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TREASURE VALLEY ORTHODONTICS

Company Details

Name: TREASURE VALLEY ORTHODONTICS
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 12 Jan 2004 (21 years ago)
Entity Number: 226691
Place of Formation: IDAHO
File Number: 0000226691
ZIP code: 83642
County: Ada County
Mailing Address: 1200 W CHERRY LN MERIDIAN, ID 83642

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2016 820511391 2017-11-14 TREASURE VALLEY ORTHODONTICS 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2017-11-14
Name of individual signing GREG GUYMON, DDS
Valid signature Filed with authorized/valid electronic signature
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2015 820511391 2016-07-17 TREASURE VALLEY ORTHODONTICS 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2016-07-17
Name of individual signing GREG GUYMON, DDS
Valid signature Filed with authorized/valid electronic signature
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2014 820511391 2015-10-07 TREASURE VALLEY ORTHODONTICS 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2015-10-07
Name of individual signing GREG GUYMON, DDS
Valid signature Filed with authorized/valid electronic signature
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2013 820511391 2014-04-28 TREASURE VALLEY ORTHODONTICS 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2014-04-28
Name of individual signing GREG GUYMON
Valid signature Filed with authorized/valid electronic signature
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2012 820511391 2013-07-24 TREASURE VALLEY ORTHODONTICS 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Plan administrator’s name and address

Administrator’s EIN 820511391
Plan administrator’s name TREASURE VALLEY ORTHODONTICS
Plan administrator’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642
Administrator’s telephone number 2088980000

Signature of

Role Plan administrator
Date 2013-07-24
Name of individual signing GREG GUYMON
Valid signature Filed with authorized/valid electronic signature
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2011 820511391 2012-10-04 TREASURE VALLEY ORTHODONTICS 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Plan administrator’s name and address

Administrator’s EIN 820511391
Plan administrator’s name TREASURE VALLEY ORTHODONTICS
Plan administrator’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642
Administrator’s telephone number 2088980000

Signature of

Role Plan administrator
Date 2012-10-04
Name of individual signing GREG GUYMON
Valid signature Filed with authorized/valid electronic signature
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2011 820511391 2012-10-03 TREASURE VALLEY ORTHODONTICS 13
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Plan administrator’s name and address

Administrator’s EIN 820511391
Plan administrator’s name TREASURE VALLEY ORTHODONTICS
Plan administrator’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642
Administrator’s telephone number 2088980000

Signature of

Role Plan administrator
Date 2012-10-03
Name of individual signing GREG GUYMON
Valid signature Filed with incorrect/unrecognized electronic signature
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2011 820511391 2012-10-03 TREASURE VALLEY ORTHODONTICS 13
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Plan administrator’s name and address

Administrator’s EIN 820511391
Plan administrator’s name TREASURE VALLEY ORTHODONTICS
Plan administrator’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642
Administrator’s telephone number 2088980000

Signature of

Role Plan administrator
Date 2012-10-03
Name of individual signing GREG GUYMON
Valid signature Filed with incorrect/unrecognized electronic signature
TREASURE VALLEY ORTHODONTICS 401(K) PLAN 2011 820511391 2012-10-04 TREASURE VALLEY ORTHODONTICS 13
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Plan administrator’s name and address

Administrator’s EIN 820511391
Plan administrator’s name TREASURE VALLEY ORTHODONTICS
Plan administrator’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642
Administrator’s telephone number 2088980000

Signature of

Role Plan administrator
Date 2012-10-03
Name of individual signing GREG GUYMON
Valid signature Filed with incorrect/unrecognized electronic signature
TREASURE VALLEY ORTHODONTICS 401K PLAN 2010 820511391 2011-04-21 TREASURE VALLEY ORTHODONTICS 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2088980000
Plan sponsor’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642

Plan administrator’s name and address

Administrator’s EIN 820511391
Plan administrator’s name TREASURE VALLEY ORTHODONTICS
Plan administrator’s address 1200 W. CHERRY LANE, SUITE 1, MERIDIAN, ID, 83642
Administrator’s telephone number 2088980000

Signature of

Role Plan administrator
Date 2011-04-21
Name of individual signing GREG GUYMON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-21
Name of individual signing GREG GUYMON
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Initial Filing 0000226691 2004-01-12

Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State