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MICHAEL R. DIBENEDETTO, M.D., PLLC

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Company Details

Name: MICHAEL R. DIBENEDETTO, M.D., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Aug 2002 (23 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 74829
Place of Formation: IDAHO
File Number: 74829
ZIP code: 83852
County: Bonner County
Principal Address: 30544 HWY 200 STE 102 PONDERAY, ID 83852
Mailing Address: STE 102 30544 HIGHWAY 200 PONDERAY, ID 83852-5005

Agent

Name Role Address
MICHAEL R DIBENEDETTO Agent 30544 HWY 200, STE 102, PONDERAY, ID 83852

Manager

Name Role Address Appointed On
Michael DiBenedetto Manager 30544 HWY 200, STE 102, PONDERAY, ID 83852 2020-09-10
Travis Taylor Manager 30544 HWY 200, PONDERAY, ID 83852 2023-08-01
Joan Bloom Manager 30544 HWY 200, STE 102, PONDERAY, ID 83852-5005 2023-08-01
Michael Schicker Manager 30544 HWY 200, STE 102, PONDERAY, ID 83852-5005 2023-08-01
JONATHAN FISHER Manager 30544 HWY 200, STE 102, SANDPOINT, ID 83864 2023-08-01

Form 5500 Series

Employer Identification Number (EIN):
753077363
Plan Year:
2023
Number Of Participants:
41
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
38
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
33
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005835127 2024-08-01
Annual Report 0005336642 2023-08-01
Annual Report 0004834702 2022-07-29
Annual Report 0004428474 2021-09-27
Annual Report 0004001004 2020-09-10

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Date of last update: 26 May 2025

Sources: Idaho Secretary of State