| Name: | Blackrock Dental Partners, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 16 Aug 2019 (5 years ago) |
| Financial Date End: | 31 Aug 2025 |
| Entity Number: | 3597213 |
| Place of Formation: | IDAHO |
| File Number: | 677370 |
| ZIP code: | 83201 |
| County: | Bannock County |
| Principal Address: | 1606 EAST CENTER ST POCATELLO, ID 83201 |
| Mailing Address: | 1606 E CENTER ST POCATELLO, ID 83201-4007 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLACKROCK DENTAL PARTNERS PLLC 401(K) PLAN | 2023 | 842764709 | 2024-05-06 | BLACKROCK DENTAL PARTNERS PLLC | 19 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 842925395 |
| Plan administrator’s name | 401GO, INC. |
| Plan administrator’s address | 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number | 8012142125 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-06 |
| Name of individual signing | FIDUCIARY ASSISTANCE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2082325294 |
| Plan sponsor’s address | 1606 E CENTER ST, POCATELLO, ID, 83201 |
Plan administrator’s name and address
| Administrator’s EIN | 842925395 |
| Plan administrator’s name | 401GO, INC. |
| Plan administrator’s address | 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number | 8012142125 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-24 |
| Name of individual signing | FIDUCIARY ASSISTANCE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2082325294 |
| Plan sponsor’s address | 1606 E CENTER ST, POCATELLO, ID, 83201 |
Plan administrator’s name and address
| Administrator’s EIN | 842925395 |
| Plan administrator’s name | 401GO, INC. |
| Plan administrator’s address | 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number | 8012142125 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-26 |
| Name of individual signing | FIDUCIARY ASSISTANCE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Joshua R Gibbons | Manager | 1606 E CENTER ST, POCATELLO, ID 83201 | 2020-08-26 | 2021-11-17 |
| Joshua Gibbons | Manager | 1606 E CENTER ST, POCATELLO, ID 83201 | 2023-07-11 | No data |
| Joshua Miles | Manager | 1606 E CENTER ST, POCATELLO, ID 83201 | 2021-11-17 | No data |
| Name | Role | Address |
|---|---|---|
| Josh Gibbons | Agent | 1606 EAST CENTER ST, POCATELLO, ID 83201 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005810499 | 2024-07-08 |
| Annual Report | 0005315957 | 2023-07-11 |
| Annual Report | 0004920308 | 2022-09-20 |
| Application for Reinstatement | 0004500206 | 2021-11-17 |
| Dissolution/Revocation - Administrative | 0004489678 | 2021-11-06 |
| Annual Report | 0003980202 | 2020-08-26 |
| Initial Filing | 0003597213 | 2019-08-16 |
Date of last update: 31 Dec 2024
Sources: Idaho Secretary of State
