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  5. NORTHWEST DENTAL CENTER, PA

NORTHWEST DENTAL CENTER, PA

Company Details

Name: NORTHWEST DENTAL CENTER, PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 03 Jan 2001 (24 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 418345
Place of Formation: IDAHO
File Number: 418345
ZIP code: 83704
County: Ada County
Mailing Address: 8300 W NORTHVIEW ST BOISE, ID 83704-7132

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST DENTAL CENTER PA 401K PLAN 2017 820526879 2019-07-12 NORTHWEST DENTAL CENTER PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 2083778078
Plan sponsor’s DBA name PA
Plan sponsor’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing DON COOK
Valid signature Filed with authorized/valid electronic signature
NORTHWEST DENTAL CENTER PA 401K PLAN 2016 820526879 2018-08-20 NORTHWEST DENTAL CENTER PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 2083778078
Plan sponsor’s DBA name PA
Plan sponsor’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132

Plan administrator’s name and address
Administrator’s EIN 820526879
Plan administrator’s name NORTHWEST DENTAL CENTER PA
Plan administrator’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132
Administrator’s telephone number 2083778078
NORTHWEST DENTAL CENTER PA 401K PLAN 2015 820526879 2017-07-14 NORTHWEST DENTAL CENTER PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 2083778078
Plan sponsor’s DBA name PA
Plan sponsor’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132

Plan administrator’s name and address
Administrator’s EIN 820526879
Plan administrator’s name NORTHWEST DENTAL CENTER PA
Plan administrator’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132
Administrator’s telephone number 2083778078
NORTHWEST DENTAL CENTER PA 401K PLAN 2014 820526879 2016-07-14 NORTHWEST DENTAL CENTER PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 2083778078
Plan sponsor’s DBA name PA
Plan sponsor’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132

Plan administrator’s name and address
Administrator’s EIN 820526879
Plan administrator’s name NORTHWEST DENTAL CENTER PA
Plan administrator’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132
Administrator’s telephone number 2083778078
NORTHWEST DENTAL CENTER PA 401K PLAN 2013 820526879 2015-07-14 NORTHWEST DENTAL CENTER PA 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 2083778078
Plan sponsor’s DBA name PA
Plan sponsor’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132

Plan administrator’s name and address
Administrator’s EIN 820526879
Plan administrator’s name NORTHWEST DENTAL CENTER PA
Plan administrator’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132
Administrator’s telephone number 2083778078

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing DON COOK
Valid signature Filed with authorized/valid electronic signature
NORTHWEST DENTAL CENTER PA 401K PLAN 2012 820526879 2014-07-09 NORTHWEST DENTAL CENTER PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 2083778078
Plan sponsor’s DBA name PA
Plan sponsor’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132

Plan administrator’s name and address
Administrator’s EIN 820526879
Plan administrator’s name NORTHWEST DENTAL CENTER PA
Plan administrator’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132
Administrator’s telephone number 2083778078

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing DON COOK
Valid signature Filed with authorized/valid electronic signature
NORTHWEST DENTAL CENTER PA 401K PLAN 2011 820526879 2013-07-10 NORTHWEST DENTAL CENTER PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 2083778078
Plan sponsor’s DBA name PA
Plan sponsor’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132

Plan administrator’s name and address
Administrator’s EIN 820526879
Plan administrator’s name NORTHWEST DENTAL CENTER PA
Plan administrator’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132
Administrator’s telephone number 2083778078

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing DON COOK
Valid signature Filed with authorized/valid electronic signature
NORTHWEST DENTAL CENTER PA 401K PLAN 2010 820526879 2011-12-28 NORTHWEST DENTAL CENTER PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 2083778078
Plan sponsor’s DBA name PA
Plan sponsor’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132

Plan administrator’s name and address
Administrator’s EIN 820526879
Plan administrator’s name NORTHWEST DENTAL CENTER PA
Plan administrator’s address 8300 NORTHVIEW ST, BOISE, ID, 837047132
Administrator’s telephone number 2083778078

Signature of
Role Plan administrator
Date 2011-12-28
Name of individual signing DON COOK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DON R COOK Agent 8300 NORTHVIEW ST, BOISE, ID 83704

President

Name Role Address Appointed On
Don Cook President 8300 W. NORTHVIEW ST, BOISE, ID 83704 2020-12-03

Filing

Filing Name Filing Number Filing date
Annual Report 0006007685 2024-12-05
Annual Report 0005498542 2023-12-04
Annual Report 0005010717 2022-12-05
Annual Report 0004513504 2021-12-03
Annual Report 0004083144 2020-12-03
Annual Report 0003696526 2019-12-03
Annual Report 0003447758 2019-03-11
Annual Report 0002785597 2017-11-27
Annual Report 0002785595 2017-01-12
Annual Report 0002785593 2015-11-16

Related by officers

DON R COOK

COOK PROPERTIES LLC D COOK DENTAL LLC NORTHWEST DENTAL GROUP LLC

Don Cook

COOK PROPERTIES LLC D COOK DENTAL LLC NORTHWEST DENTAL GROUP LLC

Related by address

8300 W NORTHVIEW ST BOISE, ID 83704-7132

COOK PROPERTIES LLC DAVID BINGHAM DDS, PLLC D COOK DENTAL LLC NORTHWEST DENTAL GROUP LLC

Date of last update: 18 Dec 2024

Sources: Idaho Secretary of State

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