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  5. ELITE DENTAL CARE, PLLC

ELITE DENTAL CARE, PLLC

Company Details

Name: ELITE DENTAL CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Oct 2006 (18 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 177775
Place of Formation: IDAHO
File Number: 177775
ZIP code: 83404
County: Bonneville County
Principal Address: 3399 MERLIN DRIVE IDAHO FALLS, ID 83404
Mailing Address: 3399 MERLIN DR IDAHO FALLS, ID 83404-7405

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELITE DENTAL CARE 401(K) PLAN 2023 205755965 2024-09-30 ELITE DENTAL CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-30
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2022 205755965 2023-06-25 ELITE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2023-06-25
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-25
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2021 205755965 2022-10-01 ELITE DENTAL CARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2022-10-01
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-01
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2020 205755965 2021-10-14 ELITE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing J JEFFREY YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing J JEFFREY YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2019 205755965 2020-10-14 ELITE DENTAL CARE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing J JEFFREY YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing J JEFFREY YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2018 205755965 2019-10-14 ELITE DENTAL CARE 8
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2019-10-13
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2018 205755965 2019-10-14 ELITE DENTAL CARE 8
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2019-10-13
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2017 205755965 2018-06-19 ELITE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2016 205755965 2017-10-11 ELITE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2015 205755965 2016-07-26 ELITE DENTAL CARE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
J JEFFREY YBARGUEN Agent 3399 MERLIN DRIVE, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
J Jeffrey Ybarguen Manager 3399 MERLIN DRIVE, IDAHO FALLS, ID 83404 2020-10-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005877297 2024-09-03
Annual Report 0005382613 2023-09-05
Annual Report 0004888562 2022-09-07
Annual Report 0004400101 2021-09-03
Annual Report 0004020953 2020-10-03
Annual Report 0003679895 2019-11-18
Annual Report 0001625005 2018-08-20
Annual Report 0001625004 2017-08-23
Annual Report 0001625003 2016-08-31
Annual Report 0001625002 2015-08-20

Related by officers

No related officers

Related by address

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Date of last update: 03 Dec 2024

Sources: Idaho Secretary of State

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