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  5. SANDPOINT FAMILY DENTISTRY, INC.

SANDPOINT FAMILY DENTISTRY, INC.

Company Details

Name: SANDPOINT FAMILY DENTISTRY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 04 Jan 2007 (18 years ago)
Financial Date End: 31 Jan 2015
Date dissolved: 21 Apr 2015
Entity Number: 517401
Place of Formation: IDAHO
File Number: 0000517401
ZIP code: 83864
County: Bonner County
Mailing Address: 1310 PONDEROSA DR SANDPOINT, ID 83864

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANDPOINT FAMILY DENTISTRY PROFIT SHARING PLAN 2014 841419512 2015-02-13 SANDPOINT FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-09-01
Business code 621210
Sponsor’s telephone number 2082637641
Plan sponsor’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2015-02-13
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-02-13
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
SANDPOINT FAMILY DENTISTRY PROFIT SHARING PLAN 2013 841419512 2014-07-07 SANDPOINT FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-09-01
Business code 621210
Sponsor’s telephone number 2082637641
Plan sponsor’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2014-07-07
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-07
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
SANDPOINT FAMILY DENTISTRY PROFIT SHARING PLAN 2012 841419512 2013-08-13 SANDPOINT FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-09-01
Business code 621210
Sponsor’s telephone number 2082637641
Plan sponsor’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2013-08-13
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-13
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
SANDPOINT FAMILY DENTISTRY PROFIT SHARING PLAN 2011 841419512 2012-07-30 SANDPOINT FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-09-01
Business code 621210
Sponsor’s telephone number 2082637641
Plan sponsor’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 841419512
Plan administrator’s name SAME
Plan administrator’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864
Administrator’s telephone number 2082637641

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-30
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
SANDPOINT FAMILY DENTISTRY PROFIT SHARING PLAN 2010 841419512 2011-10-13 SANDPOINT FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-09-01
Business code 621210
Sponsor’s telephone number 2082637641
Plan sponsor’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 841419512
Plan administrator’s name SAME
Plan administrator’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864
Administrator’s telephone number 2082637641

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
SANDPOINT FAMILY DENTISTRY PROFIT SHARING PLAN 2009 841419512 2010-10-14 SANDPOINT FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-09-01
Business code 621210
Sponsor’s telephone number 2082637641
Plan sponsor’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 841419512
Plan administrator’s name SAME
Plan administrator’s address 1310 PONDEROSA DRIVE, SANDPOINT, ID, 83864
Administrator’s telephone number 2082637641

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing KEVIN JOHNSON
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0003107979 2013-11-18
Annual Report 0003107978 2012-11-26
Revocation of Dissolution 0000921351 2012-03-05
Articles of Dissolution 0000921350 2012-01-25
Annual Report 0003107975 2011-11-29
Annual Report 0003107974 2011-01-18
Annual Report 0003107973 2009-11-12
Annual Report 0003107972 2008-12-24
Application for Reinstatement 0003107977 2008-04-24
Application for Reinstatement 0000921349 2008-04-23

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State

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