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RIVERSTONE ORTHODONTICS, PC

Company Details

Name: RIVERSTONE ORTHODONTICS, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 13 May 2010 (15 years ago)
Financial Date End: 31 May 2024
Date dissolved: 13 Aug 2024
Entity Number: 565544
Place of Formation: IDAHO
File Number: 565544
ZIP code: 83814
County: Kootenai County
Mailing Address: STE 301 2140 W RIVERSTONE DR COEUR D ALENE, ID 83814-4968

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIVERSTONE ORTHODONTICS 401(K) PLAN 2023 272762748 2024-09-20 RIVERSTONE ORTHODONTICS 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
RIVERSTONE ORTHODONTICS 401(K) PLAN 2022 272762748 2023-10-05 RIVERSTONE ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
RIVERSTONE ORTHODONTICS 401(K) PLAN 2021 272762748 2022-09-21 RIVERSTONE ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
RIVERSTONE ORTHODONTICS 401(K) PLAN 2020 272762748 2021-09-21 RIVERSTONE ORTHODONTICS 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
RIVERSTONE ORTHODONTICS 401(K) PLAN 2019 272762748 2020-09-17 RIVERSTONE ORTHODONTICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
RIVERSTONE ORTHODONTICS 401(K) PLAN 2018 272762748 2019-10-09 RIVERSTONE ORTHODONTICS 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
RIVERSTONE ORTHODONTICS 401(K) PLAN 2017 272762748 2018-10-03 RIVERSTONE ORTHODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
RIVERSTONE ORTHODONTICS 401(K) PLAN 2016 272762748 2017-10-05 RIVERSTONE ORTHODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
RIVERSTONE ORTHODONTICS 401(K) PLAN 2015 272762748 2016-10-12 RIVERSTONE ORTHODONTICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814

Plan administrator’s name and address

Administrator’s EIN 272762748
Plan administrator’s name RIVERSTONE ORTHODONTICS
Plan administrator’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086679212
RIVERSTONE ORTHODONTICS 401(K) PLAN 2014 272762748 2015-10-06 RIVERSTONE ORTHODONTICS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 2086679212
Plan sponsor’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814

Plan administrator’s name and address

Administrator’s EIN 272762748
Plan administrator’s name RIVERSTONE ORTHODONTICS
Plan administrator’s address 2140 W RIVERSTONE DR STE 301, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086679212

Signature of

Role Plan administrator
Date 2015-10-06
Name of individual signing MICHAEL P. CHAFFEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BONNIE J STEARNS Agent 5233 GIFTED VIEW DRIVE, COEUR D ALENE, ID 83814

Secretary

Name Role Address Appointed On
SUSAN G CHAFFEE Secretary 2140 W. RIVERSTONE DR., COEUR D'ALENE, ID 83814 2021-04-06

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005858942 2024-08-13
Annual Report 0005220945 2023-05-03
Annual Report 0004686046 2022-04-04
Annual Report 0004236708 2021-04-06
Application for Reinstatement 0003841060 2020-04-08
Dissolution/Revocation - Administrative 0003600749 2019-08-20
Annual Report 0003215125 2018-03-23
Annual Report 0003215124 2017-03-20
Annual Report 0003215123 2016-03-24
Annual Report 0003215122 2015-03-24

Date of last update: 25 Dec 2024

Sources: Idaho Secretary of State