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Boise Premier Dentistry PLLC

Company Details

Name: Boise Premier Dentistry PLLC
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: 4028809
Place of Formation: IDAHO
File Number: 729214
ZIP code: 83704
County: Ada County
Principal Address: 4598 N. CLAYTON PL. BOISE, ID 83704
Mailing Address: 4598 N CLAYTON PL BOISE, ID 83704-1235

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOISE PREMIER DENTISTRY 401(K) PROFIT SHARING PLAN & TRUST 2023 863680861 2024-06-04 BOISE PREMIER DENTISTRY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 541990
Sponsor’s telephone number 2087946391
Plan sponsor’s address 3809 W STATE STREET, BOISE, ID, 83703

Signature of

Role Plan administrator
Date 2024-06-04
Name of individual signing MARYAM MOGHADDASIAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Maryam Moghaddasian Agent 4598 N CLAYTON PL, BOISE, ID 83704

Manager

Name Role Address Appointed On
Maryam Moghaddasian Manager 4598 N. CLAYTON PL, BOISE, ID 83704 2020-10-29

Filing

Filing Name Filing Number Filing date
Annual Report 0005949057 2024-10-23
Annual Report 0005405938 2023-09-19
Annual Report 0004911831 2022-09-13
Annual Report 0004437506 2021-10-04
Amendment to Certificate 0004267487 2021-05-04
Amendment to Certificate 0004044762 2020-10-29
Initial Filing 0004028809 2020-10-08

Date of last update: 02 Jan 2025

Sources: Idaho Secretary of State