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TRISTA E. POTTENGER, DMD, PLLC

Company Details

Name: TRISTA E. POTTENGER, DMD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Jul 2018 (6 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 618828
Place of Formation: IDAHO
File Number: 618828
ZIP code: 83709
County: Ada County
Principal Address: 4370 S COCHEES WAY BOISE, ID 83709
Mailing Address: 12212 W AMITY RD BOISE, ID 83709-5389

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGH DESERT DENTAL 401(K) PLAN 2023 831470698 2024-06-26 TRISTA E. POTTENGER DMD PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 2083506795
Plan sponsor’s address 12212 W AMITY ROAD, BOISE, ID, 83709

Agent

Name Role Address
TRISTA E POTTENGER, DMD Agent 12212 W AMITY RD, BOISE, ID 83709

Manager

Name Role Address Appointed On
Trista E Pottenger Manager 12212 W AMITY RD, BOISE, ID 83709 2021-07-12

Filing

Filing Name Filing Number Filing date
Annual Report 0005758059 2024-06-03
Annual Report 0005344349 2023-08-03
Annual Report 0004764608 2022-06-03
Statement of Change of Business Mailing Address 0004475377 2021-11-02
Statement of Change of Business Mailing Address 0004459756 2021-10-25
Annual Report 0004344970 2021-07-12
Annual Report 0003890627 2020-06-03
Annual Report 0003590142 2019-08-07
Initial Filing 0000618828 2018-07-16

Date of last update: 28 Dec 2024

Sources: Idaho Secretary of State