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  5. DAVID WILKINSON ORTHODONTICS, PC

DAVID WILKINSON ORTHODONTICS, PC

Company Details

Name: DAVID WILKINSON ORTHODONTICS, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 31 Dec 2008 (16 years ago)
Financial Date End: 31 Dec 2020
Date dissolved: 13 Mar 2021
Entity Number: 548416
Place of Formation: IDAHO
File Number: 548416
ZIP code: 83501
County: Nez Perce County
Mailing Address: STE 5 3326 4TH ST LEWISTON, ID 83501-4455

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID WILKINSON ORTHODONTICS, PC 401(K) PS PLAN 2019 264180663 2020-05-06 DAVID WILKINSON ORTHODONTICS, PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087431043
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2020-05-06
Name of individual signing PAMELA WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC 401(K) PS PLAN 2018 264180663 2019-06-07 DAVID WILKINSON ORTHODONTICS, PC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087431043
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2019-06-07
Name of individual signing PAMELA WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC, 401(K) PS PLAN 2017 264180663 2018-06-29 DAVID WILKINSON ORTHODONTICS, PC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087431043
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 264180663
Plan administrator’s name DAVID WILKINSON ORTHODONTICS, PC
Plan administrator’s address 3326 4TH STREET #5, LEWISTON, ID, 83501
Administrator’s telephone number 2087431043

Signature of
Role Plan administrator
Date 2018-06-29
Name of individual signing PAMELA WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC, 401(K) PS PLAN 2016 264180663 2017-05-24 DAVID WILKINSON ORTHODONTICS, PC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087431043
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 264180663
Plan administrator’s name DAVID WILKINSON ORTHODONTICS, PC
Plan administrator’s address 3326 4TH STREET #5, LEWISTON, ID, 83501
Administrator’s telephone number 2087431043

Signature of
Role Plan administrator
Date 2017-05-24
Name of individual signing PAMELA WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC, 401(K) PS PLAN 2015 264180663 2016-09-02 DAVID WILKINSON ORTHODONTICS, PC 13
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087431043
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 264180663
Plan administrator’s name DAVID WILKINSON ORTHODONTICS, PC
Plan administrator’s address 3326 4TH STREET #5, LEWISTON, ID, 83501
Administrator’s telephone number 2087431043

Signature of
Role Plan administrator
Date 2016-09-01
Name of individual signing DAVID WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC, 401(K) PS PLAN 2014 264180663 2015-06-14 DAVID WILKINSON ORTHODONTICS, PC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087460479
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 264180663
Plan administrator’s name DAVID WILKINSON ORTHODONTICS, PC
Plan administrator’s address 3326 4TH STREET #5, LEWISTON, ID, 83501
Administrator’s telephone number 2087460479

Signature of
Role Plan administrator
Date 2015-06-14
Name of individual signing DAVID WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC, 401(K) PS PLAN 2013 264180663 2014-07-17 DAVID WILKINSON ORTHODONTICS, PC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087460479
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 264180663
Plan administrator’s name DAVID WILKINSON ORTHODONTICS, PC
Plan administrator’s address 3326 4TH STREET #5, LEWISTON, ID, 83501
Administrator’s telephone number 2087460479

Signature of
Role Plan administrator
Date 2014-07-17
Name of individual signing DAVID WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC, 401(K) PS PLAN 2012 264180663 2013-06-19 DAVID WILKINSON ORTHODONTICS, PC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087460479
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 264180663
Plan administrator’s name DAVID WILKINSON ORTHODONTICS, PC
Plan administrator’s address 3326 4TH STREET #5, LEWISTON, ID, 83501
Administrator’s telephone number 2087460479

Signature of
Role Plan administrator
Date 2013-06-19
Name of individual signing DAVID WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC, 401(K) PS PLAN 2011 264180663 2012-06-06 DAVID WILKINSON ORTHODONTICS, PC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087460479
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 264180663
Plan administrator’s name DAVID WILKINSON ORTHODONTICS, PC
Plan administrator’s address 3326 4TH STREET #5, LEWISTON, ID, 83501
Administrator’s telephone number 2087460479

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing DAVID WILKINSON
Valid signature Filed with authorized/valid electronic signature
DAVID WILKINSON ORTHODONTICS, PC, 401(K) PS PLAN 2010 264180663 2011-06-22 DAVID WILKINSON ORTHODONTICS, PC 10
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2087460479
Plan sponsor’s address 3326 4TH STREET #5, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 264180663
Plan administrator’s name DAVID WILKINSON ORTHODONTICS, PC
Plan administrator’s address 3326 4TH STREET #5, LEWISTON, ID, 83501
Administrator’s telephone number 2087460479

Signature of
Role Plan administrator
Date 2011-06-22
Name of individual signing DAVID WILKINSON
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
DAVID WILKINSON Agent 3326 FOURTH ST STE 5, LEWISTON, ID 83501

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004208559 2021-03-13
Annual Report 0003746775 2020-01-14
Annual Report 0003367566 2018-12-10
Annual Report 0003180223 2017-10-31
Annual Report 0003180222 2016-11-21
Annual Report 0003180221 2015-10-15
Annual Report 0003180220 2014-10-29
Annual Report 0003180219 2013-10-31
Annual Report 0003180218 2012-12-14
Annual Report 0003180217 2011-10-13

Related by officers

DAVID WILKINSON

BRYDEN ORTHODONTICS, LLC BRYDEN ORTHODONTIC IMAGNG, INC. BRYDEN ORTHODONTIC LAB, INC

Related by address

STE 5 3326 4TH ST LEWISTON, ID 83501-4455

BRYDEN ORTHODONTICS, LLC BRYDEN ORTHODONTIC IMAGNG, INC. Swenson Family Orthodontics PLLC

Date of last update: 25 Dec 2024

Sources: Idaho Secretary of State

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