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MARK E. SMITH, D.D.S., P.C.

Company Details

Name: MARK E. SMITH, D.D.S., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Revoked (Administrative)
Date of registration: 04 Jan 2000 (25 years ago)
Financial Date End: 31 Jan 2013
Date dissolved: 15 Apr 2013
Entity Number: 403297
Place of Formation: OREGON
File Number: 0000403297
ZIP code: 83642
County: Ada County
Mailing Address: 2320 E GALA ST STE 200 MERIDIAN, ID 83642

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN 2012 930884971 2013-01-28 MARK E. SMITH, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-03-01
Business code 621210
Sponsor’s telephone number 2088468847
Plan sponsor’s address 912 E BANNOCK STREET, BOISE, ID, 83712

Signature of

Role Plan administrator
Date 2013-01-28
Name of individual signing MARK SMITH
Valid signature Filed with authorized/valid electronic signature
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN 2011 930884971 2012-08-27 MARK E. SMITH, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-03-01
Business code 621210
Sponsor’s telephone number 2088468847
Plan sponsor’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880

Plan administrator’s name and address

Administrator’s EIN 930884971
Plan administrator’s name MARK E. SMITH, D.D.S., P.C.
Plan administrator’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
Administrator’s telephone number 2088468847

Signature of

Role Plan administrator
Date 2012-08-27
Name of individual signing MARK SMITH
Valid signature Filed with authorized/valid electronic signature
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN 2010 930884971 2011-08-01 MARK E. SMITH, D.D.S., P.C. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-03-01
Business code 621210
Sponsor’s telephone number 2088468847
Plan sponsor’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880

Plan administrator’s name and address

Administrator’s EIN 930884971
Plan administrator’s name MARK E. SMITH, D.D.S., P.C.
Plan administrator’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
Administrator’s telephone number 2088468847

Signature of

Role Plan administrator
Date 2011-08-01
Name of individual signing MARK SMITH
Valid signature Filed with authorized/valid electronic signature
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN 2010 930884971 2011-07-27 MARK E. SMITH, D.D.S., P.C. 5
Three-digit plan number (PN) 003
Effective date of plan 1998-03-01
Business code 621210
Sponsor’s telephone number 2088468847
Plan sponsor’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880

Plan administrator’s name and address

Administrator’s EIN 930884971
Plan administrator’s name MARK E. SMITH, D.D.S., P.C.
Plan administrator’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
Administrator’s telephone number 2088468847

Signature of

Role Plan administrator
Date 2011-07-27
Name of individual signing MARK SMITH
Valid signature Filed with incorrect/unrecognized electronic signature
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN 2010 930884971 2011-07-27 MARK E. SMITH, D.D.S., P.C. 5
Three-digit plan number (PN) 003
Effective date of plan 1998-03-01
Business code 621210
Sponsor’s telephone number 2088468847
Plan sponsor’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880

Plan administrator’s name and address

Administrator’s EIN 930884971
Plan administrator’s name MARK E. SMITH, D.D.S., P.C.
Plan administrator’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
Administrator’s telephone number 2088468847

Signature of

Role Plan administrator
Date 2011-07-27
Name of individual signing MARK SMITH
Valid signature Filed with incorrect/unrecognized electronic signature
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN 2010 930884971 2011-07-26 MARK E. SMITH, D.D.S., P.C. 5
Three-digit plan number (PN) 003
Effective date of plan 1998-03-01
Business code 621210
Sponsor’s telephone number 2088468847
Plan sponsor’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880

Plan administrator’s name and address

Administrator’s EIN 930884971
Plan administrator’s name MARK E. SMITH, D.D.S., P.C.
Plan administrator’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
Administrator’s telephone number 2088468847

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing MARK E. SMITH
Valid signature Filed with incorrect/unrecognized electronic signature
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN 2009 930884971 2010-11-04 MARK E. SMITH, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-03-01
Business code 621210
Sponsor’s telephone number 2088468847
Plan sponsor’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880

Plan administrator’s name and address

Administrator’s EIN 930884971
Plan administrator’s name MARK E. SMITH, D.D.S., P.C.
Plan administrator’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
Administrator’s telephone number 2088468847

Signature of

Role Plan administrator
Date 2010-11-03
Name of individual signing MARK E. SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-11-03
Name of individual signing MARK E. SMITH
Valid signature Filed with authorized/valid electronic signature
MARK E. SMITH, D.D.S., P.C. SAFE HARBOR 401(K) PLAN 2009 930884971 2010-10-07 MARK E. SMITH, D.D.S., P.C. 6
Three-digit plan number (PN) 003
Effective date of plan 1998-03-01
Business code 621210
Sponsor’s telephone number 2088468847
Plan sponsor’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880

Plan administrator’s name and address

Administrator’s EIN 930884971
Plan administrator’s name MARK E. SMITH, D.D.S., P.C.
Plan administrator’s address 2320 GALA ST UNIT 200, MERIDIAN, ID, 836424880
Administrator’s telephone number 2088468847

Signature of

Role Plan administrator
Date 2010-10-06
Name of individual signing MARK E. SMITH
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing MARK E. SMITH
Valid signature Filed with incorrect/unrecognized electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0002727859 2012-01-05
Annual Report 0002727858 2010-12-20
Annual Report 0002727857 2010-02-11
Annual Report 0002727861 2008-11-17
Annual Report 0002727860 2007-12-14
Annual Report 0002727856 2006-11-30
Annual Report 0002727855 2005-12-08
Annual Report 0002727854 2004-11-18
Annual Report 0002727853 2004-01-21
Annual Report 0002727863 2001-12-19

Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State