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OXFORD DENTAL CARE, PLLC

Company Details

Name: OXFORD DENTAL CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 04 May 2015 (10 years ago)
Financial Date End: 31 May 2021
Date dissolved: 12 Aug 2021
Entity Number: 460190
Place of Formation: IDAHO
File Number: 460190
ZIP code: 83401
County: Bonneville County
Principal Address: 399 N MAIN STE 300 LOGAN, UT 84321
Mailing Address: 749 OXFORD DR IDAHO FALLS, ID 83401-4203

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OXFORD DENTAL CARE PROFIT SHARING PLAN 2015 820395534 2016-07-06 OXFORD DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2085290420
Plan sponsor’s address 749 OXFORD DR, IDAHO FALLS, ID, 83401

Signature of

Role Plan administrator
Date 2016-07-06
Name of individual signing WILLIAM PEARSON
Valid signature Filed with authorized/valid electronic signature
OXFORD DENTAL CARE PROFIT SHARING PLAN 2014 820395534 2015-04-27 OXFORD DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2085290420
Plan sponsor’s address 749 OXFORD DR, IDAHO FALLS, ID, 83401

Signature of

Role Plan administrator
Date 2015-04-27
Name of individual signing WILLIAM E PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-27
Name of individual signing WILLIAM E PEARSON
Valid signature Filed with authorized/valid electronic signature
OXFORD DENTAL CARE PROFIT SHARING PLAN 2013 820395534 2014-06-17 OXFORD DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2085290420
Plan sponsor’s address 749 OXFORD DR, IDAHO FALLS, ID, 83401

Signature of

Role Plan administrator
Date 2014-06-17
Name of individual signing WILLIAM E PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-17
Name of individual signing WILLIAM E PEARSON
Valid signature Filed with authorized/valid electronic signature
OXFORD DENTAL CARE PROFIT SHARING PLAN 2012 820395534 2013-06-17 OXFORD DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2085290420
Plan sponsor’s address 749 OXFORD, IDAHO FALLS, ID, 83401

Signature of

Role Plan administrator
Date 2013-06-17
Name of individual signing WILLIAM E PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-17
Name of individual signing WILLIAM E PEARSON
Valid signature Filed with authorized/valid electronic signature
OXFORD DENTAL CARE PROFIT SHARING PLAN 2011 820395534 2012-06-05 OXFORD DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2085290420
Plan sponsor’s address 749 OXFORD, IDAHO FALLS, ID, 83401

Plan administrator’s name and address

Administrator’s EIN 820395534
Plan administrator’s name SAME
Plan administrator’s address 749 OXFORD, IDAHO FALLS, ID, 83401
Administrator’s telephone number 2085290420

Signature of

Role Plan administrator
Date 2012-06-05
Name of individual signing PEARSON, WILLIAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-05
Name of individual signing PEARSON, WILLIAM
Valid signature Filed with authorized/valid electronic signature
OXFORD DENTAL CARE PROFIT SHARING PLAN 2010 820395534 2011-06-17 OXFORD DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2085290420
Plan sponsor’s address 749 OXFORD, IDAHO FALLS, ID, 83401

Plan administrator’s name and address

Administrator’s EIN 820395534
Plan administrator’s name SAME
Plan administrator’s address 749 OXFORD, IDAHO FALLS, ID, 83401
Administrator’s telephone number 2085290420

Signature of

Role Plan administrator
Date 2011-06-17
Name of individual signing WILLIAM PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-17
Name of individual signing WILLIAM PEARSON
Valid signature Filed with authorized/valid electronic signature
OXFORD DENTAL CARE PROFIT SHARING PLAN 2009 820395534 2010-04-23 OXFORD DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2085290420
Plan sponsor’s address 749 OXFORD, IDAHO FALLS, ID, 83401

Plan administrator’s name and address

Administrator’s EIN 820395534
Plan administrator’s name OXFORD DENTAL CARE
Plan administrator’s address 749 OXFORD, IDAHO FALLS, ID, 83401
Administrator’s telephone number 2085290420

Signature of

Role Plan administrator
Date 2010-04-23
Name of individual signing WILLIAM PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-23
Name of individual signing WILLIAM PEARSON
Valid signature Filed with authorized/valid electronic signature
OXFORD DENTAL CARE PROFIT SHARING PLAN 2009 820395534 2010-04-23 OXFORD DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2085290420
Plan sponsor’s address 749 OXFORD, IDAHO FALLS, ID, 83401

Plan administrator’s name and address

Administrator’s EIN 820395534
Plan administrator’s name OXFORD DENTAL CARE
Plan administrator’s address 749 OXFORD, IDAHO FALLS, ID, 83401
Administrator’s telephone number 2085290420

Signature of

Role Plan administrator
Date 2010-04-23
Name of individual signing WILLIAM PEARSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-23
Name of individual signing WILLIAM PEARSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Andrew Bitter Agent 749 OXFORD DR, IDAHO FALLS, ID 83401-4203

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004381304 2021-08-12
Annual Report 0003873504 2020-05-09
Application for Reinstatement 0003587911 2019-08-05
Change of Registered Office/Agent/Both (by Entity) 0002939116 2018-01-18
Annual Report 0002939115 2017-04-28
Annual Report 0002939114 2016-05-20
Initial Filing 0000460190 2015-05-04

Date of last update: 21 Dec 2024

Sources: Idaho Secretary of State