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EVAN HATHAWAY, D.D.S., P.A.

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Company Details

Name: EVAN HATHAWAY, D.D.S., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 31 Jan 2000 (25 years ago)
Financial Date End: 31 Jan 2022
Date dissolved: 16 Feb 2022
Entity Number: 404524
Place of Formation: IDAHO
File Number: 404524
ZIP code: 83616
County: Ada County
Mailing Address: 1217 E IRON EAGLE DR EAGLE, ID 83616-6599

Agent

Name Role Address
EVAN HATHAWAY D.D.S. Agent 1217 E IRON EAGLE DR, EAGLE, ID 83616

President

Name Role Address Appointed On
Evan W Hathaway President 1217 E IRON EAGLE DR, EAGLE, ID 83616 2021-02-08

National Provider Identifier

NPI Number:
1851552194

Authorized Person:

Name:
EVAN WAYNE HATHAWAY
Role:
OWNER PRES CORPORATION
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2089380567

Form 5500 Series

Employer Identification Number (EIN):
820519940
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Articles of Dissolution (prior to issuing shares or commencing business) 0004613351 2022-02-16
Annual Report 0004168839 2021-02-08
Annual Report 0003695154 2019-12-02
Annual Report 0003460183 2019-03-22
Annual Report 0002732687 2017-11-28

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$75,400
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$75,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$76,003.2
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $75,400

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State