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GALEN K. HAAS, D.D.S., P.A.

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Company Details

Name: GALEN K. HAAS, D.D.S., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 26 Oct 1979 (46 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 198185
Place of Formation: IDAHO
File Number: 198185
ZIP code: 83501
County: Nez Perce County
Mailing Address: 1639 23RD AVE LEWISTON, ID 83501-6308

Agent

Name Role Address
GALEN K HAAS Agent 1639 23RD AVE, LEWISTON, ID 83501

President

Name Role Address Appointed On
Galen K. Haas President 1639 23RD AVE., LEWISTON, ID 83501 2020-10-07

National Provider Identifier

NPI Number:
1831104249

Authorized Person:

Name:
DR. GALEN K HAAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2087462766

Form 5500 Series

Employer Identification Number (EIN):
820352656
Plan Year:
2010
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
8
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005882941 2024-09-04
Annual Report 0005454449 2023-11-02
Annual Report 0004953395 2022-10-14
Annual Report 0004413202 2021-09-09
Annual Report 0004027319 2020-10-07

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$123,440
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$123,440
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$124,836.73
Servicing Lender:
Potlatch No. 1 Financial Credit Union
Use of Proceeds:
Payroll: $123,440

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Date of last update: 02 Aug 2025

Sources: Idaho Secretary of State