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TREE CITY FAMILY DENTAL, PLLC

Company Details

Name: TREE CITY FAMILY DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Aug 2013 (12 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 391753
Place of Formation: IDAHO
File Number: 391753
ZIP code: 83704
County: Ada County
Principal Address: 7301 W EMERALD ST STE 102 BOISE, ID 83704
Mailing Address: STE 102 7301 W EMERALD ST BOISE, ID 83704-8689

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TREE CITY FAMILY DENTAL 401(K) PLAN 2023 463410705 2024-10-02 TREE CITY FAMILY DENTAL, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 WEST EMERALD STREET, SUITE 102, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing ALLISON BRECHER
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2022 463410705 2023-06-22 TREE CITY FAMILY DENTAL, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2023-06-22
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2021 463410705 2022-08-16 TREE CITY FAMILY DENTAL, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2022-08-16
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2020 463410705 2021-11-10 TREE CITY FAMILY DENTAL, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2021-11-10
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2019 463410705 2021-12-14 TREE CITY FAMILY DENTAL, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2021-12-14
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2019 463410705 2021-11-10 TREE CITY FAMILY DENTAL, PLLC 19
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2021-11-10
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2018 463410705 2019-09-16 TREE CITY FAMILY DENTAL, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2019-09-16
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature
TREE CITY FAMILY DENTAL 401(K) PLAN 2017 463410705 2018-09-27 TREE CITY FAMILY DENTAL, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2082862699
Plan sponsor’s address 7301 W. EMERALD ST., BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2018-09-27
Name of individual signing DUSTON CONNAUGHTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DUSTON CONNAUGHTON Agent 3809 E BARBER DR, BOISE, ID 83716

Manager

Name Role Address Appointed On
Duston Connaughton Manager 3809 E BARBER DR, BOISE, ID 83716 2020-07-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005799931 2024-07-03
Annual Report 0005343749 2023-08-03
Annual Report 0004847398 2022-08-04
Annual Report 0004376590 2021-08-10
Annual Report 0003929142 2020-07-03
Annual Report 0003579052 2019-07-25
Annual Report 0002680612 2018-06-25
Annual Report 0002680611 2017-06-27
Annual Report 0002680610 2016-06-23
Annual Report 0002680609 2015-06-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6459307002 2020-04-07 1087 PPP 7301 West Emerald Street, Boise, ID, 83704
Loan Status Date 2021-03-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 126000
Loan Approval Amount (current) 126000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 455644
Servicing Lender Name Live Oak Banking Company
Servicing Lender Address 1741 Tiburon Dr, WILMINGTON, NC, 28403-6244
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83704-0100
Project Congressional District ID-02
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 455644
Originating Lender Name Live Oak Banking Company
Originating Lender Address WILMINGTON, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 126772.65
Forgiveness Paid Date 2021-02-16

Date of last update: 06 Apr 2025

Sources: Idaho Secretary of State