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  5. CORNERSTONE DENTAL CENTER, PLLC

CORNERSTONE DENTAL CENTER, PLLC

Company Details

Name: CORNERSTONE DENTAL CENTER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Dec 2005 (19 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 149050
Place of Formation: IDAHO
File Number: 149050
ZIP code: 83835
County: Kootenai County
Principal Address: 8385 N CORNERSTONE DRIVE HAYDEN, ID 83835
Mailing Address: 8385 N CORNERSTONE DR HAYDEN, ID 83835-8684

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2023 820366252 2024-05-22 CORNERSTONE DENTAL CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2022 820366252 2023-07-13 CORNERSTONE DENTAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2021 820366252 2022-07-11 CORNERSTONE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2020 820366252 2021-09-21 CORNERSTONE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2019 820366252 2020-04-07 CORNERSTONE DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2018 820366252 2019-03-01 CORNERSTONE DENTAL CENTER 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2017 820366252 2018-03-19 CORNERSTONE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2016 820366252 2017-06-13 CORNERSTONE DENTAL CENTER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2015 820366252 2016-04-27 CORNERSTONE DENTAL CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141
CORNERSTONE DENTAL CENTER RETIREMENT PLAN 2014 820366252 2015-04-27 CORNERSTONE DENTAL CENTER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 2087725141
Plan sponsor’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820366252
Plan administrator’s name CORNERSTONE DENTAL CENTER
Plan administrator’s address 8385 NORTH CORNERSTONE DRIVE, HAYDEN, ID, 83835
Administrator’s telephone number 2087725141

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing MARTY J. HANN, D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARTY J HANN Agent 8385 N CORNERSTONE DRIVE, HAYDEN, ID 83835

Member

Name Role Address Appointed On
Marty Hann Member 8385 N CORNERSTONE DRIVE, HAYDEN, ID 83835 2020-11-03

Filing

Filing Name Filing Number Filing date
Annual Report 0006003983 2024-12-03
Annual Report 0005459366 2023-11-03
Annual Report 0004972476 2022-11-03
Annual Report 0004477532 2021-11-03
Annual Report 0004048693 2020-11-03
Annual Report 0003681440 2019-11-20
Annual Report 0003369760 2018-12-12
Annual Report 0001499341 2017-11-02
Annual Report 0001499340 2016-10-27
Annual Report 0001499342 2015-10-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8041087010 2020-04-08 1094 PPP 8385 N CORNERSTONE DRIVE, HAYDEN, ID, 83835-8684
Loan Status Date 2021-05-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56387.82
Loan Approval Amount (current) 82117.64
Undisbursed Amount 0
Franchise Name -
Lender Location ID 87893
Servicing Lender Name Glacier Bank
Servicing Lender Address 202 Main St, KALISPELL, MT, 59901-4454
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HAYDEN, KOOTENAI, ID, 83835-8684
Project Congressional District ID-01
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 87893
Originating Lender Name Glacier Bank
Originating Lender Address KALISPELL, MT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 82952.32
Forgiveness Paid Date 2021-04-20

Related by officers

MARTY J HANN

HANN DENTAL BUILDING, LLC

Marty Hann

HANN DENTAL BUILDING, LLC

Related by address

8385 N CORNERSTONE DR HAYDEN, ID 83835-8684

HANN DENTAL BUILDING, LLC Tatalovich Dental, PLLC

Date of last update: 31 Mar 2025

Sources: Idaho Secretary of State

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