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ROARKE J. MILLER, DMD, PLLC

Company Details

Name: ROARKE J. MILLER, DMD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 05 Mar 2009 (16 years ago)
Financial Date End: 31 Mar 2022
Date dissolved: 07 Feb 2022
Entity Number: 256100
Place of Formation: IDAHO
File Number: 256100
ZIP code: 83686
County: Canyon County
Principal Address: 2811 12TH AVE RD NAMPA, ID 83686
Mailing Address: PO BOX 101 MCCALL, ID 83638-0101

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROARKE J. MILLER DMD PLLC 401(K) PSP 2020 264453589 2021-02-12 ROARKE J MILLER DMD PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2089066977
Plan sponsor’s address PO BOX 101, MCCALL, ID, 83686

Signature of

Role Plan administrator
Date 2021-02-12
Name of individual signing ROARKE J. MILLER
Valid signature Filed with authorized/valid electronic signature
ROARKE J. MILLER DMD PLLC 401(K) PSP 2019 264453589 2020-10-15 ROARKE J MILLER DMD PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2089066977
Plan sponsor’s address 2811 12TH AVE ROAD, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing ROARKE J. MILLER
Valid signature Filed with authorized/valid electronic signature
ROARKE J. MILLER DMD PLLC 401(K) PSP 2018 264453589 2019-10-11 ROARKE J MILLER DMD PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2089066977
Plan sponsor’s address 2811 12TH AVE ROAD, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing ROARKE J. MILLER
Valid signature Filed with authorized/valid electronic signature
ROARKE J. MILLER DMD PLLC 401(K) PSP 2017 264453589 2018-10-15 ROARKE J MILLER DMD PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2089066977
Plan sponsor’s address 2811 12TH AVE ROAD, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing ROARKE J. MILLER
Valid signature Filed with authorized/valid electronic signature
ROARKE J. MILLER DMD PLLC 401(K) PSP 2016 264453589 2017-10-16 ROARKE J MILLER DMD PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2089066977
Plan sponsor’s address 2811 12TH AVE ROAD, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing ROARKE J. MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROARKE J MILLER, DMD Agent 1661 CLUB HILL BLVD, MCCALL, ID 83638

Manager

Name Role Address Appointed On
ROARKE MILLER Manager P.O. BOX 101, MCCALL, ID 83638 2021-02-03

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004598463 2022-02-07
Annual Report 0004156157 2021-02-03
Annual Report 0003759940 2020-02-03
Annual Report 0003447810 2019-03-11
Annual Report 0001977590 2018-01-22
Annual Report 0001977589 2017-01-23
Annual Report 0001977586 2016-01-20
Annual Report 0001977584 2015-01-21
Application for Reinstatement 0001977581 2014-07-01
Application for Reinstatement 0000823569 2014-06-27

Date of last update: 18 Jan 2025

Sources: Idaho Secretary of State