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GLEN K. STEPHENSON, D.M.D., CHARTERED

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Company Details

Name: GLEN K. STEPHENSON, D.M.D., CHARTERED
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 03 May 1999 (26 years ago)
Financial Date End: 31 May 2026
Entity Number: 393797
Place of Formation: IDAHO
File Number: 393797
ZIP code: 83713
County: Ada County
Mailing Address: 12055 W USTICK RD BOISE, ID 83713-5186

Agent

Name Role Address
GLEN K STEPHENSON Agent 12055 W USTICK ROAD, BOISE, ID 83713

Secretary

Name Role Address Appointed On
(ANGELA) C STEPHENSON Secretary 9319 W HILLS GATE DR, STAR, ID 83669 2021-04-07

President

Name Role Address Appointed On Resigned On
(GLEN) K STEPHENSON President 9319 W HILLS GATE DRIVE, STAR, ID 83669 2024-05-06 2024-05-06

National Provider Identifier

NPI Number:
1265692321

Authorized Person:

Name:
DR. GLEN K STEPHENSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2083750225

Form 5500 Series

Employer Identification Number (EIN):
820515988
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
12
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006202057 2025-04-09
Annual Report 0005724573 2024-05-06
Annual Report 0005178974 2023-04-03
Annual Report 0004737602 2022-05-06
Annual Report 0004238359 2021-04-07

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$83,200
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$83,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$84,232.59
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $83,200
Jobs Reported:
8
Initial Approval Amount:
$83,100
Date Approved:
2021-02-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$83,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$83,844.48
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $83,098
Utilities: $1

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State