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  5. SALMON DENTAL CENTER PLLC

SALMON DENTAL CENTER PLLC

Company Details

Name: SALMON DENTAL CENTER PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 May 2007 (18 years ago)
Financial Date End: 31 May 2025
Entity Number: 199930
Place of Formation: IDAHO
File Number: 199930
ZIP code: 83467
County: Lemhi County
Principal Address: 207 MARGARET STREET SALMON, ID 83467
Mailing Address: 207 MARGARET ST SALMON, ID 83467-4400

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SALMON DENTAL CENTER PROFIT SHARING PLAN 2020 260302613 2021-08-09 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2020 260302613 2021-08-09 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2019 260302613 2020-07-13 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2018 260302613 2019-07-12 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2017 260302613 2018-10-15 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2016 260302613 2017-08-28 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 207 MARGARET ST, SALMON, ID, 834674400

Signature of
Role Plan administrator
Date 2017-08-28
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2015 260302613 2016-08-30 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 106 SOUTH DAISY, SALMON, ID, 83467

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing MARK OLIVERSON DMD
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2014 260302613 2015-07-22 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 106 SOUTH DAISY, SALMON, ID, 83467

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2013 260302613 2014-07-30 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 106 SOUTH DAISY, SALMON, ID, 83467

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing MARK OLIVERSON
Valid signature Filed with authorized/valid electronic signature
SALMON DENTAL CENTER PROFIT SHARING PLAN 2012 260302613 2013-06-14 SALMON DENTAL CENTER 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621210
Sponsor’s telephone number 2087562262
Plan sponsor’s address 106 SOUTH DAISY, SALMON, ID, 83467

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing MARK S. OLIVERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-14
Name of individual signing MARK S. OLIVERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARK OLIVERSON DMD Agent 207 MARGARET STREET, SALMON, ID 83467

Member

Name Role Address Appointed On
MARK OLIVERSON DMD Member 207 MARGARET STREET, SALMON, ID 83467 2021-04-29

Filing

Filing Name Filing Number Filing date
Annual Report 0005673843 2024-04-04
Annual Report 0005181115 2023-04-04
Annual Report 0004694942 2022-04-11
Annual Report 0004259688 2021-04-29
Annual Report 0003842736 2020-04-10
Annual Report 0003493130 2019-04-25
Annual Report 0001718575 2018-04-12
Annual Report 0001718574 2017-04-07
Annual Report 0001718573 2016-03-31
Annual Report 0001718572 2015-04-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4242798506 2021-02-25 1087 PPS 207 Margaret St, Salmon, ID, 83467-4400
Loan Status Date 2021-09-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 78822
Loan Approval Amount (current) 78822
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Salmon, LEMHI, ID, 83467-4400
Project Congressional District ID-02
Number of Employees 12
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 79221.51
Forgiveness Paid Date 2021-08-31
8248267100 2020-04-15 1087 PPP 207 Margaret Street, SALMON, ID, 83467
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 70100
Loan Approval Amount (current) 70100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address SALMON, LEMHI, ID, 83467-0001
Project Congressional District ID-02
Number of Employees 10
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 70605.1
Forgiveness Paid Date 2021-01-07

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Date of last update: 01 Apr 2025

Sources: Idaho Secretary of State

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