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  5. TREE CITY FAMILY DENTAL, PLLC

TREE CITY FAMILY DENTAL, PLLC

Company Details

Name: TREE CITY FAMILY DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Aug 2013 (11 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 391753
Place of Formation: IDAHO
File Number: 391753
ZIP code: 83704
County: Ada County
Principal Address: 7301 W EMERALD ST STE 102 BOISE, ID 83704
Mailing Address: STE 102 7301 W EMERALD ST BOISE, ID 83704-8689

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TREE CITY FAMILY DENTAL 401(K) PLAN 2023 463410705 2024-10-02 TREE CITY FAMILY DENTAL, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 WEST EMERALD STREET, SUITE 102, BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2022 463410705 2023-06-22 TREE CITY FAMILY DENTAL, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2021 463410705 2022-08-16 TREE CITY FAMILY DENTAL, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2020 463410705 2021-11-10 TREE CITY FAMILY DENTAL, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2021-11-10
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2019 463410705 2021-12-14 TREE CITY FAMILY DENTAL, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2021-12-14
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2019 463410705 2021-11-10 TREE CITY FAMILY DENTAL, PLLC 19
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2021-11-10
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2018 463410705 2019-09-16 TREE CITY FAMILY DENTAL, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2017 463410705 2018-09-27 TREE CITY FAMILY DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DUSTON CONNAUGHTON Agent 3809 E BARBER DR, BOISE, ID 83716

Manager

Name Role Address Appointed On
Duston Connaughton Manager 3809 E BARBER DR, BOISE, ID 83716 2020-07-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005799931 2024-07-03
Annual Report 0005343749 2023-08-03
Annual Report 0004847398 2022-08-04
Annual Report 0004376590 2021-08-10
Annual Report 0003929142 2020-07-03
Annual Report 0003579052 2019-07-25
Annual Report 0002680612 2018-06-25
Annual Report 0002680611 2017-06-27
Annual Report 0002680610 2016-06-23
Annual Report 0002680609 2015-06-22

Related by officers

Duston Connaughton

CTO, LLC

Related by address

STE 102 7301 W EMERALD ST BOISE, ID 83704-8689

CTO, LLC

Date of last update: 17 Dec 2024

Sources: Idaho Secretary of State

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