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  5. Sunnyside Dental Care, LLC

Sunnyside Dental Care, LLC

Company Details

Name: Sunnyside Dental Care, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Oct 2020 (4 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 4027899
Place of Formation: IDAHO
File Number: 729061
ZIP code: 83404
County: Bonneville County
Principal Address: DR. JEFF HOOVER 1520 ELK CREEK DRIVE IDAHO FALLS, ID 83404
Mailing Address: DR. JEFF HOOVER 1520 ELK CREEK DR IDAHO FALLS, ID 83404-8322

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNNYSIDE DENTAL CARE PROFIT SHARING PLAN 2013 820389456 2015-11-12 SUNNYSIDE DENTAL CARE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2085228854
Plan sponsor’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2015-11-12
Name of individual signing EVAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-11-12
Name of individual signing EVAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
SUNNYSIDE DENTAL CARE PROFIT SHARING PLAN 2012 820389456 2013-05-21 SUNNYSIDE DENTAL CARE 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2085228854
Plan sponsor’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2013-05-21
Name of individual signing EVAN O. JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-21
Name of individual signing EVAN O. JOHNSON
Valid signature Filed with authorized/valid electronic signature
SUNNYSIDE DENTAL CARE PROFIT SHARING PLAN 2011 820389456 2012-09-20 SUNNYSIDE DENTAL CARE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2085228854
Plan sponsor’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404

Plan administrator’s name and address
Administrator’s EIN 820389456
Plan administrator’s name SAME
Plan administrator’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404
Administrator’s telephone number 2085228854

Signature of
Role Plan administrator
Date 2012-09-20
Name of individual signing EVAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-20
Name of individual signing EVAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
SUNNYSIDE DENTAL CARE PROFIT SHARING PLAN 2010 820389456 2011-07-28 SUNNYSIDE DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2085228854
Plan sponsor’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404

Plan administrator’s name and address
Administrator’s EIN 820389456
Plan administrator’s name SAME
Plan administrator’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404
Administrator’s telephone number 2085228854

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing EVAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-28
Name of individual signing EVAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
SUNNYSIDE DENTAL CARE PROFIT SHARING PLAN 2009 820389456 2010-04-12 SUNNYSIDE DENTAL CARE 7
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2085228854
Plan sponsor’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404

Plan administrator’s name and address
Administrator’s EIN 820389456
Plan administrator’s name SUNNYSIDE DENTAL CARE
Plan administrator’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404
Administrator’s telephone number 2085228854

Signature of
Role Plan administrator
Date 2010-04-12
Name of individual signing EVAN JOHNSON
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-04-12
Name of individual signing EVAN JOHNSON
Valid signature Filed with incorrect/unrecognized electronic signature
SUNNYSIDE DENTAL CARE PROFIT SHARING PLAN 2009 820389456 2010-04-13 SUNNYSIDE DENTAL CARE 7
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2085228854
Plan sponsor’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404

Plan administrator’s name and address
Administrator’s EIN 820389456
Plan administrator’s name SUNNYSIDE DENTAL CARE
Plan administrator’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404
Administrator’s telephone number 2085228854

Signature of
Role Plan administrator
Date 2010-04-13
Name of individual signing EVAN JOHNSON
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-04-13
Name of individual signing EVAN JOHNSON
Valid signature Filed with incorrect/unrecognized electronic signature
SUNNYSIDE DENTAL CARE PROFIT SHARING PLAN 2009 820389456 2010-04-14 SUNNYSIDE DENTAL CARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2085228854
Plan sponsor’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404

Plan administrator’s name and address
Administrator’s EIN 820389456
Plan administrator’s name SUNNYSIDE DENTAL CARE
Plan administrator’s address 1520 ELK CREEK DRIVE, IDAHO FALLS, ID, 83404
Administrator’s telephone number 2085228854

Signature of
Role Plan administrator
Date 2010-04-14
Name of individual signing EVAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-14
Name of individual signing EVAN JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PORTER CLAYTON Agent 3456 E 17 ST, SUITE 180, AMMON, ID 83406

Member

Name Role Address Appointed On
HOOVERS, CHTD Member 1520 ELK CREEK DRIVE, IDAHO FALLS, ID 83404 2021-09-07

Filing

Filing Name Filing Number Filing date
Annual Report 0005877119 2024-09-03
Annual Report 0005382888 2023-09-05
Annual Report 0004885589 2022-09-06
Amendment to Certificate 0004824095 2022-07-15
Annual Report 0004410019 2021-09-07
Initial Filing 0004027899 2020-10-08

Related by officers

PORTER CLAYTON

C CREW LLC GLDC Sunnyside Dental Center, LLC GLDC River Valley, LLC JASON BAILEY DPT PC Broadway Holdings LLC Smitty's Pancake and Steakhouse LLC LEAP ERD REXBURG LLC ERD IDAHO FALLS LLC Peak Financial Group LLC Byington Holdings LLC

Related by address

DR. JEFF HOOVER 1520 ELK CREEK DR IDAHO FALLS, ID 83404-8322

LEAP Sunnyside Dental, LLC

Date of last update: 02 Jan 2025

Sources: Idaho Secretary of State

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