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SWAN FALLS FAMILY DENTISTRY PLLC

Company Details

Name: SWAN FALLS FAMILY DENTISTRY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Aug 2007 (17 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 207411
Place of Formation: IDAHO
File Number: 207411
ZIP code: 83634
County: Ada County
Principal Address: 1621 N. LINDER RD KUNA, ID 83634
Mailing Address: 1621 N LINDER RD KUNA, ID 83634-3032

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SWAN FALLS FAMILY DENTISTRY 401(K) PLAN 2023 711036270 2024-09-23 SWAN FALLS FAMILY DENTISTRY PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2089225111
Plan sponsor’s address 1621 N. LINDER ROAD, KUNA, ID, 83634

Signature of

Role Plan administrator
Date 2024-09-23
Name of individual signing ANNELIESE HAWS
Valid signature Filed with authorized/valid electronic signature
SWAN FALLS FAMILY DENTISTRY 401(K) PLAN 2022 711036270 2023-10-05 SWAN FALLS FAMILY DENTISTRY PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2089225111
Plan sponsor’s address 1621 N. LINDER ROAD, KUNA, ID, 83634

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing ANNELIESE HAWS
Valid signature Filed with authorized/valid electronic signature
SWAN FALLS FAMILY DENTISTRY 401(K) PLAN 2021 711036270 2022-10-12 SWAN FALLS FAMILY DENTISTRY PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2089225111
Plan sponsor’s address 1621 N. LINDER ROAD, KUNA, ID, 83634

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing ANNELIESE HAWS
Valid signature Filed with authorized/valid electronic signature
SWAN FALL DENTISTRY 401K 2020 711036270 2021-10-15 SWAN FALLS FAMILY DENTISTRY PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2083425905
Plan sponsor’s mailing address 1621 N LINDER RD, KUNA, ID, 836343032
Plan sponsor’s address 1621 N LINDER RD, KUNA, ID, 836343032

Number of participants as of the end of the plan year

Active participants 8
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing PAUL MOWER
Valid signature Filed with authorized/valid electronic signature
SWAN FALL DENTISTRY 401K 2019 711036270 2020-10-15 SWAN FALLS FAMILY DENTISTRY PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2083425905
Plan sponsor’s mailing address 1621 N LINDER RD, KUNA, ID, 836343032
Plan sponsor’s address 1621 N LINDER RD, KUNA, ID, 836343032

Number of participants as of the end of the plan year

Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing PAUL MOWER
Valid signature Filed with authorized/valid electronic signature
SWAN FALL DENTISTRY 401K 2018 711036270 2019-10-14 SWAN FALLS FAMILY DENTISTRY PLLC 3
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2083425905
Plan sponsor’s mailing address 1621 N LINDER RD, KUNA, ID, 836343032
Plan sponsor’s address 1621 N LINDER RD, KUNA, ID, 836343032

Number of participants as of the end of the plan year

Active participants 3

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing PAUL MOWER
Valid signature Filed with authorized/valid electronic signature
SWAN FALL DENTISTRY 401K 2018 711036270 2019-10-24 SWAN FALLS FAMILY DENTISTRY PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2083425905
Plan sponsor’s mailing address 1621 N LINDER RD, KUNA, ID, 836343032
Plan sponsor’s address 1621 N LINDER RD, KUNA, ID, 836343032

Number of participants as of the end of the plan year

Active participants 7

Signature of

Role Plan administrator
Date 2019-10-24
Name of individual signing PAUL MOWER
Valid signature Filed with authorized/valid electronic signature
SWAN FALL DENTISTRY 401K 2017 711036270 2019-10-24 SWAN FALLS FAMILY DENTISTRY PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2083425905
Plan sponsor’s mailing address 1621 N LINDER RD, KUNA, ID, 836343032
Plan sponsor’s address 1621 N LINDER RD, KUNA, ID, 836343032

Plan administrator’s name and address

Administrator’s EIN 711036270
Plan administrator’s name SWAN FALLS DENTISTRY PLLC
Plan administrator’s address 1621 N LINDER RD, KUNA, ID, 836343032
Administrator’s telephone number 2083425905

Number of participants as of the end of the plan year

Active participants 3

Signature of

Role Plan administrator
Date 2019-10-24
Name of individual signing PAUL MOWER
Valid signature Filed with authorized/valid electronic signature
SWAN FALL DENTISTRY 401K 2017 711036270 2018-10-15 SWAN FALLS FAMILY DENTISTRY PLLC 0
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2083425905
Plan sponsor’s mailing address 1621 N LINDER RD, KUNA, ID, 836343032
Plan sponsor’s address 1621 N LINDER RD, KUNA, ID, 836343032

Plan administrator’s name and address

Administrator’s EIN 711036270
Plan administrator’s name SWAN FALLS DENTISTRY PLLC
Plan administrator’s address 1621 N LINDER RD, KUNA, ID, 836343032
Administrator’s telephone number 2083425905

Number of participants as of the end of the plan year

Active participants 3

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing PAUL MOWER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANNELIESE HAWS DDS Agent 1621 N LINDER RD, KUNA, ID 83634

Manager

Name Role Address Appointed On
Anneliese T Haws Manager 1621 NORTH LINDER RD, KUNA, ID 83634 2020-07-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005813402 2024-07-09
Annual Report 0005365145 2023-08-16
Annual Report 0004830964 2022-07-25
Annual Report 0004334253 2021-07-06
Annual Report 0003931559 2020-07-06
Annual Report 0003556727 2019-07-01
Annual Report 0001749407 2018-06-20
Annual Report 0001749406 2017-06-28
Annual Report 0001749405 2016-06-27
Change of Registered Office/Agent/Both (by Entity) 0001749404 2015-12-14

Date of last update: 05 Dec 2024

Sources: Idaho Secretary of State