| Name: | PALOUSE ORAL & MAXILLOFACIAL SURGERY |
| Jurisdiction: | Idaho |
| Legal type: | Assumed Business Name |
| Status: | Active-Current |
| Date of registration: | 24 Jun 1998 (27 years ago) |
| Entity Number: | 62609 |
| Place of Formation: | IDAHO |
| File Number: | 0000062609 |
| ZIP code: | 83843 |
| County: | Latah County |
| Mailing Address: | 1414 S MAIN ST MOSCOW, ID 83843 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PALOUSE ORAL & MAXILLOFACIAL SURGERY DEFINED BENEFIT PLAN | 2009 | 820513254 | 2010-10-08 | PALOUSE ORAL & MAXILLOFACIAL SURGERY | 9 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 820513254 |
| Plan administrator’s name | PALOUSE ORAL & MAXILLOFACIAL SURGERY |
| Plan administrator’s address | 2301 W. A STREET, SUITE A, MOSCOW, ID, 838434038 |
| Administrator’s telephone number | 2088820331 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | JOHN MORRISON |
| Valid signature | Filed with authorized/valid electronic signature |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Amendment of Certificate of Assumed Business Name | 0000674643 | 1999-07-06 |
| Initial Filing | 0000062609 | 1998-06-24 |
Date of last update: 23 Sep 2024
Sources: Idaho Secretary of State
