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  5. EAST BOISE DENTAL, P.C.

EAST BOISE DENTAL, P.C.

Company Details

Name: EAST BOISE DENTAL, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 08 Jun 2011 (14 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 577744
Place of Formation: IDAHO
File Number: 577744
ZIP code: 83706
County: Ada County
Mailing Address: STE 100 727 E RIVERPARK LN BOISE, ID 83706-4097

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST BOISE DENTAL PC 401(K) PLAN 2023 452496393 2024-06-04 EAST BOISE DENTAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2083680500
Plan sponsor’s address 727 EAST RIVERPARK LANE, SUITE 100, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2024-06-04
Name of individual signing KAREN BROYLES
Valid signature Filed with authorized/valid electronic signature
EAST BOISE DENTAL, P.C. CASH BALANCE PLAN 2023 452496393 2024-09-18 EAST BOISE DENTAL, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2083680500
Plan sponsor’s address 727 E. RIVERPARK LN, STE. 100, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2024-09-18
Name of individual signing KAREN BROYLES
Valid signature Filed with authorized/valid electronic signature
EAST BOISE DENTAL, P.C. CASH BALANCE PLAN 2022 452496393 2023-04-11 EAST BOISE DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2083680500
Plan sponsor’s address 727 E. RIVERPARK LN, STE. 100, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2023-04-11
Name of individual signing KAREN BROYLES
Valid signature Filed with authorized/valid electronic signature
EAST BOISE DENTAL PC 401(K) PLAN 2022 452496393 2023-09-20 EAST BOISE DENTAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2083680500
Plan sponsor’s address 727 EAST RIVERPARK LANE, SUITE 100, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2023-09-20
Name of individual signing KAREN BROYLES
Valid signature Filed with authorized/valid electronic signature
EAST BOISE DENTAL PC 401(K) PLAN 2021 452496393 2022-03-09 EAST BOISE DENTAL, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2083680500
Plan sponsor’s address 727 EAST RIVERPARK LANE, SUITE 100, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2022-03-09
Name of individual signing KAREN BROYLES
Valid signature Filed with authorized/valid electronic signature
EAST BOISE DENTAL, P.C. CASH BALANCE PLAN 2021 452496393 2022-05-16 EAST BOISE DENTAL, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2083680500
Plan sponsor’s address 727 E. RIVERPARK LN, STE. 100, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing KAREN BROYLES
Valid signature Filed with authorized/valid electronic signature
EAST BOISE DENTAL PC 401(K) PLAN 2020 452496393 2021-06-19 EAST BOISE DENTAL, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621210
Sponsor’s telephone number 2083680500
Plan sponsor’s address 727 EAST RIVERPARK LANE, SUITE 100, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2021-06-19
Name of individual signing KAREN BROYLES
Valid signature Filed with authorized/valid electronic signature
EAST BOISE DENTAL, P.C. CASH BALANCE PLAN 2020 452496393 2021-06-10 EAST BOISE DENTAL, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2083680500
Plan sponsor’s address 727 E. RIVERPARK LN, STE. 100, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing KAREN BROYLES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TODD R BROYLES Agent 727 E RIVERPARK LN, STE 100, BOISE, ID 83706

President

Name Role Address Appointed On
Todd R Broyles President 3758 E TIMBERSAW DR, BOISE, ID 83716 2021-05-04

Secretary

Name Role Address Appointed On
Karen L Broyles Secretary 3758 E TIMBERSAW DR, BOISE, ID 83716 2024-05-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005722071 2024-05-03
Annual Report 0005217711 2023-05-03
Annual Report 0004726492 2022-05-03
Annual Report 0004267169 2021-05-04
Annual Report 0003862532 2020-05-03
Annual Report 0003519761 2019-05-21
Annual Report 0003237411 2018-04-25
Annual Report 0003237410 2017-07-24
Statement of Change of Business Mailing Address 0003237409 2016-06-20
Annual Report 0003237408 2016-04-26

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 26 Dec 2024

Sources: Idaho Secretary of State

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