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  5. EVAN HATHAWAY, D.D.S., P.A.

EVAN HATHAWAY, D.D.S., P.A.

Company Details

Name: EVAN HATHAWAY, D.D.S., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 31 Jan 2000 (25 years ago)
Financial Date End: 31 Jan 2022
Date dissolved: 16 Feb 2022
Entity Number: 404524
Place of Formation: IDAHO
File Number: 404524
ZIP code: 83616
County: Ada County
Mailing Address: 1217 E IRON EAGLE DR EAGLE, ID 83616-6599

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2020 820519940 2021-04-28 EVAN HATHAWAY, D.D.S., P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 4265 W. BRIAR ROCK COURT, EAGLE, ID, 83616
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2019 820519940 2020-04-19 EVAN HATHAWAY, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 4265 W. BRIAR ROCK COURT, EAGLE, ID, 83616
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2018 820519940 2019-04-05 EVAN HATHAWAY, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 4265 W. BRIAR ROCK COURT, EAGLE, ID, 83616
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2017 820519940 2018-09-14 EVAN HATHAWAY, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 4265 W. BRIAR ROCK COURT, EAGLE, ID, 83616
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2016 820519940 2017-07-25 EVAN HATHAWAY, D.D.S., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 4265 W. BRIAR ROCK COURT, EAGLE, ID, 83616
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2015 820519940 2016-10-11 EVAN HATHAWAY, D.D.S., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 4265 W. BRIAR ROCK COURT, EAGLE, ID, 83616
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2014 820519940 2015-10-09 EVAN HATHAWAY, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 3767 NORTH SAWGRASS WAY, BOISE, ID, 83704
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2013 820519940 2014-05-20 EVAN HATHAWAY, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 3767 NORTH SAWGRASS WAY, BOISE, ID, 83704
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2012 820519940 2013-06-18 EVAN HATHAWAY, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 3767 NORTH SAWGRASS WAY, BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing EVAN HATHAWAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-18
Name of individual signing EVAN HATHAWAY
Valid signature Filed with authorized/valid electronic signature
EVAN HATHAWAY, DDS, PA DEFINED BENEFIT PENSION PLAN 2011 820519940 2012-09-25 EVAN HATHAWAY, D.D.S., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 2083771161
Plan sponsor’s address 3767 NORTH SAWGRASS WAY, BOISE, ID, 83704

Plan administrator’s name and address
Administrator’s EIN 820519940
Plan administrator’s name EVAN HATHAWAY, D.D.S., P.A.
Plan administrator’s address 3767 NORTH SAWGRASS WAY, BOISE, ID, 83704
Administrator’s telephone number 2083771161

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing EVAN HATHAWAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-25
Name of individual signing EVAN HATHAWAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EVAN HATHAWAY D.D.S. Agent 1217 E IRON EAGLE DR, EAGLE, ID 83616

President

Name Role Address Appointed On
Evan W Hathaway President 1217 E IRON EAGLE DR, EAGLE, ID 83616 2021-02-08

Filing

Filing Name Filing Number Filing date
Articles of Dissolution (prior to issuing shares or commencing business) 0004613351 2022-02-16
Annual Report 0004168839 2021-02-08
Annual Report 0003695154 2019-12-02
Annual Report 0003460183 2019-03-22
Annual Report 0002732687 2017-11-28
Annual Report 0002732684 2016-11-29
Annual Report 0002732682 2015-12-07
Annual Report 0002732680 2014-12-04
Annual Report 0002732678 2013-11-19
Annual Report 0002732677 2012-11-16

Related by officers

Evan W Hathaway

IDAHO BOYS, LLC EAGLE OFFICE, LLC

Related by address

No related companies by address

Date of last update: 18 Dec 2024

Sources: Idaho Secretary of State

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