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IDAHO FAMILY DENTAL PLLC

Company Details

Name: IDAHO FAMILY DENTAL PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Mar 2014 (11 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 414187
Place of Formation: IDAHO
File Number: 414187
ZIP code: 83646
County: Ada County
Principal Address: 2661 W DITCH CREEK DR MERIDIAN, ID 83646
Mailing Address: 9203 W OVERLAND RD BOISE, ID 83709-2502

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDAHO FAMILY DENTAL 401(K) PLAN 2023 465169949 2024-08-25 IDAHO FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2083751012
Plan sponsor’s address 9203 W. OVERLAND ROAD, BOISE, ID, 83709

Signature of

Role Plan administrator
Date 2024-08-25
Name of individual signing DAVID BUDOLFSON
Valid signature Filed with authorized/valid electronic signature
IDAHO FAMILY DENTAL 401(K) PLAN 2022 465169949 2023-08-15 IDAHO FAMILY DENTAL PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2083751012
Plan sponsor’s address 9203 W. OVERLAND ROAD, BOISE, ID, 83709

Signature of

Role Plan administrator
Date 2023-08-15
Name of individual signing DAVID BUDOLFSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANNA BUDOLFSON Agent 1100 E TRINITY LN, EAGLE, ID 83616

Member

Name Role Address Appointed On
anna budolfson Member 9203 W OVERLAND RD, BOISE, ID 83709 2021-02-03

Filing

Filing Name Filing Number Filing date
Annual Report 0006094521 2025-02-03
Annual Report 0005581113 2024-02-03
Annual Report 0005094252 2023-02-03
Annual Report 0004601018 2022-02-08
Annual Report 0004153161 2021-02-03
Annual Report 0003764528 2020-02-04
Annual Report 0003464166 2019-03-27
Annual Report 0002770252 2018-01-23
Annual Report 0002770250 2017-01-25
Annual Report 0002770248 2016-01-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1676907107 2020-04-10 1087 PPP 9203 W Overland Rd, BOISE, ID, 83709-2502
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25600
Loan Approval Amount (current) 25600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address BOISE, ADA, ID, 83709-2502
Project Congressional District ID-02
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 25764.82
Forgiveness Paid Date 2020-12-08
1789808409 2021-02-02 1087 PPS 9203 W Overland Rd, Boise, ID, 83709-2502
Loan Status Date 2021-10-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 24770
Loan Approval Amount (current) 24770
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83709-2502
Project Congressional District ID-02
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 24911.83
Forgiveness Paid Date 2021-09-21

Date of last update: 07 Apr 2025

Sources: Idaho Secretary of State