| Name: | IDAHO FAMILY DENTAL PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 19 Mar 2014 (11 years ago) |
| Financial Date End: | 31 Mar 2025 |
| Entity Number: | 414187 |
| Place of Formation: | IDAHO |
| File Number: | 414187 |
| ZIP code: | 83646 |
| County: | Ada County |
| Principal Address: | 2661 W DITCH CREEK DR MERIDIAN, ID 83646 |
| Mailing Address: | 9203 W OVERLAND RD BOISE, ID 83709-2502 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IDAHO FAMILY DENTAL 401(K) PLAN | 2023 | 465169949 | 2024-08-25 | IDAHO FAMILY DENTAL PLLC | 5 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-08-25 |
| Name of individual signing | DAVID BUDOLFSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2083751012 |
| Plan sponsor’s address | 9203 W. OVERLAND ROAD, BOISE, ID, 83709 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-15 |
| Name of individual signing | DAVID BUDOLFSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ANNA BUDOLFSON | Agent | 1100 E TRINITY LN, EAGLE, ID 83616 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| anna budolfson | Member | 9203 W OVERLAND RD, BOISE, ID 83709 | 2021-02-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005581113 | 2024-02-03 |
| Annual Report | 0005094252 | 2023-02-03 |
| Annual Report | 0004601018 | 2022-02-08 |
| Annual Report | 0004153161 | 2021-02-03 |
| Annual Report | 0003764528 | 2020-02-04 |
| Annual Report | 0003464166 | 2019-03-27 |
| Annual Report | 0002770252 | 2018-01-23 |
| Annual Report | 0002770250 | 2017-01-25 |
| Annual Report | 0002770248 | 2016-01-19 |
| Annual Report | 0002770257 | 2015-01-29 |
Date of last update: 18 Dec 2024
Sources: Idaho Secretary of State
