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KEVIN MUDROW, DDS, PLLC

Company Details

Name: KEVIN MUDROW, DDS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Aug 2013 (12 years ago)
Financial Date End: 31 Aug 2019
Date dissolved: 25 Nov 2019
Entity Number: 393405
Place of Formation: IDAHO
File Number: 393405
ZIP code: 83401
County: Bonneville County
Principal Address: 333 S WOODRUFF AVE IDAHO FALLS, ID 83401

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEVIN MUDROW DDS PLLC 401(K) PLAN 2020 463567415 2021-02-08 KEVIN MUDROW DDS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2085242036
Plan sponsor’s address 333 S WOODRUFF AVE STE F, IDAHO FALLS, ID, 834014322
KEVIN MUDROW DDS PLLC 401(K) PLAN 2019 463567415 2020-07-28 KEVIN MUDROW DDS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2085242036
Plan sponsor’s address 333 S WOODRUFF AVE STE F, IDAHO FALLS, ID, 834014322
KEVIN MUDROW DDS PLLC 401(K) PLAN 2018 463567415 2019-05-09 KEVIN MUDROW DDS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2085242036
Plan sponsor’s address 333 S WOODRUFF AVE STE F, IDAHO FALLS, ID, 834014322
KEVIN MUDROW DDS PLLC 401(K) PLAN 2017 463567415 2018-07-30 KEVIN MUDROW DDS PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2085242036
Plan sponsor’s address 333 S WOODRUFF AVE STE F, IDAHO FALLS, ID, 83401
KEVIN MUDROW DDS PLLC 401(K) PLAN 2016 463567415 2017-10-04 KEVIN MUDROW DDS PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2085242036
Plan sponsor’s address 333 S WOODRUFF AVE STE F, IDAHO FALLS, ID, 83401
KEVIN MUDROW DDS PLLC 401(K) PLAN 2015 463567415 2016-07-28 KEVIN MUDROW DDS PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2085242036
Plan sponsor’s address 333 S WOODRUFF AVE STE F, IDAHO FALLS, ID, 83401

Agent

Name Role Address
KEVIN MUDROW, DDS Agent 333 S WOODRUFF AVE, IDAHO FALLS, ID 83401

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003684757 2019-11-25
Annual Report 0002687565 2018-06-25
Annual Report 0002687564 2017-06-19
Annual Report 0002687563 2016-09-20
Annual Report 0002687562 2015-06-27
Annual Report 0002687561 2014-07-23
Initial Filing 0000393405 2013-08-28

Date of last update: 06 Apr 2025

Sources: Idaho Secretary of State