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  5. Todd Haskin, DMD, LLC

Todd Haskin, DMD, LLC

Contents

Company Details

Name: Todd Haskin, DMD, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 27 Mar 2019 (6 years ago)
Entity Number: 10102815
ZIP code: 99709
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 360A OLD CHENA PUMP RD, FAIRBANKS, AK 99709

Officers

Name Role
Todd Haskin Registered Agent
Todd Haskin Member

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
TODD HASKIN, DMD, LLC 401(K) PLAN 2023 834179728 2024-05-14 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor TODD HASKIN, DMD, LLC
Business code 621210
Sponsor’s telephone number 9074528296
Plan sponsor’s address 360 OLD CHENA PUMP RD, STE A, FAIRBANKS, AK, 99709

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 2024-05-14
Name of individual signing QIAN LIU
TODD HASKIN, DMD, LLC 401(K) PLAN 2022 834179728 2023-05-27 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor TODD HASKIN, DMD, LLC
Business code 621210
Sponsor’s telephone number 9074528296
Plan sponsor’s address 360 OLD CHENA PUMP RD, STE A, FAIRBANKS, AK, 99709

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
TODD HASKIN, DMD, LLC 401(K) PLAN 2021 834179728 2022-05-23 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor TODD HASKIN, DMD, LLC
Business code 621210
Sponsor’s telephone number 9074528296
Plan sponsor’s address 360 OLD CHENA PUMP RD, STE A, FAIRBANKS, AK, 99709

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 2022-05-23
Name of individual signing CHRISTINE RIMER
TODD HASKIN, DMD, LLC 401(K) PLAN 2020 834179728 2021-05-11 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor TODD HASKIN, DMD, LLC
Business code 621210
Sponsor’s telephone number 9074528296
Plan sponsor’s address 360 OLD CHENA PUMP RD, STE A, FAIRBANKS, AK, 99709

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-05-11
Name of individual signing CAROL HO

Date of last update: 10 Jan 2025

Sources: State of Alaska - Department of Commerce, Community, and Economic Development

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