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  5. HANK WILLIS, DDS, PLLC

HANK WILLIS, DDS, PLLC

Company Details

Name: HANK WILLIS, DDS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Mar 2007 (18 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 193184
Place of Formation: IDAHO
File Number: 193184
ZIP code: 83805
County: Boundary County
Principal Address: 6674 MAIN ST BONNERS FERRY, ID 83805
Mailing Address: 6674 MAIN ST BONNERS FERRY, ID 83805-8522

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HANK WILLIS, DDS, PLLC 401(K) PLAN 2023 208655652 2024-05-03 HANK WILLIS, DDS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6674 MAIN STREET, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2024-05-03
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2022 208655652 2023-06-13 HANK WILLIS, DDS, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6674 MAIN STREET, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2023-06-13
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2021 208655652 2022-03-25 HANK WILLIS, DDS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6674 MAIN STREET, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2022-03-25
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2020 208655652 2021-08-24 HANK WILLIS, DDS, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6674 MAIN STREET, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2021-08-24
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2020 208655652 2021-04-29 HANK WILLIS, DDS, PLLC 10
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6674 MAIN STREET, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2021-04-29
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2019 208655652 2021-08-18 HANK WILLIS, DDS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6674 MAIN STREET, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2021-08-18
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2019 208655652 2020-03-27 HANK WILLIS, DDS, PLLC 9
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6674 MAIN STREET, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2020-03-27
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2018 208655652 2019-10-07 HANK WILLIS, DDS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6811 S. MAIN STREET, SUITE A, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2017 208655652 2018-02-20 HANK WILLIS, DDS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6811 S. MAIN STREET, SUITE A, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2018-02-20
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature
HANK WILLIS, DDS, PLLC 401(K) PLAN 2016 208655652 2017-04-06 HANK WILLIS, DDS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2082676454
Plan sponsor’s address 6811 S. MAIN STREET, SUITE A, BONNERS FERRY, ID, 83805

Signature of
Role Plan administrator
Date 2017-04-06
Name of individual signing HANK WILLIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HENRY S.K. WILLIS IV, DDS Agent 6674 MAIN ST, BONNERS FERRY, ID 83805

Member

Name Role Address Appointed On
Henry SK Willis IV Member 6674 MAIN ST, BONNERS FERRY, ID 83805 2021-02-03

Filing

Filing Name Filing Number Filing date
Annual Report 0006104498 2025-02-10
Annual Report 0005599710 2024-02-12
Annual Report 0005095787 2023-02-05
Annual Report 0004590747 2022-02-03
Annual Report 0004155063 2021-02-03
Annual Report 0003764508 2020-02-04
Annual Report 0003458563 2019-03-20
Annual Report 0001689271 2018-01-23
Annual Report 0001689270 2017-01-24
Annual Report 0001689269 2016-01-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4505387704 2020-05-01 1094 PPP 6674 MAIN ST, BONNERS FERRY, ID, 83805
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 111457
Loan Approval Amount (current) 111457
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address BONNERS FERRY, BOUNDARY, ID, 83805-0001
Project Congressional District ID-01
Number of Employees 13
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 112650.96
Forgiveness Paid Date 2021-06-03

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Date of last update: 01 Apr 2025

Sources: Idaho Secretary of State

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