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  5. MAGIC VALLEY FAMILY DENTAL, PC

MAGIC VALLEY FAMILY DENTAL, PC

Company Details

Name: MAGIC VALLEY FAMILY DENTAL, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 15 Jun 2005 (20 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 488739
Place of Formation: IDAHO
File Number: 488739
ZIP code: 83318
County: Cassia County
Mailing Address: STE A 1408 POMERELLE AVE BURLEY, ID 83318-2068

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2023 202982746 2024-05-06 MAGIC VALLEY FAMILY DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2024-05-06
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-06
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2022 202982746 2023-09-20 MAGIC VALLEY FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2023-09-19
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-19
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2021 202982746 2022-06-22 MAGIC VALLEY FAMILY DENTAL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-20
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2020 202982746 2021-06-07 MAGIC VALLEY FAMILY DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-07
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2019 202982746 2020-07-08 MAGIC VALLEY FAMILY DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-07
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2018 202982746 2019-07-29 MAGIC VALLEY FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-26
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2017 202982746 2018-05-23 MAGIC VALLEY FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2018-05-23
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-23
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2016 202982746 2017-06-28 MAGIC VALLEY FAMILY DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2017-06-28
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-28
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2015 202982746 2016-08-12 MAGIC VALLEY FAMILY DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2016-08-12
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-12
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2014 202982746 2015-08-17 MAGIC VALLEY FAMILY DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2015-08-17
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-17
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NEAL JOHNSON Agent 366 EAST 150 SOUTH, 366 EAST 150 SOUTH, BURLEY, ID 83318

President

Name Role Address Appointed On
NEAL L. JOHNSON President 1408 POMERELLE AVE SUITE A, BURLEY, ID 83318 2020-07-06

Secretary

Name Role Address Appointed On
Launi N. JOHNSON Secretary 1408 POMERELLE AVE SUITE A, BURLEY, ID 83318 2024-05-08

Filing

Filing Name Filing Number Filing date
Annual Report 0005730832 2024-05-08
Annual Report 0005241467 2023-05-13
Annual Report 0004735612 2022-05-05
Annual Report 0004282880 2021-05-14
Annual Report 0003931096 2020-07-06
Annual Report 0003557136 2019-07-01
Annual Report 0003029938 2018-04-25
Annual Report 0003029936 2017-04-28
Annual Report 0003029934 2016-04-26
Annual Report 0003029933 2015-04-23

Related by officers

NEAL JOHNSON

JLN INVESTMENTS L.L.C.

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: Idaho Secretary of State

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