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Eagle Dental Partnership PLLC

Company Details

Name: Eagle Dental Partnership PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Feb 2019 (6 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 3432095
Place of Formation: IDAHO
File Number: 655153
ZIP code: 83642
County: Ada County
Principal Address: 3850 E MACKAY CT MERIDIAN, ID 83642
Mailing Address: TYSON GRAY 577 E STATE ST EAGLE, ID 83616-5938

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAGLE DENTAL PARTNERSHIP 401(K) PLAN 2023 833610001 2024-06-07 EAGLE DENTAL PARTNERSHIP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 2086311595
Plan sponsor’s address 577 E STATE ST, EAGLE, ID, 83616

Signature of

Role Plan administrator
Date 2024-06-07
Name of individual signing TYSON GRAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CAMERON KELLER Agent 2361 S TITANIUM PL STE 100, MERDIIAN, ID 83642

Member

Name Role Address Appointed On Resigned On
Gray Team LLC Member 813 STILSON RD, BOISE, ID 83703 2022-05-31 No data
Tyson Gray Member 3850 E MACKAY CT, MERIDIAN, ID 83642 2021-05-05 2022-05-31

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0005636534 2024-03-05
Annual Report 0005551826 2024-01-09
Annual Report 0005054329 2023-01-05
Application for Reinstatement 0004759711 2022-05-31
Dissolution/Revocation - Administrative 0004744265 2022-05-12
Application for Reinstatement 0004274248 2021-05-05
Dissolution/Revocation - Administrative 0004272369 2021-05-05
Application for Reinstatement 0003876146 2020-05-13
Dissolution/Revocation - Administrative 0003870752 2020-05-07
Initial Filing 0003432095 2019-02-19

Date of last update: 30 Dec 2024

Sources: Idaho Secretary of State