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  5. IDAHO PEDIATRIC DENTISTRY PLLC

IDAHO PEDIATRIC DENTISTRY PLLC

Company Details

Name: IDAHO PEDIATRIC DENTISTRY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Feb 2006 (19 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 154519
Place of Formation: IDAHO
File Number: 154519
ZIP code: 83687
County: Canyon County
Principal Address: 4401 E FLAMINGO AVE NAMPA, ID 83687
Mailing Address: 4401 E FLAMINGO AVE NAMPA, ID 83687-3113

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDAHO PEDIATRIC DENTISTRY 401(K) PLAN 2023 205011445 2024-10-02 IDAHO PEDIATRIC DENTISTRY PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2084615459
Plan sponsor’s address 4401 E. FLAMINGO AVE., NAMPA, ID, 83687

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature
IDAHO PEDIATRIC DENTISTRY 401(K) PLAN 2022 205011445 2023-10-13 IDAHO PEDIATRIC DENTISTRY PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2084615459
Plan sponsor’s address 4401 E. FLAMINGO AVE., NAMPA, ID, 83687

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature
IDAHO PEDIATRIC DENTISTRY 401(K) PLAN 2021 205011445 2022-07-06 IDAHO PEDIATRIC DENTISTRY PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2084615459
Plan sponsor’s address 4401 E. FLAMINGO AVE., NAMPA, ID, 83687

Signature of
Role Plan administrator
Date 2022-07-06
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature
IDAHO PEDIATRIC DENTISTRY 401(K) PLAN 2020 205011445 2021-09-30 IDAHO PEDIATRIC DENTISTRY PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2084615459
Plan sponsor’s address 4401 E. FLAMINGO AVE., NAMPA, ID, 83687

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature
IDAHO PEDIATRIC DENTISTRY 401(K) PLAN 2019 205011445 2020-10-07 IDAHO PEDIATRIC DENTISTRY PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2084615459
Plan sponsor’s address 4401 E. FLAMINGO AVE., NAMPA, ID, 83687

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature
IDAHO PEDIATRIC DENTISTRY 401(K) PLAN 2018 205011445 2019-07-25 IDAHO PEDIATRIC DENTISTRY PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2088804309
Plan sponsor’s address 4401 E. FLAMINGO AVENUE, NAMPA, ID, 83687

Signature of
Role Plan administrator
Date 2019-07-25
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature
IDAHO PEDIATRIC DENTISTRY 401(K) PLAN 2017 205011445 2018-06-21 IDAHO PEDIATRIC DENTISTRY PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2088804309
Plan sponsor’s address 4401 E. FLAMINGO AVENUE, NAMPA, ID, 83687

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature
IDAHO PEDIATRIC DENTISTRY 401(K) PLAN 2017 205011445 2018-06-21 IDAHO PEDIATRIC DENTISTRY PLLC 22
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2088804309
Plan sponsor’s address 4401 E. FLAMINGO AVENUE, NAMPA, ID, 83687
IDAHO PEDIATRIC DENTISTRY 401K PLAN 2016 205011445 2017-07-10 IDAHO PEDIATRIC DENTISTRY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2088804309
Plan sponsor’s address 4401 E FLAMINGO AVE, NAMPA, ID, 83687

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature
IDAHO PEDIATRIC DENTISTRY 401K PLAN 2015 205011445 2016-07-29 IDAHO PEDIATRIC DENTISTRY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-04-15
Business code 621210
Sponsor’s telephone number 2088804309
Plan sponsor’s address 224 E PRAIRIE VIEW LN, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing ANDREA LOVELAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FRANKLIN G LEE Agent 601 W BANNOCK ST, BOISE, ID 83702

Manager

Name Role Address Appointed On
Christopher K Loveland Manager 4401 E FLAMINGO AVE, NAMPA, ID 83687 2021-01-12

Member

Name Role Address Appointed On
Andrea Loveland Member 4401 E FLAMINGO AVE, NAMPA, ID 83687 2024-01-04

Filing

Filing Name Filing Number Filing date
Annual Report 0005542728 2024-01-04
Annual Report 0005046329 2023-01-03
Annual Report 0004556745 2022-01-06
Annual Report 0004131983 2021-01-12
Annual Report 0003761549 2020-02-03
Annual Report 0003427505 2019-02-11
Annual Report 0001522997 2018-02-22
Annual Report 0001522996 2017-01-11
Annual Report 0001522995 2015-12-23
Annual Report 0001522994 2015-03-16

Related by officers

FRANKLIN G LEE

HAYHURST FAMILY LLC LOUISE HAYHURST FAMILY LLC GRACE CHURCH OF CHRIST, INC. (THE) HAYHURST B AND B, L.L.C.

Related by address

No related companies by address

Date of last update: 02 Dec 2024

Sources: Idaho Secretary of State

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