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SOUTHWAY ORTHODONTICS, PLLC

Company Details

Name: SOUTHWAY ORTHODONTICS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Apr 2001 (24 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 59025
Place of Formation: IDAHO
File Number: 59025
ZIP code: 83501
County: Nez Perce County
Principal Address: 77 SOUTHWAY AVE., STE D LEWISTON, ID 83501
Mailing Address: STE D 77 SOUTHWAY AVE LEWISTON, ID 83501-2203

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHWAY ORTHODONTICS 401(K) PLAN 2016 820531181 2017-10-13 SOUTHWAY ORTHODONTICS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Signature of

Role Plan administrator
Date 2017-10-13
Name of individual signing BRET CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401(K) PLAN 2016 820531181 2017-10-13 SOUTHWAY ORTHODONTICS, PLLC 13
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Signature of

Role Plan administrator
Date 2017-10-13
Name of individual signing BRET CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401(K) PLAN 2015 820531181 2016-10-11 SOUTHWAY ORTHODONTICS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing BRET CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401(K) PLAN 2014 820531181 2015-10-15 SOUTHWAY ORTHODONTICS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing BRET CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401(K) PLAN 2013 820531181 2015-10-15 SOUTHWAY ORTHODONTICS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing BRET CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401(K) PLAN 2013 820531181 2014-10-16 SOUTHWAY ORTHODONTICS, PLLC 13
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Plan administrator’s name and address

Administrator’s EIN 820531181
Plan administrator’s name SOUTHWAY ORTHODONTICS, PLLC
Plan administrator’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
Administrator’s telephone number 2087984427

Signature of

Role Plan administrator
Date 2014-10-16
Name of individual signing BRET CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401(K) PLAN 2012 820531181 2013-10-15 SOUTHWAY ORTHODONTICS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Plan administrator’s name and address

Administrator’s EIN 820531181
Plan administrator’s name SOUTHWAY ORTHODONTICS, PLLC
Plan administrator’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
Administrator’s telephone number 2087984427

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing BRET CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401(K) PLAN 2011 820531181 2012-10-16 SOUTHWAY ORTHODONTICS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Plan administrator’s name and address

Administrator’s EIN 820531181
Plan administrator’s name SOUTHWAY ORTHODONTICS, PLLC
Plan administrator’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
Administrator’s telephone number 2087984427

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing BRET B. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401(K) PLAN 2010 820531181 2011-08-31 SOUTHWAY ORTHODONTICS, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Plan administrator’s name and address

Administrator’s EIN 820531181
Plan administrator’s name SOUTHWAY ORTHODONTICS, PLLC
Plan administrator’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
Administrator’s telephone number 2087984427

Signature of

Role Plan administrator
Date 2011-08-31
Name of individual signing BRET B CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
SOUTHWAY ORTHODONTICS 401K PLAN 2009 820531181 2010-07-28 SOUTHWAY ORTHODONTICS, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2087984427
Plan sponsor’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501

Plan administrator’s name and address

Administrator’s EIN 820531181
Plan administrator’s name SOUTHWAY ORTHODONTICS, PLLC
Plan administrator’s address 77 SOUTHWAY AVENUE, SUITE D, LEWISTON, ID, 83501
Administrator’s telephone number 2087984427

Signature of

Role Plan administrator
Date 2010-07-28
Name of individual signing BRET CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRET CHRISTENSEN Agent 77 SOUTHWAY AVAE., STE D, LEWISTON, ID 83501

Manager

Name Role Address Appointed On
Bret B Christensen Manager 77 SOUTHWAY AVE, LEWISTON, ID 83501 2021-03-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005626870 2024-03-03
Annual Report 0005136776 2023-03-04
Annual Report 0004635409 2022-03-05
Annual Report 0004187853 2021-03-03
Annual Report 0003833222 2020-04-03
Annual Report 0003452644 2019-03-13
Annual Report 0001145122 2018-03-07
Annual Report 0001145121 2017-05-24
Application for Reinstatement 0001145120 2016-09-07
Application for Reinstatement 0000672249 2016-08-26

Date of last update: 28 Nov 2024

Sources: Idaho Secretary of State