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  5. JOSEPH D. BALLENGER, JR., D.D.S., P.A.

JOSEPH D. BALLENGER, JR., D.D.S., P.A.

Company Details

Name: JOSEPH D. BALLENGER, JR., D.D.S., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 03 Jan 1996 (29 years ago)
Financial Date End: 31 Jan 2024
Date dissolved: 23 Apr 2024
Entity Number: 348560
Place of Formation: IDAHO
File Number: 348560
ZIP code: 83686
County: Canyon County
Mailing Address: 339 W IOWA AVE NAMPA, ID 83686-2856

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2020 820487190 2021-09-14 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 2564 E BRACE DR, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-14
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2019 820487190 2020-09-28 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 2564 E BRACE DR, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2020-09-28
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-28
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2018 820487190 2019-07-29 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 339 W. IOWA AVE, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2017 820487190 2018-09-24 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 339 W. IOWA AVE, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2018-09-24
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-24
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2016 820487190 2017-07-17 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 339 W. IOWA AVE, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2015 820487190 2016-10-03 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 339 W. IOWA AVE, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-03
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D BALLENGERJR DDS PA 401K PLAN 2014 820487190 2015-09-15 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 339 W. IOWA AVE, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2015-09-15
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-15
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2013 820487190 2014-07-24 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 339 W. IOWA AVE, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2012 820487190 2013-06-05 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 339 W. IOWA AVE, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-05
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
JOSEPH D. BALLENGER,JR., D.D.S., P.A. 401(K) PLAN 2011 820487190 2012-07-12 JOSEPH D. BALLENGER, JR., D.D.S., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2084671227
Plan sponsor’s address 339 W. IOWA AVE, NAMPA, ID, 83686

Plan administrator’s name and address
Administrator’s EIN 820487190
Plan administrator’s name JOSEPH D. BALLENGER, JR., D.D.S., P.A.
Plan administrator’s address 339 W. IOWA AVE, NAMPA, ID, 83686
Administrator’s telephone number 2084671227

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-12
Name of individual signing DEBORAH M. BALLENGER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOSEPH BALLENGER Agent 339 W IOWA AVE, NAMPA, ID 83686

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005701288 2024-04-23
Application for Reinstatement 0003515133 2019-05-17
Dissolution/Revocation - Administrative 0003512402 2019-05-15
Annual Report 0002484074 2017-12-29
Annual Report 0002484073 2016-12-02
Annual Report 0002484071 2015-11-17
Annual Report 0002484068 2014-12-02
Annual Report 0002484066 2013-12-06
Application for Reinstatement 0002484064 2013-04-23
Application for Reinstatement 0000866080 2013-04-17

Related by officers

No related officers

Related by address

339 W IOWA AVE NAMPA, ID 83686-2856

SOO YOUNG PROPERTIES, LLC OWYHEE ORAL SURGERY LLC The Marival, PLLC Three Creeks Services, PLLC

Date of last update: 13 Dec 2024

Sources: Idaho Secretary of State

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