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  5. ELITE DENTAL CARE, PLLC

ELITE DENTAL CARE, PLLC

Company Details

Name: ELITE DENTAL CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Oct 2006 (19 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 177775
Place of Formation: IDAHO
File Number: 177775
ZIP code: 83404
County: Bonneville County
Principal Address: 3399 MERLIN DRIVE IDAHO FALLS, ID 83404
Mailing Address: 3399 MERLIN DR IDAHO FALLS, ID 83404-7405

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELITE DENTAL CARE 401(K) PLAN 2023 205755965 2024-09-30 ELITE DENTAL CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-30
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2022 205755965 2023-06-25 ELITE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2023-06-25
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-25
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2021 205755965 2022-10-01 ELITE DENTAL CARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2022-10-01
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-01
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2020 205755965 2021-10-14 ELITE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing J JEFFREY YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing J JEFFREY YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2019 205755965 2020-10-14 ELITE DENTAL CARE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing J JEFFREY YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing J JEFFREY YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2018 205755965 2019-10-14 ELITE DENTAL CARE 8
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2019-10-13
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2018 205755965 2019-10-14 ELITE DENTAL CARE 8
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2019-10-13
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2017 205755965 2018-06-19 ELITE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2016 205755965 2017-10-11 ELITE DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
ELITE DENTAL CARE 401(K) PLAN 2015 205755965 2016-07-26 ELITE DENTAL CARE 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2085429900
Plan sponsor’s address 3399 MERLIN DR, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing JEFF YBARGUEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
J JEFFREY YBARGUEN Agent 3399 MERLIN DRIVE, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
J Jeffrey Ybarguen Manager 3399 MERLIN DRIVE, IDAHO FALLS, ID 83404 2020-10-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005877297 2024-09-03
Annual Report 0005382613 2023-09-05
Annual Report 0004888562 2022-09-07
Annual Report 0004400101 2021-09-03
Annual Report 0004020953 2020-10-03
Annual Report 0003679895 2019-11-18
Annual Report 0001625005 2018-08-20
Annual Report 0001625004 2017-08-23
Annual Report 0001625003 2016-08-31
Annual Report 0001625002 2015-08-20

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4267105005 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS No data No data TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient ELITE DENTAL CARE PLLC
Recipient Name Raw ELITE DENTAL CARE PLLC
Recipient Address 3399 SOUTH MERLIN DRIVE., IDAHO FALLS, BONNEVILLE, IDAHO, 83404-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 5904.00
Face Value of Direct Loan 288000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6062258510 2021-03-02 1087 PPS 3399 Merlin Dr, Idaho Falls, ID, 83404-7405
Loan Status Date 2022-03-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 69637
Loan Approval Amount (current) 69637
Undisbursed Amount 0
Franchise Name -
Lender Location ID 96211
Servicing Lender Name Idaho Central CU
Servicing Lender Address 4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Idaho Falls, BONNEVILLE, ID, 83404-7405
Project Congressional District ID-02
Number of Employees 11
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 96211
Originating Lender Name Idaho Central CU
Originating Lender Address CHUBBUCK, ID
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 70213.17
Forgiveness Paid Date 2022-01-03
3744097202 2020-04-27 1087 PPP 3399 Merlin Drive, Idaho Falls, ID, 83404
Loan Status Date 2022-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 69600
Loan Approval Amount (current) 69600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 96211
Servicing Lender Name Idaho Central CU
Servicing Lender Address 4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Idaho Falls, BONNEVILLE, ID, 83404-1200
Project Congressional District ID-02
Number of Employees 8
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 96211
Originating Lender Name Idaho Central CU
Originating Lender Address CHUBBUCK, ID
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 70402.78
Forgiveness Paid Date 2021-06-24

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Date of last update: 01 Apr 2025

Sources: Idaho Secretary of State

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