| Name: | PALOUSE ORAL & MAXILLOFACIAL SURGERY, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 21 Dec 2000 (24 years ago) |
| Financial Date End: | 31 Dec 2012 |
| Date dissolved: | 07 Mar 2013 |
| Entity Number: | 417682 |
| Place of Formation: | IDAHO |
| File Number: | 0000417682 |
| ZIP code: | 83843 |
| County: | Latah County |
| Mailing Address: | 2301 WEST A ST STE A MOSCOW, ID 83843 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALOUSE ORAL & MAXILLOFACIAL SURGERY DEFINED BENEFIT PLAN | 2011 | 820513254 | 2012-10-09 | PALOUSE ORAL & MAXILLOFACIAL SURGERY, P.A. | 1 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 820513254 |
| Plan administrator’s name | PALOUSE ORAL & MAXILLOFACIAL SURGERY, P.A. |
| Plan administrator’s address | 2301 W. A STREET, SUITE A, MOSCOW, ID, 838434038 |
| Administrator’s telephone number | 2088820331 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-09 |
| Name of individual signing | JOHN MORRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-07-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2088820331 |
| Plan sponsor’s address | 2301 W. A STREET, SUITE A, MOSCOW, ID, 838434038 |
Plan administrator’s name and address
| Administrator’s EIN | 820513254 |
| Plan administrator’s name | PALOUSE ORAL & MAXILLOFACIAL SURGERY, P.A. |
| Plan administrator’s address | 2301 W. A STREET, SUITE A, MOSCOW, ID, 838434038 |
| Administrator’s telephone number | 2088820331 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-09 |
| Name of individual signing | JOHN MORRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-07-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2088820331 |
| Plan sponsor’s address | 2301 W. A STREET, SUITE A, MOSCOW, ID, 838434038 |
Plan administrator’s name and address
| Administrator’s EIN | 820513254 |
| Plan administrator’s name | PALOUSE ORAL & MAXILLOFACIAL SURGERY, P.A. |
| Plan administrator’s address | 2301 W. A STREET, SUITE A, MOSCOW, ID, 838434038 |
| Administrator’s telephone number | 2088820331 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-17 |
| Name of individual signing | JOHN MORRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0002782950 | 2012-01-11 |
| Annual Report | 0002782949 | 2011-02-04 |
| Annual Report | 0002782948 | 2010-01-14 |
| Annual Report | 0002782952 | 2008-10-31 |
| Annual Report | 0002782951 | 2007-12-12 |
| Annual Report | 0002782947 | 2006-10-23 |
| Annual Report | 0002782946 | 2005-10-27 |
| Annual Report | 0002782945 | 2004-12-08 |
| Annual Report | 0002782944 | 2003-10-22 |
| Annual Report | 0002782943 | 2002-02-14 |
Date of last update: 25 Sep 2024
Sources: Idaho Secretary of State
