| 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 2026 |
| 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 |
| 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 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-07 |
| Name of individual signing | TYSON GRAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CAMERON KELLER | Agent | 2361 S TITANIUM PL STE 100, MERDIIAN, ID 83642 |
| 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 Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006074477 | 2025-01-18 |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9499637201 | 2020-04-28 | 1087 | PPP | 577 E State St, Eagle, ID, 83616 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Apr 2025
Sources: Idaho Secretary of State
