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  5. SAMUEL G. SMITH ORTHODONTICS, P.C.

SAMUEL G. SMITH ORTHODONTICS, P.C.

Company Details

Name: SAMUEL G. SMITH ORTHODONTICS, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 03 Jul 2001 (24 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 426247
Place of Formation: IDAHO
File Number: 426247
ZIP code: 83709
County: Ada County
Mailing Address: 1541 S TIMESQUARE LN BOISE, ID 83709-8266

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMITH ORTHODONTICS 401(K) PLAN 2023 820534120 2024-09-09 SAMUEL G. SMITH ORTHODONTICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIME SQUARE COURT, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2024-09-09
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2022 820534120 2023-07-11 SAMUEL G. SMITH ORTHODONTICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIME SQUARE COURT, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2021 820534120 2022-09-20 SAMUEL G. SMITH ORTHODONTICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIME SQUARE COURT, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2022-09-20
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2020 820534120 2021-09-21 SAMUEL G. SMITH ORTHODONTICS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIME SQUARE COURT, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2021-09-21
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2019 820534120 2020-10-01 SAMUEL G. SMITH ORTHODONTICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIME SQUARE COURT, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2020-10-01
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2018 820534120 2019-07-18 SAMUEL G. SMITH ORTHODONTICS, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIME SQUARE COURT, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2017 820534120 2018-07-31 SAMUEL G. SMITH ORTHODONTICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIME SQUARE COURT, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2016 820534120 2017-08-25 SAMUEL G. SMITH ORTHODONTICS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIME SQUARE COURT, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2017-08-25
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2015 820534120 2016-08-18 SAMUEL G. SMITH ORTHODONTICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIMESQUARE LANE, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2016-08-18
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature
SMITH ORTHODONTICS 401(K) PLAN 2014 820534120 2015-09-30 SAMUEL G. SMITH ORTHODONTICS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2083217006
Plan sponsor’s address 1541 S. TIMESQUARE LANE, BOISE, ID, 83709

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing SAMUEL SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SAMUEL G SMITH Agent 1541 S TIMESQUARE CT, BOISE, ID 83709

Vice President

Name Role Address Appointed On
Hollie Smith Vice President 1162 W SHEARWATER LN, EAGLE, ID 83616 2020-07-21

Filing

Filing Name Filing Number Filing date
Annual Report 0005782020 2024-06-17
Annual Report 0005276456 2023-06-12
Annual Report 0004817793 2022-07-11
Annual Report 0004311450 2021-06-09
Annual Report 0003944595 2020-07-21
Annual Report 0003619062 2019-09-10
Annual Report 0002816424 2018-05-24
Annual Report 0002816423 2017-08-15
Annual Report 0002816422 2016-06-13
Annual Report 0002816421 2015-07-30

Related by officers

SAMUEL G SMITH

SHS PROPERTIES, LLC SSO LABS, LLC

Hollie Smith

SHS PROPERTIES, LLC

Related by address

No related companies by address

Date of last update: 19 Dec 2024

Sources: Idaho Secretary of State

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