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  5. DONALD E LARSON, DMD, P.C.

DONALD E LARSON, DMD, P.C.

Company Details

Name: DONALD E LARSON, DMD, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 08 May 2002 (23 years ago)
Financial Date End: 31 May 2025
Entity Number: 438174
Place of Formation: IDAHO
File Number: 438174
ZIP code: 83713
County: Ada County
Mailing Address: 5919 N LILYBROOK PL BOISE, ID 83713-1381

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DON LARSON DMD 401(K) PLAN 2023 460484218 2024-09-20 DONALD E. LARSON DMD, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 5919 N. LILYBROOK PL, BOISE, ID, 83713

Signature of
Role Plan administrator
Date 2024-09-20
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2022 460484218 2023-08-17 DONALD E. LARSON DMD, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2023-08-17
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2021 460484218 2023-07-24 DONALD E. LARSON DMD, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2021 460484218 2022-09-29 DONALD E. LARSON DMD, P.C. 15
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2020 460484218 2021-10-06 DONALD E. LARSON DMD, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2019 460484218 2020-10-06 DONALD E. LARSON DMD, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2018 460484218 2019-10-10 DONALD E. LARSON DMD, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2017 460484218 2018-10-11 DONALD E. LARSON DMD, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2016 460484218 2017-10-12 DONALD E. LARSON DMD, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature
DON LARSON DMD 401(K) PLAN 2015 460484218 2016-10-13 DONALD E. LARSON DMD, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2089393500
Plan sponsor’s address 700 E STATE STREET, SUITE 100, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing TIFFANY LARSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Tiffany T Larson Agent 5919 N LILYBROOK PL, BOISE, ID 83713

President

Name Role Address Appointed On
Donald E Larson President 5919 N LILYBROOK PL, BOISE, ID 83713 2020-08-06

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005859646 2024-08-13
Dissolution/Revocation - Administrative 0005858883 2024-08-13
Annual Report 0005200396 2023-04-13
Annual Report 0004683347 2022-04-03
Annual Report 0004300409 2021-06-03
Application for Reinstatement 0003961737 2020-08-06
Dissolution/Revocation - Administrative 0003959290 2020-08-05
Annual Report 0003485640 2019-04-20
Annual Report 0002861470 2018-04-09
Annual Report 0002861469 2017-03-21

Related by officers

Tiffany T Larson

Stateview Property, LLC

Related by address

5919 N LILYBROOK PL BOISE, ID 83713-1381

Stateview Property, LLC

Date of last update: 20 Dec 2024

Sources: Idaho Secretary of State

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