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D&A WALLACE, P.A.

Company Details

Name: D&A WALLACE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Aug 2002 (22 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 442514
Place of Formation: IDAHO
File Number: 442514
ZIP code: 83617
County: Gem County
Mailing Address: ANDREA WALLACE 2003 E QUAIL RUN RD EMMETT, ID 83617-5059

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
D&A WALLACE 401(K) PLAN 2023 460492633 2024-07-09 D&A WALLACE, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-18
Business code 621210
Sponsor’s telephone number 2083653534
Plan sponsor’s address 2003 E. QUAIL RUN RD., EMMETT, ID, 836175059

Signature of

Role Plan administrator
Date 2024-07-09
Name of individual signing ANDREA WALLACE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing ANDREA WALLACE
Valid signature Filed with authorized/valid electronic signature
D&A WALLACE 401(K) PLAN 2022 460492633 2023-08-22 D&A WALLACE, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-18
Business code 621210
Sponsor’s telephone number 2083653534
Plan sponsor’s address 2003 E. QUAIL RUN RD., EMMETT, ID, 836175059

Signature of

Role Plan administrator
Date 2023-08-22
Name of individual signing DARREN WALLACE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-22
Name of individual signing DARREN WALLACE
Valid signature Filed with authorized/valid electronic signature
D&A WALLACE 401(K) PLAN 2021 460492633 2022-02-07 D&A WALLACE, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-09-18
Business code 621210
Sponsor’s telephone number 2083653534
Plan sponsor’s address 2003 E. QUAIL RUN RD., EMMETT, ID, 836175059

Signature of

Role Plan administrator
Date 2022-02-07
Name of individual signing DARREN WALLACE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-07
Name of individual signing DARREN WALLACE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANDREA WALLACE DMD Agent 2003 E QUAIL RUN RD, EMMETT, ID 83617

President

Name Role Address Appointed On
Darren Wallace President 3473 W RYDER CUP DR, MERIDIAN, ID 83646 2020-07-05

Secretary

Name Role Address Appointed On
Andrea Wallace Secretary 3473 W RYDER CUP DR, MERIDIAN, ID 83646 2023-07-27

Filing

Filing Name Filing Number Filing date
Annual Report 0005815161 2024-07-10
Annual Report 0005333237 2023-07-27
Annual Report 0004802201 2022-07-05
Annual Report 0004334107 2021-07-06
Annual Report 0003930205 2020-07-05
Application for Reinstatement 0003753767 2020-01-24
Dissolution/Revocation - Administrative 0003685885 2019-11-25
Annual Report 0002877157 2018-06-18
Annual Report 0002877155 2017-06-20
Annual Report 0002877153 2016-06-22

Date of last update: 20 Dec 2024

Sources: Idaho Secretary of State