| Name: | MONGILLO ORTHODONTICS PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 04 Dec 2020 (4 years ago) |
| Financial Date End: | 31 Dec 2025 |
| Entity Number: | 4088341 |
| Place of Formation: | IDAHO |
| File Number: | 736352 |
| ZIP code: | 83402 |
| County: | Bonneville County |
| Principal Address: | DR ANTHONY MONGILLO STE 4 250 S SKYLINE DR IDAHO FALLS, ID 83402 |
| Mailing Address: | DR ANTHONY MONGILLO STE 4 250 S SKYLINE DR IDAHO FALLS, ID 83402-3294 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MONGILLO ORTHODONTICS, PLLC 401(K) PLAN | 2023 | 854144610 | 2024-04-02 | MONGILLO ORTHODONTICS, PLLC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-02 |
| Name of individual signing | ANTHONY MONGILLO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085241404 |
| Plan sponsor’s address | 250 SOUTH SKYLINE #4, IDAHO FALLS, ID, 83402 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-20 |
| Name of individual signing | ANTHONY MONGILLO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085241404 |
| Plan sponsor’s address | 250 SOUTH SKYLINE #4, IDAHO FALLS, ID, 83402 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-11 |
| Name of individual signing | ANTHONY MONGILLO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ANTHONY D MONGILLO | Agent | 250 S SKYLINE DR, STE 4, IDAHO FALLS, ID 83402 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| ANTHONY D MONGILLO | Member | 250 S SKYLINE DR, IDAHO FALLS, ID 83402 | 2021-11-14 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005959104 | 2024-11-03 |
| Annual Report | 0005463622 | 2023-11-05 |
| Annual Report | 0005016171 | 2022-12-06 |
| Annual Report | 0004496968 | 2021-11-14 |
| Initial Filing | 0004088341 | 2020-12-04 |
Date of last update: 03 Jan 2025
Sources: Idaho Secretary of State
