| Name: | BLAISDELL DENTAL CENTER, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 01 Oct 1982 (42 years ago) |
| Financial Date End: | 31 Oct 2025 |
| Entity Number: | 223527 |
| Place of Formation: | IDAHO |
| File Number: | 223527 |
| ZIP code: | 83605 |
| County: | Canyon County |
| Mailing Address: | JOHN D BLAISDELL, DDS 904 E MAPLE ST CALDWELL, ID 83605-5300 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLAISDELL DENTAL CENTER, P.A. 401(K) PROFIT SHARING PLAN | 2010 | 820373687 | 2011-02-08 | BLAISDELL DENTAL CENTER, P.A. | 10 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 820373687 |
| Plan administrator’s name | BLAISDELL DENTAL CENTER, P.A. |
| Plan administrator’s address | 1916 ELLIS AVENUE, CALDWELL, ID, 83605 |
| Administrator’s telephone number | 2084592376 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-07 |
| Name of individual signing | JOHN BLAISDELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2084592376 |
| Plan sponsor’s address | 1916 ELLIS AVENUE, CALDWELL, ID, 83605 |
Plan administrator’s name and address
| Administrator’s EIN | 820373687 |
| Plan administrator’s name | BLAISDELL DENTAL CENTER, P.A. |
| Plan administrator’s address | 1916 ELLIS AVENUE, CALDWELL, ID, 83605 |
| Administrator’s telephone number | 2084592376 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-05 |
| Name of individual signing | JOHN BLAISDELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-05 |
| Name of individual signing | JOHN BLAISDELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOHN D. BLAISDELL, DDS | Agent | 904 EAST MAPLE STREET, CALDWELL, ID 83605 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| John D Blaisdell | Treasurer | 904 E MAPLE ST, CALDWELL, ID 83605 | 2023-09-03 | 2023-09-03 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| John D Blaisdell | Secretary | 904 E MAPLE ST, CALDWELL, ID 83605 | 2023-09-03 | 2023-09-03 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| John D Blaisdell | President | 904 E MAPLE ST, CALDWELL, ID 83605 | 2021-09-03 |
| John D Blaisdell DDS | President | 904 E MAPLE ST, CALDWELL, ID 83605 | 2020-09-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005905740 | 2024-09-20 |
| Annual Report | 0005378818 | 2023-09-03 |
| Annual Report | 0004882529 | 2022-09-03 |
| Annual Report | 0004401199 | 2021-09-03 |
| Annual Report | 0003994696 | 2020-09-03 |
| Annual Report | 0003630789 | 2019-09-28 |
| Annual Report | 0001817162 | 2018-08-18 |
| Annual Report | 0001817160 | 2017-08-19 |
| Annual Report | 0001817158 | 2016-12-25 |
| Annual Report | 0001817156 | 2015-08-17 |
Date of last update: 17 Jan 2025
Sources: Idaho Secretary of State
