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NORTHVIEW DENTAL PARTNERSHIP, PLLC

Company Details

Name: NORTHVIEW DENTAL PARTNERSHIP, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Jun 2017 (8 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 558511
Place of Formation: IDAHO
File Number: 558511
ZIP code: 83646
County: Ada County
Principal Address: 5621 N BOLSENA AVE MERIDIAN, ID 83646
Mailing Address: 5621 N BOLSENA AVE MERIDIAN, ID 83646-7010

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHVIEW DENTAL PARTNERSHIP 401(K) PLAN 2023 821874406 2024-07-05 NORTHVIEW DENTAL PARTNERSHIP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 2086311595
Plan sponsor’s address 7480 W NORTHVIEW ST., BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2024-07-05
Name of individual signing TYSON GRAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Paul JJ Clawson Agent 5621 N BOLSENA AVE, MERIDIAN, ID 83646-7010

Member

Name Role Address Appointed On Resigned On
Tyson Gray Member 3850 E MACKAY CT, MERIDIAN, ID 83642 2023-03-20 No data
Jessica Spencer Member 647 E SAN PEDRO ST, MERIDIAN, ID 83646 2020-09-02 2023-03-20

Manager

Name Role Address Appointed On
Paul JJ Clawson Manager 5621 N BOLSENA AVE, MERIDIAN, ID 83646 2024-05-08

Filing

Filing Name Filing Number Filing date
Annual Report 0005730935 2024-05-08
Annual Report 0005218575 2023-05-03
Amendment to Certificate 0005161284 2023-03-20
Annual Report 0004782997 2022-06-14
Annual Report 0004279275 2021-05-10
Application for Reinstatement 0003990720 2020-09-02
Dissolution/Revocation - Administrative 0003988828 2020-09-02
Annual Report 0003549616 2019-06-24
Annual Report 0003201107 2018-06-28
Initial Filing 0000558511 2017-06-14

Date of last update: 25 Dec 2024

Sources: Idaho Secretary of State