| Name: | BAKER PEDIATRIC DENTISTRY PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 21 Sep 2016 (8 years ago) |
| Financial Date End: | 30 Sep 2022 |
| Date dissolved: | 08 Dec 2022 |
| Entity Number: | 520656 |
| Place of Formation: | IDAHO |
| File Number: | 520656 |
| ZIP code: | 83401 |
| County: | Bonneville County |
| Principal Address: | 1900 JOHN ADAMS PKWY IDAHO FALLS, ID 83401 |
| Mailing Address: | 1900 JOHN ADAMS PKWY IDAHO FALLS, ID 83401-4366 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAKER PEDIATRIC DENTISTRY 401(K) PLAN | 2023 | 475550868 | 2024-09-15 | BAKER PEDIATRIC DENTISTRY | 5 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-09-15 |
| Name of individual signing | THOMAS BAKER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2085245050 |
| Plan sponsor’s address | 1900 JOHN ADAMS PARKWAY, IDAHO FALLS, ID, 83401 |
| Name | Role | Address |
|---|---|---|
| Thomas C Baker | Agent | 1900 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Thomas C Baker | Manager | 1900 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401 | 2021-01-30 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0005019253 | 2022-12-08 |
| Annual Report | 0004495187 | 2021-11-10 |
| Application for Reinstatement | 0004148301 | 2021-01-30 |
| Dissolution/Revocation - Administrative | 0004092510 | 2020-12-08 |
| Annual Report | 0003652315 | 2019-10-21 |
| Annual Report | 0003116039 | 2018-08-07 |
| Annual Report | 0003116038 | 2017-10-27 |
| Initial Filing | 0000520656 | 2016-09-21 |
Date of last update: 23 Dec 2024
Sources: Idaho Secretary of State
