| Name: | WILLOW TREE DENTAL, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 17 Feb 2016 (9 years ago) |
| Financial Date End: | 28 Feb 2025 |
| Entity Number: | 491822 |
| Place of Formation: | IDAHO |
| File Number: | 0000491822 |
| ZIP code: | 83642 |
| County: | Ada County |
| Principal Address: | 317 W. CHERRY LN. MERIDIAN, ID 83642 |
| Mailing Address: | 317 W CHERRY LN MERIDIAN, ID 83642-1608 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLOW TREE DENTAL 401(K) PLAN | 2023 | 811537213 | 2024-10-10 | WILLOW TREE DENTAL | 23 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-10 |
| Name of individual signing | JULIE HESS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2083951000 |
| Plan sponsor’s address | 317 W. CHERRY LANE, MERIDIAN, ID, 83642 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-09 |
| Name of individual signing | JULIE HESS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DOUGLAS DOWDLE DMD | Agent | 317 W CHERRY LN, MERIDIAN, ID 83642 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Blake Imam | Member | 317 W. CHERRY LANE, MERIDIAN, ID 83642 | 2024-03-08 |
| Douglas Dowdle | Member | 317 W. CHERRY LANE, MERIDIAN, ID 83642 | 2024-03-08 |
| Julie Hess | Member | 317 W CHERRY LN, MERIDIAN, ID 83642-1608 | 2021-07-26 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005641210 | 2024-03-08 |
| Annual Report | 0005200651 | 2023-04-13 |
| Application for Reinstatement | 0004829684 | 2022-07-22 |
| Dissolution/Revocation - Administrative | 0004743922 | 2022-05-12 |
| Application for Reinstatement | 0004357746 | 2021-07-26 |
| Dissolution/Revocation - Administrative | 0004271995 | 2021-05-05 |
| Application for Reinstatement | 0003842593 | 2020-04-10 |
| Dissolution/Revocation - Administrative | 0003542889 | 2019-06-18 |
| Annual Report | 0003038680 | 2018-03-14 |
| Annual Report | 0003038679 | 2017-01-12 |
Date of last update: 26 Sep 2024
Sources: Idaho Secretary of State
