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  5. DENTISTRY 4 CHILDREN, PLLC

DENTISTRY 4 CHILDREN, PLLC

Company Details

Name: DENTISTRY 4 CHILDREN, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Dec 2010 (14 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 304371
Place of Formation: IDAHO
File Number: 304371
ZIP code: 83501
County: Nez Perce County
Principal Address: 3326 4TH STREET SUITE 4 LEWISTON, ID 83501
Mailing Address: STE 4 3326 4TH ST LEWISTON, ID 83501-4455

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2021 820572160 2022-07-04 DENTISTRY 4 CHILDREN, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2083051694
Plan sponsor’s address 3326 4TH ST., STE 4, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2022-07-04
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2021 820572160 2022-12-23 DENTISTRY 4 CHILDREN, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2083051694
Plan sponsor’s address 3326 4TH ST., STE 4, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2022-12-23
Name of individual signing SHIRLEY L HORNER
Valid signature Filed with authorized/valid electronic signature
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2020 820572160 2021-08-11 DENTISTRY 4 CHILDREN, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 2087432505
Plan sponsor’s address 3326 4TH ST., STE 4, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2021-08-11
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2019 820366817 2020-02-27 DENTISTRY 4 CHILDREN 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2087432505
Plan sponsor’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820366817
Plan administrator’s name DENTISTRY 4 CHILDREN
Plan administrator’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501
Administrator’s telephone number 2087432505
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2018 820366817 2019-06-04 DENTISTRY 4 CHILDREN 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2087432505
Plan sponsor’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820366817
Plan administrator’s name DENTISTRY 4 CHILDREN
Plan administrator’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501
Administrator’s telephone number 2087432505
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2017 820366817 2018-04-03 DENTISTRY 4 CHILDREN 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2087432505
Plan sponsor’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820366817
Plan administrator’s name DENTISTRY 4 CHILDREN
Plan administrator’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501
Administrator’s telephone number 2087432505
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2016 820366817 2017-04-13 DENTISTRY 4 CHILDREN 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2087432505
Plan sponsor’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820366817
Plan administrator’s name DENTISTRY 4 CHILDREN
Plan administrator’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501
Administrator’s telephone number 2087432505
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2015 820366817 2016-04-25 DENTISTRY 4 CHILDREN 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2087432505
Plan sponsor’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820366817
Plan administrator’s name DENTISTRY 4 CHILDREN
Plan administrator’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501
Administrator’s telephone number 2087432505
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2014 820366817 2015-04-13 DENTISTRY 4 CHILDREN 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2087432505
Plan sponsor’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820366817
Plan administrator’s name DENTISTRY 4 CHILDREN
Plan administrator’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501
Administrator’s telephone number 2087432505

Signature of
Role Plan administrator
Date 2015-04-13
Name of individual signing JEREMY WIGGINS, DDS
Valid signature Filed with authorized/valid electronic signature
DENTISTRY 4 CHILDREN 401(K) PROFIT SHARING PLAN 2013 820366817 2014-06-04 DENTISTRY 4 CHILDREN 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621210
Sponsor’s telephone number 2087432505
Plan sponsor’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820366817
Plan administrator’s name DENTISTRY 4 CHILDREN
Plan administrator’s address 3326 4TH ST., SUITE 4, LEWISTON, ID, 83501
Administrator’s telephone number 2087432505

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing JEREMY WIGGINS, DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Paige Schmidt Agent 3326 4TH STREET SUITE 4, LEWISTON, ID 83501

Manager

Name Role Address Appointed On Resigned On
Paige Schmidt Manager 3326 4TH STREET SUITE 4, LEWISTON, ID 83501 2022-01-27 No data
Jeremy Wiggins Manager 3326 4TH STREET SUITE 4, LEWISTON, ID 83501 2020-11-09 2022-01-27

Filing

Filing Name Filing Number Filing date
Annual Report 0005960780 2024-11-04
Annual Report 0005456552 2023-11-03
Annual Report 0005039284 2022-12-27
Change of Registered Office/Agent/Both (by Entity) 0004582726 2022-01-27
Amendment to Certificate 0004582734 2022-01-27
Annual Report 0004493044 2021-11-09
Annual Report 0004063419 2020-11-09
Annual Report 0003672345 2019-11-07
Annual Report 0003367407 2018-12-10
Annual Report 0002253548 2017-11-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8771077009 2020-04-08 1094 PPP 3326 4TH ST SUITE 4, LEWISTON, ID, 83501-4405
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 84817
Loan Approval Amount (current) 84817
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20168
Servicing Lender Name Twin River Bank
Servicing Lender Address 1507 G St, LEWISTON, ID, 83501-2016
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LEWISTON, NEZ PERCE, ID, 83501-4405
Project Congressional District ID-01
Number of Employees 8
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 20168
Originating Lender Name Twin River Bank
Originating Lender Address LEWISTON, ID
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 85495.54
Forgiveness Paid Date 2021-02-03
3089678405 2021-02-04 1094 PPS 3326 4th St Ste 4, Lewiston, ID, 83501-4455
Loan Status Date 2021-09-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 71578.28
Loan Approval Amount (current) 71578.28
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20168
Servicing Lender Name Twin River Bank
Servicing Lender Address 1507 G St, LEWISTON, ID, 83501-2016
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lewiston, NEZ PERCE, ID, 83501-4455
Project Congressional District ID-01
Number of Employees 10
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 20168
Originating Lender Name Twin River Bank
Originating Lender Address LEWISTON, ID
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 71923.42
Forgiveness Paid Date 2021-08-09

Related by officers

Paige Schmidt

Lewiston Dental Holding, LLC

Paige Schmidt

Lewiston Dental Holding, LLC ID North Sub DSO, LLC PAIGE RYAN SCHMIDT PLLC

Related by address

STE 4 3326 4TH ST LEWISTON, ID 83501-4455

Lewiston Dental Holding, LLC

Date of last update: 04 Apr 2025

Sources: Idaho Secretary of State

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