| Name: | GALEN K. HAAS, D.D.S., P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 26 Oct 1979 (45 years ago) |
| Financial Date End: | 31 Oct 2025 |
| Entity Number: | 198185 |
| Place of Formation: | IDAHO |
| File Number: | 198185 |
| ZIP code: | 83501 |
| County: | Nez Perce County |
| Mailing Address: | 1639 23RD AVE LEWISTON, ID 83501-6308 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GALEN K. HAAS, D.D.S., P.A. DEFINED BENEFIT PLAN | 2010 | 820352656 | 2011-05-20 | GALEN K. HAAS, D.D.S., P.A. | 6 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 820352656 |
| Plan administrator’s name | GALEN K. HAAS, D.D.S., P.A. |
| Plan administrator’s address | 515 CRESTLINE CIRCLE CT., LEWISTON, ID, 83501 |
| Administrator’s telephone number | 2087460431 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-20 |
| Name of individual signing | GALEN K HAAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2003-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2087460431 |
| Plan sponsor’s address | 515 CRESTLINE CIRCLE CT., LEWISTON, ID, 83501 |
Plan administrator’s name and address
| Administrator’s EIN | 820352656 |
| Plan administrator’s name | GALEN K. HAAS, D.D.S., P.A. |
| Plan administrator’s address | 515 CRESTLINE CIRCLE CT., LEWISTON, ID, 83501 |
| Administrator’s telephone number | 2087460431 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-10 |
| Name of individual signing | GALEN K. HAAS, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-10 |
| Name of individual signing | GALEN K. HAAS, DDS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GALEN K HAAS | Agent | 1639 23RD AVE, LEWISTON, ID 83501 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Galen K. Haas | President | 1639 23RD AVE., LEWISTON, ID 83501 | 2020-10-07 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005882941 | 2024-09-04 |
| Annual Report | 0005454449 | 2023-11-02 |
| Annual Report | 0004953395 | 2022-10-14 |
| Annual Report | 0004413202 | 2021-09-09 |
| Annual Report | 0004027319 | 2020-10-07 |
| Annual Report | 0003713485 | 2019-12-20 |
| Annual Report | 0003337124 | 2018-10-25 |
| Annual Report | 0001710721 | 2017-08-25 |
| Annual Report | 0001710720 | 2016-10-07 |
| Annual Report | 0001710719 | 2015-11-19 |
Date of last update: 04 Dec 2024
Sources: Idaho Secretary of State
