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  5. DAN STREEBY DDS, PC

DAN STREEBY DDS, PC

Company Details

Name: DAN STREEBY DDS, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 28 Jan 2000 (25 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 404487
Place of Formation: IDAHO
File Number: 404487
ZIP code: 83616
County: Ada County
Mailing Address: STE 180 450 W STATE ST EAGLE, ID 83616-6974

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2017 820518205 2019-07-15 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2016 820518205 2018-01-25 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 9
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2018-01-25
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2015 820518205 2017-06-14 DAN STREEBY DDS PC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 9
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2017-06-14
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2014 820518205 2016-05-26 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 9
Number of participants with account balances as of the end of the plan year 9

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2013 820518205 2015-01-22 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 5
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 6

Signature of
Role Plan administrator
Date 2015-01-22
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2012 820518205 2014-06-12 DAN STREEBY DDS PC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 6
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2014-06-12
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2011 820518205 2013-06-17 DAN STREEBY DDS PC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 10
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2010 820518205 2012-06-15 DAN STREEBY DDS PC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 11
Number of participants with account balances as of the end of the plan year 11

Signature of
Role Plan administrator
Date 2012-06-15
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2009 820518205 2011-06-15 DAN STREEBY DDS PC 9
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 10
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 12

Signature of
Role DFE
Date 2011-06-15
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature
DAN STREEBY DDS PC 401K PROFIT SHARING PLAN 2009 820518205 2011-06-15 DAN STREEBY DDS PC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-28
Business code 621210
Sponsor’s telephone number 2089390600
Plan sponsor’s mailing address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Plan sponsor’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616

Plan administrator’s name and address
Administrator’s EIN 820518205
Plan administrator’s name DAN STREEBY DDS PC
Plan administrator’s address 450 W. STATE STREET SUITE 180, EAGLE, ID, 83616
Administrator’s telephone number 2089390600

Number of participants as of the end of the plan year
Active participants 10
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 12

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing KIM PECK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAN STREEBY Agent 450 W STATE ST STE 180, EAGLE, ID 83616

President

Name Role Address Appointed On
Daniel Streeby President 4091 W FARM VIEW DR, BOISE, ID 83714 2020-12-03

Secretary

Name Role Address Appointed On Resigned On
Allison Streeby Secretary 4091 W FARM VIEW DR, BOISE, ID 83714 2023-12-14 2023-12-14

Filing

Filing Name Filing Number Filing date
Annual Report 0006000397 2024-12-03
Annual Report 0005511844 2023-12-14
Annual Report 0005046068 2023-01-03
Annual Report 0004555221 2022-01-05
Annual Report 0004085364 2020-12-03
Annual Report 0003777771 2020-02-10
Annual Report 0003406093 2019-01-22
Annual Report 0002732556 2018-01-31
Annual Report 0002732555 2017-01-30
Annual Report 0002732553 2016-02-15

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3170536000 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS No data No data TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient DAN STREEBY DDS PC
Recipient Name Raw DAN STREEBY DDS PC
Recipient DUNS 009648548
Recipient Address 450 WEST STATE STREET SUITE, EAGLE, ADA, IDAHO, 83616-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 517000.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4317408500 2021-02-25 1087 PPS 450 W State St, Eagle, ID, 83616-7057
Loan Status Date 2021-09-29
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 116011
Loan Approval Amount (current) 116011
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124663
Servicing Lender Name Idaho Trust Bank
Servicing Lender Address 888 W Broad St, BOISE, ID, 83702-7140
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Eagle, ADA, ID, 83616-7057
Project Congressional District ID-01
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 124663
Originating Lender Name Idaho Trust Bank
Originating Lender Address BOISE, ID
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 116578.16
Forgiveness Paid Date 2021-08-30
5344017102 2020-04-13 1087 PPP 450 W STATE ST STE 180, EAGLE, ID, 83616-4904
Loan Status Date 2021-06-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 116011
Loan Approval Amount (current) 116011
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124663
Servicing Lender Name Idaho Trust Bank
Servicing Lender Address 888 W Broad St, BOISE, ID, 83702-7140
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address EAGLE, ADA, ID, 83616-4904
Project Congressional District ID-01
Number of Employees 2
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 124663
Originating Lender Name Idaho Trust Bank
Originating Lender Address BOISE, ID
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 117300.01
Forgiveness Paid Date 2021-05-27

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Date of last update: 14 Mar 2025

Sources: Idaho Secretary of State

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