| Name: | ADULT AND CHILD DENTAL, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 26 Jun 2012 (13 years ago) |
| Financial Date End: | 30 Jun 2025 |
| Entity Number: | 354140 |
| Place of Formation: | IDAHO |
| File Number: | 354140 |
| ZIP code: | 83318 |
| County: | Cassia County |
| Principal Address: | 2200 PARK AVE # 2 BURLEY, ID 83318 |
| Mailing Address: | 251 PALMER RD BURLEY, ID 83318-3138 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADULT AND CHILD DENTAL, PLLC 401(K) PLAN | 2018 | 460548092 | 2019-09-20 | ADULT AND CHILD DENTAL, PLLC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-09-20 |
| Name of individual signing | MARY MIILLS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-10-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2088788010 |
| Plan sponsor’s address | 2200 PARK AVE., SUITE #2, BURLEY, ID, 83318 |
Signature of
| Role | Plan administrator |
| Date | 2019-08-27 |
| Name of individual signing | MARY MILLS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-10-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2088788010 |
| Plan sponsor’s address | 2200 PARK AVE., SUITE #2, BURLEY, ID, 83318 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-18 |
| Name of individual signing | MARY MILLS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-10-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2088788010 |
| Plan sponsor’s address | 2200 PARK AVE., SUITE #2, BURLEY, ID, 83318 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-09 |
| Name of individual signing | MARY MILLS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STEVE PAUL GARN DDS | Agent | 251 PALMER RD, BURLEY, ID 83318 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Steve Paul Garn | Manager | 251 PALMER RD, BURLEY, ID 83318 | 2021-06-02 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005734004 | 2024-05-10 |
| Annual Report | 0005223633 | 2023-05-04 |
| Annual Report | 0004769098 | 2022-06-04 |
| Annual Report | 0004295995 | 2021-06-02 |
| Annual Report | 0003876437 | 2020-05-13 |
| Annual Report | 0003519856 | 2019-05-21 |
| Annual Report | 0002511689 | 2018-04-23 |
| Annual Report | 0002511677 | 2017-05-01 |
| Annual Report | 0002511675 | 2016-04-25 |
| Annual Report | 0002511673 | 2015-04-17 |
Date of last update: 21 Jan 2025
Sources: Idaho Secretary of State
