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  5. SALMON DENTAL CENTER PLLC

SALMON DENTAL CENTER PLLC

Company Details

Name: SALMON DENTAL CENTER PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 May 2007 (18 years ago)
Financial Date End: 31 May 2025
Entity Number: 199930
Place of Formation: IDAHO
File Number: 199930
ZIP code: 83467
County: Lemhi County
Principal Address: 207 MARGARET STREET SALMON, ID 83467
Mailing Address: 207 MARGARET ST SALMON, ID 83467-4400

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SALMON DENTAL CENTER PROFIT SHARING PLAN 2020 260302613 2021-08-09 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2020 260302613 2021-08-09 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2019 260302613 2020-07-13 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2018 260302613 2019-07-12 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2017 260302613 2018-10-15 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2016 260302613 2017-08-28 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2017-08-28
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2015 260302613 2016-08-30 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 106 SOUTH DAISY, SALMON, ID, 83467

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2014 260302613 2015-07-22 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 106 SOUTH DAISY, SALMON, ID, 83467

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2013 260302613 2014-07-30 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 106 SOUTH DAISY, SALMON, ID, 83467

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2012 260302613 2013-06-14 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 106 SOUTH DAISY, SALMON, ID, 83467

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing MARK S. OLIVERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-14
Name of individual signing MARK S. OLIVERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARK OLIVERSON DMD Agent 207 MARGARET STREET, SALMON, ID 83467

Member

Name Role Address Appointed On
MARK OLIVERSON DMD Member 207 MARGARET STREET, SALMON, ID 83467 2021-04-29

Filing

Filing Name Filing Number Filing date
Annual Report 0005673843 2024-04-04
Annual Report 0005181115 2023-04-04
Annual Report 0004694942 2022-04-11
Annual Report 0004259688 2021-04-29
Annual Report 0003842736 2020-04-10
Annual Report 0003493130 2019-04-25
Annual Report 0001718575 2018-04-12
Annual Report 0001718574 2017-04-07
Annual Report 0001718573 2016-03-31
Annual Report 0001718572 2015-04-16

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 04 Dec 2024

Sources: Idaho Secretary of State

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