

HANN DENTAL BUILDING, LLC

Marty Hann

HANN DENTAL BUILDING, LLC

Related by address

8385 N CORNERSTONE DR HAYDEN, ID 83835-8684

HANN DENTAL BUILDING, LLC Tatalovich Dental, PLLC

Date of last update: 02 Dec 2024

Sources: Idaho Secretary of State

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