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APPLE TREE DENTAL, LLC

Company Details

Name: APPLE TREE DENTAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Feb 2010 (15 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 280823
Place of Formation: IDAHO
File Number: 280823
ZIP code: 83440
County: Madison County
Principal Address: 33 WINN STE 2 REXBURG, ID 83440
Mailing Address: 33 WINN DR REXBURG, ID 83440-5277

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
APPLE TREE DENTAL 401K PLAN 2023 271901200 2024-05-22 APPLE TREE DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2083591500
Plan sponsor’s address 33 WINN DR STE 2, REXBURG, ID, 834405277

Signature of

Role Plan administrator
Date 2024-05-21
Name of individual signing SCHUYLER SESSIONS
Valid signature Filed with authorized/valid electronic signature
APPLE TREE DENTAL 401K PLAN 2022 271901200 2023-05-04 APPLE TREE DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2083591500
Plan sponsor’s address 33 WINN DR STE 2, REXBURG, ID, 834405277
APPLE TREE DENTAL 401K PLAN 2021 271901200 2022-10-06 APPLE TREE DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2083591500
Plan sponsor’s address 33 WINN DR STE 2, REXBURG, ID, 834405277

Agent

Name Role Address
MICHAEL A LARSEN Agent 33 WINN DR., REXBURG, ID 83440

Manager

Name Role Address Appointed On Resigned On
Michael A Larsen DDS PLLC Manager 104 STAR VIEW DR, REXBURG, ID 83440 2021-01-04 No data
Radiant Dental LLC Manager 118 S HIDDEN VALLEY RD, REXBURG, ID 83440 2024-01-05 2024-01-05

Filing

Filing Name Filing Number Filing date
Annual Report 0006092329 2025-02-03
Annual Report 0005543807 2024-01-05
Annual Report 0005052732 2023-01-04
Annual Report 0004568590 2022-01-13
Annual Report 0004115519 2021-01-04
Annual Report 0003731232 2020-01-06
Annual Report 0003406882 2019-01-22
Change of Registered Office/Agent/Both (by Entity) 0002120777 2018-05-11
Annual Report 0002120776 2017-12-29
Annual Report 0002120774 2017-01-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8228597707 2020-05-01 1087 PPP 33 Winn Drive Suite 2, Rexburg, ID, 83440
Loan Status Date 2021-09-30
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 54800
Loan Approval Amount (current) 54800
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 U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Rexburg, MADISON, ID, 83440-0001
Project Congressional District ID-02
Number of Employees 9
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 55329.98
Forgiveness Paid Date 2021-04-22

Date of last update: 03 Apr 2025

Sources: Idaho Secretary of State