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IDAHO FALLS DENTAL GROUP, PLLC

Company Details

Name: IDAHO FALLS DENTAL GROUP, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Aug 1984 (41 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 240227
Place of Formation: IDAHO
File Number: 240227
ZIP code: 83404
County: Bonneville County
Principal Address: 3830 S 25TH E IDAHO FALLS, ID 83404
Mailing Address: STE 100 3830 S 25TH E IDAHO FALLS, ID 83404-4983

Agent

Name Role Address
DEVIN THOMPSON Agent 3830 S 25TH E, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
DEVIN THOMPSON Manager 3830 SOUTH 25TH EAST, IDAHO FALLS, ID 83404 2022-05-24
Blake Barney Manager 3830 S 25TH E, IDAHO FALLS, ID 83404 2023-07-06
Christopher Rhees Manager 3830 S 25TH E, IDAHO FALLS, ID 83404 2023-07-06
Jason Scoresby Manager 3830 S 25TH E, IDAHO FALLS, ID 83404 2023-07-06
Joseph Yates Manager 3830 S 25TH E, IDAHO FALLS, ID 83404 2023-07-06

Governor

Name Role Address Appointed On Resigned On
DEVIN THOMPSON Governor 3830 SOUTH 25TH EAST, IDAHO FALLS, ID 83404 2021-12-14 2022-05-24

Secretary

Name Role Address Appointed On Resigned On
Blake Barney Secretary 3830 S 25TH E, IDAHO FALLS, ID 83404 2020-11-05 2021-12-14

Filing

Filing Name Filing Number Filing date
Annual Report 0005816644 2024-07-11
Annual Report 0005307472 2023-07-06
Annual Report 0004808984 2022-07-08
Amendment to Certificate 0004756670 2022-05-24
Statement of Conversion 0004519138 2021-12-14
Annual Report 0004360729 2021-07-29
Application for Reinstatement 0004059577 2020-11-05
Dissolution/Revocation - Administrative 0004058547 2020-11-05
Annual Report 0003596727 2019-08-16
Annual Report 0001893693 2018-06-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5300727101 2020-04-13 1087 PPP 3830 S 25th E, IDAHO FALLS, ID, 83404-4975
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 414800
Loan Approval Amount (current) 414800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address IDAHO FALLS, BONNEVILLE, ID, 83404-4975
Project Congressional District ID-02
Number of Employees 27
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 417488.72
Forgiveness Paid Date 2021-02-12

Date of last update: 10 Mar 2025

Sources: Idaho Secretary of State