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  5. MICHAEL A. BLOOM, DMD, PLLC

MICHAEL A. BLOOM, DMD, PLLC

Company Details

Name: MICHAEL A. BLOOM, DMD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Dec 2004 (20 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 118033
Place of Formation: IDAHO
File Number: 118033
ZIP code: 83814
County: Kootenai County
Principal Address: 110 E WALLACE AVE COEUR D ALENE, ID 83814
Mailing Address: STE 301 505 E FRONT AVE COEUR D ALENE, ID 83814-2776

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2023 421654720 2024-11-19 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2023 421654720 2024-10-20 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2022 421654720 2023-07-28 MICHAEL A. BLOOM, DMD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2021 421654720 2022-07-28 MICHAEL A. BLOOM, DMD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2020 421654720 2021-10-14 MICHAEL A. BLOOM, DMD, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address 9928 N. GOVERNMENT WAY, HAYDEN, ID, 83835
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2019 421654720 2020-07-29 MICHAEL A. BLOOM, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2018 421654720 2019-07-30 MICHAEL A. BLOOM, DMD, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2017 421654720 2018-07-24 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2016 421654720 2017-03-31 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425
MICHAEL A. BLOOM, DMD, PLLC RETIREMENT PLAN 2015 421654720 2016-03-21 MICHAEL A. BLOOM, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2087723583
Plan sponsor’s address PO BOX 425, HAYDEN, ID, 838350425

Agent

Name Role Address
PAUL W DAUGHARTY Agent 505 E FRONT STREET, SUITE 301, COEUR D ALENE, ID 83814

Member

Name Role Address Appointed On
MICHAEL A BLOOM DMD Member 9928 N GOVERNMENT WAY, HAYDEN, ID 83835 2023-12-20

Filing

Filing Name Filing Number Filing date
Annual Report 0006028913 2024-12-17
Annual Report 0005524050 2023-12-20
Annual Report 0003660242 2019-11-01
Change of Registered Office/Agent/Both (by Entity) 0003445082 2019-03-07
Statement of Change of Business Mailing Address 0003445186 2019-03-07
Annual Report 0003364021 2018-12-06
Annual Report 0001368790 2017-12-11
Annual Report 0001368789 2016-12-27
Annual Report 0001368788 2015-11-09
Annual Report 0001368787 2014-11-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4943397010 2020-04-04 1094 PPP 9928 N GOVERNMENT WAY, HAYDEN, ID, 83835-9604
Loan Status Date 2021-04-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 97800
Loan Approval Amount (current) 97800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224567
Servicing Lender Name bankcda
Servicing Lender Address 912, Northwest Blvd, Coeur D'Alene, ID, 83814
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HAYDEN, KOOTENAI, ID, 83835-9604
Project Congressional District ID-01
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 224567
Originating Lender Name bankcda
Originating Lender Address Coeur D'Alene, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 98682.92
Forgiveness Paid Date 2021-03-05

Related by officers

PAUL W DAUGHARTY

RUDE, JACKSON & DAUGHARTY DAUGHARTY INVESTMENTS, L.L.C. TOMBSTONE INVESTMENTS, L.L.C. D. SQUARED, L.L.C. XANADU, L.L.C. CRYSTAL CREEK, L.L.C. DUCKPOND INVESTMENTS, L.L.C. BLOOM INVESTMENTS, L.L.C. ERVIN J. ARTHUR, L.L.C.

Related by address

110 E WALLACE AVE COEUR D ALENE, ID 83814

TOMBSTONE INVESTMENTS, L.L.C. XANADU, L.L.C. CROSS ILLUMINATION, L.L.C. H & S INVESTMENTS, L.L.C. S & E INVESTMENTS, LLC CRYSTAL CREEK, L.L.C. CCM INVESTMENTS SHERMAN, LLC CHELAN INVESTMENTS, L.L.C. MGS HOLDINGS, L.L.C. PRO-LAND GROUP, LLC

STE 301 505 E FRONT AVE COEUR D ALENE, ID 83814-2776

RUDE, JACKSON & DAUGHARTY DAUGHARTY INVESTMENTS, L.L.C. TOMBSTONE INVESTMENTS, L.L.C. D. SQUARED, L.L.C. JAKE INVESTMENTS, L.L.C. RJD&S INVESTMENTS, L.L.C. CRYSTAL CREEK, L.L.C. R.T.G., L.L.C. CHERILEE C. BLOOM, D.D.S., P.L.L.C. CHELAN INVESTMENTS, L.L.C.

Date of last update: 31 Mar 2025

Sources: Idaho Secretary of State

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