| Name: | RICHARD E. FELLOWS, D.D.S., P.C. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 19 Oct 1999 (26 years ago) |
| Financial Date End: | 31 Oct 2025 |
| Entity Number: | 400095 |
| Place of Formation: | IDAHO |
| File Number: | 400095 |
| ZIP code: | 83245 |
| County: | Bannock County |
| Mailing Address: | 1922 W PORTNEUF RD INKOM, ID 83245-1606 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OLYMPUS FAMILY DENTAL 401(K) PSP | 2016 | 820516356 | 2017-10-12 | RICHARD E FELLOWS D.D.S., P.C., | 9 | |||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2017-10-12 |
| Name of individual signing | DANIELLE MABEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2017-10-12 |
| Name of individual signing | DANIELLE MABEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| RICHARD E FELLOWS | Agent | 1598 DELPHIC WAY STE B, POCATELLO, ID 83201 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| RICHARD E FELLOWS | President | 1598 DELPHIC WAY STE.B, POCATELLO, ID 83201 | 2021-09-08 |
| RICHARD E FELLOWS DDS | President | 1598 DELPHIC WAY STE.B, POCATELLO, ID 83201 | 2020-09-05 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Statement of Change of Business Mailing Address | 0006042346 | 2024-12-27 |
| Annual Report | 0005879249 | 2024-09-03 |
| Annual Report | 0005378696 | 2023-09-03 |
| Annual Report | 0004890150 | 2022-09-08 |
| Annual Report | 0004411416 | 2021-09-08 |
| Annual Report | 0003997576 | 2020-09-05 |
| Annual Report | 0003647145 | 2019-10-11 |
| Annual Report | 0002714734 | 2018-08-21 |
| Annual Report | 0002714731 | 2017-08-28 |
| Annual Report | 0002714729 | 2016-09-01 |
Date of last update: 06 Apr 2025
Sources: Idaho Secretary of State
