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  5. OWYHEE ORAL SURGERY LLC

OWYHEE ORAL SURGERY LLC

Company Details

Name: OWYHEE ORAL SURGERY LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Dec 2014 (10 years ago)
Financial Date End: 31 Dec 2024
Entity Number: 442751
Place of Formation: IDAHO
File Number: 442751
ZIP code: 83686
County: Canyon County
Principal Address: 1613 12TH AVE RD UNIT A NAMPA, ID 83686
Mailing Address: 339 W IOWA AVE NAMPA, ID 83686-2856

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2023 472585548 2024-07-16 OWYHEE ORAL SURGERY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2024-07-16
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2023 472585548 2024-07-16 OWYHEE ORAL SURGERY, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2024-07-16
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2022 472585548 2023-07-10 OWYHEE ORAL SURGERY, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2022 472585548 2023-07-10 OWYHEE ORAL SURGERY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2021 472585548 2022-04-12 OWYHEE ORAL SURGERY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2022-04-12
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-12
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2021 472585548 2022-04-12 OWYHEE ORAL SURGERY, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2022-04-12
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-12
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2020 472585548 2021-03-18 OWYHEE ORAL SURGERY, LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2021-03-17
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2020 472585548 2021-03-18 OWYHEE ORAL SURGERY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2021-03-17
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2020 472585548 2021-05-05 OWYHEE ORAL SURGERY, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2021-05-05
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-05
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2019 472585548 2020-04-29 OWYHEE ORAL SURGERY, LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN PAUL MALAN Agent 339 W IOWA AVE, NAMPA, ID 83686

Manager

Name Role Address Appointed On
John Malan Manager 339 W IOWA AVE, NAMPA, ID 83686 2020-12-29

Filing

Filing Name Filing Number Filing date
Annual Report 0005528344 2023-12-27
Annual Report 0005012980 2022-12-05
Annual Report 0004556641 2022-01-06
Annual Report 0004109908 2020-12-29
Annual Report 0003704867 2019-12-10
Annual Report 0003384882 2018-12-31
Annual Report 0002878056 2017-10-30
Annual Report 0002878055 2016-11-14
Annual Report 0002878054 2016-01-18
Initial Filing 0000442751 2014-12-16

Related by officers

JOHN PAUL MALAN

SOO YOUNG PROPERTIES, LLC

John Malan

SOO YOUNG PROPERTIES, LLC OWYHEE ORAL SURGERY FRUITLAND PLLC

Related by address

339 W IOWA AVE NAMPA, ID 83686-2856

JOSEPH D. BALLENGER, JR., D.D.S., P.A. SOO YOUNG PROPERTIES, LLC The Marival, PLLC Three Creeks Services, PLLC

Date of last update: 20 Dec 2024

Sources: Idaho Secretary of State

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