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ALLIGATOR PEDIATRIC DENTISTRY, PLLC

Company Details

Name: ALLIGATOR PEDIATRIC DENTISTRY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Aug 2010 (14 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 296108
Place of Formation: IDAHO
File Number: 296108
ZIP code: 83404
County: Bonneville County
Principal Address: 3365 S HOLMES AVE IDAHO FALLS, ID 83404
Mailing Address: 2805 EAGLE DRIVE AMMON, ID 83406

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2023 273230544 2024-09-05 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404

Signature of

Role Plan administrator
Date 2024-09-05
Name of individual signing RANDY SMITH
Valid signature Filed with authorized/valid electronic signature
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2022 273230544 2023-09-21 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2021 273230544 2022-09-21 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing MARK MARLOWE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-21
Name of individual signing MARK MARLOWE
Valid signature Filed with authorized/valid electronic signature
ALLIGATOR PEDIATRIC DENTISTRY, PLLC 2021 273230544 2022-09-21 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing MARK MARLOWE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-21
Name of individual signing MARK MARLOWE
Valid signature Filed with authorized/valid electronic signature
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2020 273230544 2022-09-21 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing MARK MARLOWE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-21
Name of individual signing MARK MARLOWE
Valid signature Filed with authorized/valid electronic signature
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2020 273230544 2021-02-11 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 22
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2019 273230544 2022-09-21 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing MARK MARLOWE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-21
Name of individual signing MARK MARLOWE
Valid signature Filed with authorized/valid electronic signature
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2019 273230544 2020-09-29 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 19
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2018 273230544 2019-08-28 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404
ALLIGATOR PEDIATRIC DENTISTRY, PLLC RETIREMENT PLAN 2017 273230544 2018-03-08 ALLIGATOR PEDIATRIC DENTISTRY, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2085421333
Plan sponsor’s address 3365 S. HOLMES AVE., IDAHO FALLS, ID, 83404

Agent

Name Role Address
RANDY G SMITH Agent 2805 EAGLE DRIVE, AMMON, ID 83406

Member

Name Role Address Appointed On
RANDY SMITH Member 362 PALOMINO, IDAHO FALLS, ID 83404 2020-07-15
MARK MARLOWE Member 2326 PTARMINGAN WAY, IDAHO FALLS, ID 83401 2023-08-09

Filing

Filing Name Filing Number Filing date
Annual Report 0005796226 2024-07-03
Annual Report 0005358590 2023-08-09
Annual Report 0004805848 2022-07-06
Annual Report 0004381847 2021-08-12
Annual Report 0003940452 2020-07-15
Annual Report 0003608532 2019-08-28
Annual Report 0002206807 2018-06-20
Annual Report 0002206806 2017-06-28
Annual Report 0002206805 2016-06-27
Annual Report 0002206804 2015-09-24

Date of last update: 09 Dec 2024

Sources: Idaho Secretary of State