| Name: | SUGAR BUGS PEDIATRIC DENTISTRY |
| Jurisdiction: | Idaho |
| Legal type: | Assumed Business Name |
| Status: | Active-Current |
| Date of registration: | 18 Nov 2016 (8 years ago) |
| Entity Number: | 575293 |
| Place of Formation: | IDAHO |
| File Number: | 0000575293 |
| ZIP code: | 83201 |
| County: | Bannock County |
| Mailing Address: | 716 YELLOWSTONE AVE POCATELLO, ID 83201 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUGAR BUGS PEDIATRIC DENTISTRY 401(K) PLAN | 2023 | 462996091 | 2024-05-16 | SUGAR BUGS PEDIATRIC DENTISTRY | 19 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-16 |
| Name of individual signing | QIAN LIU |
| 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 | 621111 |
| Sponsor’s telephone number | 2084785437 |
| Plan sponsor’s address | 716 YELLOWSTONE AVE, POCATELLO, ID, 83201 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| 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 | 621111 |
| Sponsor’s telephone number | 2084785437 |
| Plan sponsor’s address | 716 YELLOWSTONE AVE, POCATELLO, ID, 83201 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-01 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Legacy Amendment | 0000933707 | 2017-03-14 |
| Initial Filing | 0000575293 | 2016-11-18 |
Date of last update: 26 Sep 2024
Sources: Idaho Secretary of State
