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  5. TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.

TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.

Company Details

Name: TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Apr 2011 (14 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 576453
Place of Formation: IDAHO
File Number: 576453
ZIP code: 83638
County: Valley County
Mailing Address: STE 203 307 E PARK ST MCCALL, ID 83638-5255

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN 2023 383839505 2024-07-24 TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2086345255
Plan sponsor’s address 307 E. PARK ST., SUITE 203, MCCALL, ID, 83638

Signature of
Role Plan administrator
Date 2024-07-24
Name of individual signing DR. SHANE L. NEWTON
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN 2022 383839505 2023-07-26 TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2086345255
Plan sponsor’s address 307 E. PARK ST., SUITE 203, MCCALL, ID, 83638

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing DR. SHANE L. NEWTON
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN 2021 383839505 2022-09-26 TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2086345255
Plan sponsor’s address 307 E. PARK ST., SUITE 203, MCCALL, ID, 83638

Signature of
Role Plan administrator
Date 2022-09-26
Name of individual signing DR. SHANE L. NEWTON
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN 2020 383839505 2021-10-15 TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2086345255
Plan sponsor’s address 307 E. PARK ST., SUITE 203, MCCALL, ID, 83638

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing DR. SHANE L. NEWTON
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN 2019 383839505 2020-10-15 TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2086345255
Plan sponsor’s address 307 E. PARK ST., SUITE 203, MCCALL, ID, 83638

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing DR. SHANE L. NEWTON
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN 2018 383839505 2019-03-19 TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2086345255
Plan sponsor’s address 307 E. PARK ST., SUITE 203, MCCALL, ID, 83638

Signature of
Role Plan administrator
Date 2019-03-19
Name of individual signing DR. SHANE L. NEWTON
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN 2017 383839505 2018-04-14 TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2086345255
Plan sponsor’s address 307 E. PARK ST., SUITE 203, MCCALL, ID, 83638

Signature of
Role Plan administrator
Date 2018-04-14
Name of individual signing DR. SHANE L. NEWTON
Valid signature Filed with authorized/valid electronic signature
TWO RIVERS FAMILY AND COSMETIC DENTISTRY 401(K) PLAN 2016 383839505 2017-07-25 TWO RIVERS FAMILY AND COSMETIC DENTISTRY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2086345255
Plan sponsor’s address 307 E. PARK ST., SUITE 203, MCCALL, ID, 83638

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing DR. SHANE L. NEWTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
J. Barrett Lamm Agent 311 DEINHARD LANE, MCCALL, ID 83638

President

Name Role Address Appointed On
Shane Newton President 307 E PARK ST STE 203, MCCALL, ID 83638 2020-08-19

Filing

Filing Name Filing Number Filing date
Annual Report 0005631604 2024-03-04
Annual Report 0005141353 2023-03-07
Annual Report 0004698887 2022-04-15
Annual Report 0004252894 2021-04-21
Application for Reinstatement 0003975830 2020-08-19
Dissolution/Revocation - Administrative 0003927342 2020-07-03
Annual Report 0003497075 2019-04-29
Annual Report 0003235109 2018-03-08
Annual Report 0003235108 2017-02-20
Annual Report 0003235107 2016-05-23

Related by officers

No related officers

Related by address

STE 203 307 E PARK ST MCCALL, ID 83638-5255

GROWTH ENTERPRISES, LLC

Date of last update: 26 Dec 2024

Sources: Idaho Secretary of State

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