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  5. DAN STREEBY DDS, PC

DAN STREEBY DDS, PC

Company Details

Name: DAN STREEBY DDS, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 28 Jan 2000 (25 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 404487
Place of Formation: IDAHO
File Number: 404487
ZIP code: 83616
County: Ada County
Mailing Address: STE 180 450 W STATE ST EAGLE, ID 83616-6974

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2017 820518205 2019-07-15 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2016 820518205 2018-01-25 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 9
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2018-01-25
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2015 820518205 2017-06-14 DAN STREEBY DDS PC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 9
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2017-06-14
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2014 820518205 2016-05-26 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 9
Number of participants with account balances as of the end of the plan year 9

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2013 820518205 2015-01-22 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 5
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2015-01-22
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2012 820518205 2014-06-12 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 6
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2014-06-12
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2011 820518205 2013-06-17 DAN STREEBY DDS PC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 10
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2010 820518205 2012-06-15 DAN STREEBY DDS PC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 11
Number of participants with account balances as of the end of the plan year 11

Signature of
Role Plan administrator
Date 2012-06-15
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2009 820518205 2011-06-15 DAN STREEBY DDS PC 9
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 10
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 12

Signature of
Role DFE
Date 2011-06-15
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2009 820518205 2011-06-15 DAN STREEBY DDS PC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 10
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 12

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAN STREEBY Agent 450 W STATE ST STE 180, EAGLE, ID 83616

President

Name Role Address Appointed On
Daniel Streeby President 4091 W FARM VIEW DR, BOISE, ID 83714 2020-12-03

Secretary

Name Role Address Appointed On Resigned On
Allison Streeby Secretary 4091 W FARM VIEW DR, BOISE, ID 83714 2023-12-14 2023-12-14

Filing

Filing Name Filing Number Filing date
Annual Report 0006000397 2024-12-03
Annual Report 0005511844 2023-12-14
Annual Report 0005046068 2023-01-03
Annual Report 0004555221 2022-01-05
Annual Report 0004085364 2020-12-03
Annual Report 0003777771 2020-02-10
Annual Report 0003406093 2019-01-22
Annual Report 0002732556 2018-01-31
Annual Report 0002732555 2017-01-30
Annual Report 0002732553 2016-02-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 18 Dec 2024

Sources: Idaho Secretary of State

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