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APPLE TREE DENTAL, LLC

Company Details

Name: APPLE TREE DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Feb 2010 (15 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 280823
Place of Formation: IDAHO
File Number: 280823
ZIP code: 83440
County: Madison County
Principal Address: 33 WINN STE 2 REXBURG, ID 83440
Mailing Address: STE 2 33 WINN DR REXBURG, ID 83440-5277

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
APPLE TREE DENTAL 401K PLAN 2023 271901200 2024-05-22 APPLE TREE DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2083591500
Plan sponsor’s address 33 WINN DR STE 2, REXBURG, ID, 834405277

Signature of

Role Plan administrator
Date 2024-05-21
Name of individual signing SCHUYLER SESSIONS
Valid signature Filed with authorized/valid electronic signature
APPLE TREE DENTAL 401K PLAN 2022 271901200 2023-05-04 APPLE TREE DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2083591500
Plan sponsor’s address 33 WINN DR STE 2, REXBURG, ID, 834405277
APPLE TREE DENTAL 401K PLAN 2021 271901200 2022-10-06 APPLE TREE DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2083591500
Plan sponsor’s address 33 WINN DR STE 2, REXBURG, ID, 834405277

Agent

Name Role Address
MICHAEL A LARSEN Agent 33 WINN DR SUITE 2, REXBURG, ID 83440

Manager

Name Role Address Appointed On
Michael A Larsen DDS PLLC Manager 104 STAR VIEW DR, REXBURG, ID 83440 2021-01-04
Radiant Dental LLC Manager 118 S HIDDEN VALLEY RD, REXBURG, ID 83440 2024-01-05

Filing

Filing Name Filing Number Filing date
Annual Report 0005543807 2024-01-05
Annual Report 0005052732 2023-01-04
Annual Report 0004568590 2022-01-13
Annual Report 0004115519 2021-01-04
Annual Report 0003731232 2020-01-06
Annual Report 0003406882 2019-01-22
Change of Registered Office/Agent/Both (by Entity) 0002120777 2018-05-11
Annual Report 0002120776 2017-12-29
Annual Report 0002120774 2017-01-12
Change of Registered Office/Agent/Both (by Entity) 0002120772 2016-01-11

Date of last update: 08 Dec 2024

Sources: Idaho Secretary of State