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LAKE HARBOR DENTAL, PLLC

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Company Details

Name: LAKE HARBOR DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Feb 2014 (11 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 409248
Place of Formation: IDAHO
File Number: 409248
ZIP code: 83703
County: Ada County
Principal Address: 5355 W STATE ST BOISE, ID 83703
Mailing Address: 5355 W STATE ST BOISE, ID 83703-3333

Agent

Name Role Address
ERIC BALLOU Agent 5355 W STATE ST, BOISE, ID 83703

Member

Name Role Address Appointed On Resigned On
MICHAEL PETERSON Member 5355 W STATE ST, BOISE, ID 83706 2021-03-04 2023-02-09
ERIC BALLOU Member 5355 W STATE ST, BOISE, ID 83702 2023-02-09 No data

Form 5500 Series

Employer Identification Number (EIN):
464776064
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
12
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006154581 2025-03-10
Annual Report 0005602931 2024-02-13
Annual Report 0005105438 2023-02-09
Annual Report 0004674548 2022-03-28
Annual Report 0004196365 2021-03-04

Paycheck Protection Program

Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
143000
Current Approval Amount:
143000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
144030.38

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State