| Name: | TOWN SQUARE DENTAL PARTNERS, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 25 Jul 2016 (8 years ago) |
| Financial Date End: | 31 Jul 2025 |
| Entity Number: | 514365 |
| Place of Formation: | IDAHO |
| File Number: | 514365 |
| ZIP code: | 83651 |
| County: | Canyon County |
| Principal Address: | 203 7TH AVE S NAMPA, ID 83651 |
| Mailing Address: | 203 7TH AVE S NAMPA, ID 83651-3846 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOWN SQUARE DENTAL PARTNERS, PLLC 401(K) PLAN | 2020 | 814233917 | 2021-10-12 | TOWN SQUARE DENTAL PARTNERS, PLLC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-10-12 |
| Name of individual signing | KLINT KELLER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2084668400 |
| Plan sponsor’s address | 203 7TH AVENUE S, NAMPA, ID, 83651 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-15 |
| Name of individual signing | DAWN AYOTTE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2084668400 |
| Plan sponsor’s address | 203 7TH AVE S, NAMPA, ID, 83651 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2084668400 |
| Plan sponsor’s address | 203 7TH AVE S, NAMPA, ID, 83651 |
| Name | Role | Address |
|---|---|---|
| KLINT KELLER | Agent | 207 7TH AVE S, NAMPA, ID 83651 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Sean Wasden | Manager | 2014 WEST SILVER CREEK DRIVE, NAMPA, ID 83686 | 2020-08-13 |
| Kim Keller | Manager | 624 3RD ST S, NAMPA, ID 83651 | 2024-06-05 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Jason Hammer | Member | 203 7TH AVE SOUTH, NAMPA, ID 83651 | 2024-06-05 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005762493 | 2024-06-05 |
| Annual Report | 0005265406 | 2023-06-05 |
| Annual Report | 0004771300 | 2022-06-06 |
| Annual Report | 0004309441 | 2021-06-08 |
| Annual Report | 0003971350 | 2020-08-13 |
| Annual Report | 0003550010 | 2019-06-24 |
| Annual Report | 0003099895 | 2018-06-01 |
| Annual Report | 0003099893 | 2017-05-31 |
| Statement of Change of Business Mailing Address | 0003099892 | 2016-12-01 |
| Initial Filing | 0000514365 | 2016-07-25 |
Date of last update: 23 Dec 2024
Sources: Idaho Secretary of State
