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OWYHEE ORAL SURGERY LLC

Company Details

Name: OWYHEE ORAL SURGERY LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Dec 2014 (10 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 442751
Place of Formation: IDAHO
File Number: 442751
ZIP code: 83686
County: Canyon County
Principal Address: 1613 12TH AVE RD UNIT A NAMPA, ID 83686
Mailing Address: 339 W IOWA AVE NAMPA, ID 83686-2856

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2023 472585548 2024-07-16 OWYHEE ORAL SURGERY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2023 472585548 2024-07-16 OWYHEE ORAL SURGERY, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2022 472585548 2023-07-10 OWYHEE ORAL SURGERY, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2023-07-10
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2022 472585548 2023-07-10 OWYHEE ORAL SURGERY, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2023-07-10
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2021 472585548 2022-04-12 OWYHEE ORAL SURGERY, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2022-04-12
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-12
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2021 472585548 2022-04-12 OWYHEE ORAL SURGERY, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2022-04-12
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-12
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2020 472585548 2021-03-18 OWYHEE ORAL SURGERY, LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2021-03-17
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2020 472585548 2021-03-18 OWYHEE ORAL SURGERY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2021-03-17
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC DEFINED BENEFIT PLAN & TRUST 2020 472585548 2021-05-05 OWYHEE ORAL SURGERY, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2021-05-05
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-05
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
OWYHEE ORAL SURGERY, LLC 401(K) PLAN & TRUST 2019 472585548 2020-04-29 OWYHEE ORAL SURGERY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2085051946
Plan sponsor’s address N. 1613 12TH AVENUE ROAD, SUITE A, NAMPA, ID, 83686

Signature of

Role Plan administrator
Date 2020-04-28
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-28
Name of individual signing JOHN MALAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN PAUL MALAN Agent 339 W IOWA AVE, NAMPA, ID 83686

Manager

Name Role Address Appointed On
John Malan Manager 339 W IOWA AVE, NAMPA, ID 83686 2020-12-29

Filing

Filing Name Filing Number Filing date
Annual Report 0006069241 2025-01-13
Annual Report 0005528344 2023-12-27
Annual Report 0005012980 2022-12-05
Annual Report 0004556641 2022-01-06
Annual Report 0004109908 2020-12-29
Annual Report 0003704867 2019-12-10
Annual Report 0003384882 2018-12-31
Annual Report 0002878056 2017-10-30
Annual Report 0002878055 2016-11-14
Annual Report 0002878054 2016-01-18

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7122377708 2020-05-01 1087 PPP 1613 12TH AVE RD STE A, NAMPA, ID, 83686-6183
Loan Status Date 2021-06-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 72045
Loan Approval Amount (current) 72045
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address NAMPA, CANYON, ID, 83686-6183
Project Congressional District ID-01
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Veteran
Forgiveness Amount 72781.24
Forgiveness Paid Date 2021-05-13

Date of last update: 07 Apr 2025

Sources: Idaho Secretary of State