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DR. DANIEL R. CULLUM, P.A.

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Company Details

Name: DR. DANIEL R. CULLUM, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 25 Apr 1995 (30 years ago)
Financial Date End: 30 Apr 2021
Date dissolved: 14 Jul 2021
Entity Number: 339973
Place of Formation: IDAHO
File Number: 339973
ZIP code: 83814
County: Kootenai County
Mailing Address: LINCOLN CULLUM STE 101 1859 N LAKEWOOD DR COEUR D ALENE, ID 83814-2661

Agent

Name Role Address
DANIEL R CULLUM Agent 1859 N LAKEWOOD DR STE 101, COEUR D'ALENE, ID 83814

National Provider Identifier

NPI Number:
1386020550

Authorized Person:

Name:
DR. DANIEL CULLUM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
2087659633

Form 5500 Series

Employer Identification Number (EIN):
820480104
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004348541 2021-07-14
Annual Report 0003850321 2020-04-22
Annual Report 0003498795 2019-04-30
Annual Report 0002441868 2018-02-28
Annual Report 0002441867 2017-02-21

USAspending Awards / Financial Assistance

Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
107337.50
Total Face Value Of Loan:
107337.50

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$107,337.5
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$107,337.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$108,013.87
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $107,337.5

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Date of last update: 01 Sep 2025

Sources: Idaho Secretary of State