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MCMILLAN FAMILY DENTAL, PLLC

Company Details

Name: MCMILLAN FAMILY DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Jul 2018 (6 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 620181
Place of Formation: IDAHO
File Number: 620181
ZIP code: 83642
County: Ada County
Principal Address: 1848 S MILLENNIUM WAY MERIDIAN, ID 83642
Mailing Address: 1720 W MCMILLAN RD MERIDIAN, ID 83646-6892

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCMILLAN FAMILY DENTAL 401(K) PLAN 2023 831606723 2024-05-15 MCMILLAN FAMILY DENTAL PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2082166110
Plan sponsor’s address 1720 W MCMILLAN RD, MERIDIAN, ID, 83646

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-15
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
MCMILLAN FAMILY DENTAL 401(K) PLAN 2022 831606723 2023-05-27 MCMILLAN FAMILY DENTAL PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2082166110
Plan sponsor’s address 1720 W MCMILLAN RD, MERIDIAN, ID, 83646

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
MCMILLAN FAMILY DENTAL 401(K) PLAN 2021 831606723 2022-06-01 MCMILLAN FAMILY DENTAL PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2082166110
Plan sponsor’s address 1720 W MCMILLAN RD, MERIDIAN, ID, 83646

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-01
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DR RANDALL SMITH Agent 1720 W MCMILLAN RD, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Randall B Smith Manager 5113 N GOLDEN VIEW CT, STAR, ID 83669 2021-06-21

Member

Name Role Address Appointed On
Jake Gerard Member 5136 N HIGH COUNTRY WAY, STAR, ID 83669 2023-08-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005818498 2024-07-12
Annual Report 0005344848 2023-08-03
Annual Report 0004770264 2022-06-05
Annual Report 0004321065 2021-06-21
Annual Report 0003901366 2020-06-05
Annual Report 0003530593 2019-06-04
Statement of Change of Business Mailing Address 0003436563 2019-02-26
Initial Filing 0000620181 2018-07-24

Date of last update: 28 Dec 2024

Sources: Idaho Secretary of State