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BOISE ORTHODONTICS, PLLC

Company Details

Name: BOISE ORTHODONTICS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 02 Sep 2015 (9 years ago)
Financial Date End: 30 Sep 2022
Date dissolved: 30 Mar 2022
Entity Number: 473313
Place of Formation: IDAHO
File Number: 473313
ZIP code: 83713
County: Ada County
Principal Address: 4725 N CLOVERDALE RD STE 101 BOISE, ID 83713
Mailing Address: 4870 PEVERO DR IDAHO FALLS, ID 83401-6162

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOISE ORTHODONTICS, PLLC 401(K) PLAN 2020 475031715 2021-08-26 BOISE ORTHODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2083236775
Plan sponsor’s address 4725 N. CLOVERDALE RD., STE. 101, BOISE, ID, 83713
BOISE ORTHODONTICS, PLLC 401(K) PLAN 2019 475031715 2020-09-15 BOISE ORTHODONTICS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2083236775
Plan sponsor’s address 4725 N. CLOVERDALE RD., STE. 101, BOISE, ID, 83713

Agent

Name Role Address
DAVID A COLEMAN Agent 156 2ND AVE W, TWIN FALLS, ID 83646

Member

Name Role Address Appointed On
Anthony D Mongillo Member 4725 N CLOVERDALE RD, BOISE, ID 83713 2020-08-29

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004676623 2022-03-30
Annual Report 0004399190 2021-09-02
Statement of Change of Business Mailing Address 0004247676 2021-04-14
Annual Report 0003981898 2020-08-29
Annual Report 0003674340 2019-11-11
Annual Report 0002982039 2018-08-01
Annual Report 0002982038 2017-08-21
Annual Report 0002982037 2016-08-02
Legacy Amendment 0000909049 2016-01-06
Initial Filing 0000473313 2015-09-02

Date of last update: 21 Dec 2024

Sources: Idaho Secretary of State