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ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A.

Company Details

Name: ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Sep 1976 (48 years ago)
Financial Date End: 30 Sep 2024
Entity Number: 173899
Place of Formation: IDAHO
File Number: 173899
ZIP code: 83814
County: Kootenai County
Mailing Address: STE 100 1800 LINCOLN WAY COEUR D ALENE, ID 83814-2570

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2023 820328042 2024-07-09 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 LINCOLN WAY, SUITE 200, COEUR DALENE, ID, 83814

Signature of

Role Plan administrator
Date 2024-07-09
Name of individual signing STAN RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing STAN RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2022 820328042 2023-10-09 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 LINCOLN WAY, SUITE 100, COEUR DALENE, ID, 83814

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing STAN RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2021 820328042 2022-10-10 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 LINCOLN WAY, SUITE 100, COEUR DALENE, ID, 83814

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing STAN RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-10
Name of individual signing STAN RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2020 820328042 2021-08-19 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 LINCOLN WAY, SUITE 100, COEUR DALENE, ID, 83814

Signature of

Role Plan administrator
Date 2021-08-19
Name of individual signing STANLEY K RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-19
Name of individual signing STANLEY K RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2019 820328042 2020-10-13 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 LINCOLN WAY, SUITE 100, COEUR DALENE, ID, 83814

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing STAN RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing STAN RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2018 820328042 2019-10-14 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 LINCOLN WAY, SUITE 100, COEUR DALENE, ID, 83814

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing STAN RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2017 820328042 2018-10-11 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 LINCOLN WAY, SUITE 100, COEUR DALENE, ID, 83814

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing STANLEY K RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing STANLEY K. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2016 820328042 2017-09-27 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID, 83814

Signature of

Role Plan administrator
Date 2017-09-27
Name of individual signing STANLEY K. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-27
Name of individual signing STANLEY K. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 401(K) PROFIT SHARING PLAN 2015 820328042 2016-10-06 ASSOCIATED DENTISTS OF COEUR D'ALENE, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2087653322
Plan sponsor’s address 1800 N. LINCOLN WAY, SUITE 100, COEUR DALENE, ID, 83814

Signature of

Role Plan administrator
Date 2016-10-06
Name of individual signing STANLEY K. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EDWARD I. LOWRY Agent 1800 LINCOLN WAY, STE 100, COEUR D ALENE, ID 83814

President

Name Role Address Appointed On
Edward I Lowry President 1800 LINCOLN WAY, STE 100, COEUR D ALENE, ID 83814 2020-12-08

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005557365 2024-01-10
Dissolution/Revocation - Administrative 0005516046 2023-12-16
Annual Report 0004970582 2022-11-03
Annual Report 0004528417 2021-12-14
Annual Report 0004095243 2020-12-08
Annual Report 0003629477 2019-09-26
Annual Report 0003363617 2018-11-30
Annual Report 0001608279 2017-10-02
Annual Report 0001608278 2016-09-26
Annual Report 0001608277 2015-10-02

Date of last update: 29 Oct 2024

Sources: Idaho Secretary of State