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  5. ANDREW D. BAIRD, DDS, PLLC

ANDREW D. BAIRD, DDS, PLLC

Company Details

Name: ANDREW D. BAIRD, DDS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Feb 2006 (19 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 153948
Place of Formation: IDAHO
File Number: 153948
ZIP code: 83616
County: Ada County
Principal Address: STE 220 661 S RIVERSHORE LN EAGLE, ID 83616-5397

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH CHANNEL DENTISTRY 401K PROFIT SHARING PLAN 2016 412199645 2017-10-31 ANDREW D. BAIRD, DDS PLLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-16
Business code 541990
Sponsor’s telephone number 2089382100
Plan sponsor’s DBA name N. CHANNEL DENTISTRY
Plan sponsor’s address 661 S RIVERSHORE LN STE 220, EAGLE, ID, 836165397

Signature of
Role Plan administrator
Date 2017-10-31
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-31
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
NORTH CHANNEL DENTISTRY 401K PROFIT SHARING PLAN 2015 412199645 2016-08-01 ANDREW D. BAIRD, DDS PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-16
Business code 541990
Sponsor’s telephone number 2089382100
Plan sponsor’s DBA name N. CHANNEL DENTISTRY
Plan sponsor’s address 661 S RIVERSHORE LN STE 220, EAGLE, ID, 836165397

Signature of
Role Plan administrator
Date 2016-08-01
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-01
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
NORTH CHANNEL DENTISTRY 401K PROFIT SHARING PLAN 2014 412199645 2015-07-31 ANDREW D. BAIRD, DDS PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-16
Business code 541990
Sponsor’s telephone number 2089382100
Plan sponsor’s DBA name N. CHANNEL DENTISTRY
Plan sponsor’s address 661 S. RIVERSHORE LANE, SUITE 220, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2015-07-31
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-31
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
NORTH CHANNEL DENTISTRY 401K PROFIT SHARING PLAN 2013 412199645 2014-07-27 ANDREW D. BAIRD, DDS PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-16
Business code 541990
Sponsor’s telephone number 2089382100
Plan sponsor’s DBA name N. CHANNEL DENTISTRY
Plan sponsor’s address 661 S. RIVERSHORE LANE, SUITE 220, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2014-07-27
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-27
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
NORTH CHANNEL DENTISTRY 401K PROFIT SHARING PLAN 2012 412199645 2013-07-30 ANDREW D. BAIRD, DDS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-16
Business code 541990
Sponsor’s telephone number 2089382100
Plan sponsor’s DBA name N. CHANNEL DENTISTRY
Plan sponsor’s address 483 S. RIVERSHORE LANE, SUITE 102, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
NORTH CHANNEL DENTISTRY 401K PROFIT SHARING PLAN 2011 412199645 2012-07-17 ANDREW D. BAIRD, DDS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-16
Business code 541990
Sponsor’s telephone number 2089382100
Plan sponsor’s DBA name NORTH CHANNEL DENTISTRY
Plan sponsor’s address 483 S. RIVERSHORE LANE, SUITE 102, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 412199645
Plan administrator’s name ANDREW D. BAIRD, DDS PLLC
Plan administrator’s address 483 S. RIVERSHORE LANE, SUITE 102, EAGLE, ID, 83616
Administrator’s telephone number 2089382100

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
NORTH CHANNEL DENTISTRY 401K PROFIT SHARING PLAN 2010 412199645 2011-07-07 ANDREW D. BAIRD, DDS PLLC 4
Three-digit plan number (PN) 001
Effective date of plan 2010-08-16
Business code 541990
Sponsor’s telephone number 2089382100
Plan sponsor’s DBA name NORTH CHANNEL DENTISTRY
Plan sponsor’s address 483 S. RIVERSHORE LANE, SUITE 102, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 412199645
Plan administrator’s name ANDREW D. BAIRD, DDS PLLC
Plan administrator’s address 483 S. RIVERSHORE LANE, SUITE 102, EAGLE, ID, 83616
Administrator’s telephone number 2089382100

Signature of
Role Employer/plan sponsor
Date 2011-07-07
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature
NORTH CHANNEL DENTISTRY 401K PROFIT SHARING PLAN 2010 412199645 2011-07-07 ANDREW D. BAIRD, DDS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-08-16
Business code 541990
Sponsor’s telephone number 2089382100
Plan sponsor’s DBA name NORTH CHANNEL DENTISTRY
Plan sponsor’s address 483 S. RIVERSHORE LANE, SUITE 102, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 412199645
Plan administrator’s name ANDREW D. BAIRD, DDS PLLC
Plan administrator’s address 483 S. RIVERSHORE LANE, SUITE 102, EAGLE, ID, 83616
Administrator’s telephone number 2089382100

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing ANDREW BAIRD
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address Appointed On
Andrew D Baird DDS Manager 661 S RIVERSHORE LN., EAGLE, ID 83616 2021-03-04

Agent

Name Role Address
ANDREW BAIRD Agent 661 S RIVERSHORE LN STE 220, EAGLE, ID 83616

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005718232 2024-05-03
Dissolution/Revocation - Administrative 0005714419 2024-05-03
Annual Report 0005044377 2023-01-03
Annual Report 0004658772 2022-03-14
Annual Report 0004197879 2021-03-04
Annual Report 0003807054 2020-03-09
Annual Report 0003489059 2019-04-23
Annual Report 0001520459 2017-12-22
Application for Reinstatement 0001520458 2017-06-27
Application for Reinstatement 0000754042 2017-06-13

Related by officers

No related officers

Related by address

STE 220 661 S RIVERSHORE LN EAGLE, ID 83616-5397

EAGLE RIVER SMILES

Date of last update: 02 Dec 2024

Sources: Idaho Secretary of State

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