SCOTT M. BLAKE, D.D.S., P.C.

Company Details

Name:	SCOTT M. BLAKE, D.D.S., P.C.
Jurisdiction:	Idaho
Legal type:	Professional Service Corporation (D)
Status:	Active-Good Standing
Date of registration:	15 May 2003 (22 years ago)
Financial Date End:	31 May 2026
Entity Number:	454065
Place of Formation:	IDAHO
File Number:	454065
ZIP code:	83401
County:	Bonneville County
Mailing Address:	333 S WOODRUFF AVE IDAHO FALLS, ID 83401-4322

Name	Role	Address
SCOTT M BLAKE DDS	Agent	333 S WOODRUFF AVE, IDAHO FALLS, ID 83401

Name	Role	Address	Appointed On
Scott M Blake	President	333 S. WOODRUFF AVE, IDAHO FALLS, ID 83401	2021-06-24

Name	Role	Address	Appointed On	Resigned On
Elisabeth L Blake	Secretary	333 S. WOODRUFF AVE, IDAHO FALLS, ID 83401	2024-05-07	2024-05-07

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

7706238309

2021-01-28

1087

PPS

333 S Woodruff Ave Ste D, Idaho Falls, ID, 83401-4322

Loan Status Date	2022-01-14
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	59876
Loan Approval Amount (current)	59876
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	72601
Servicing Lender Name	Zions Bank, A Division of
Servicing Lender Address	1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator	U
Hubzone	Y
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	Idaho Falls, BONNEVILLE, ID, 83401-4322
Project Congressional District	ID-02
Number of Employees	8
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	72601
Originating Lender Name	Zions Bank, A Division of
Originating Lender Address	SALT LAKE CITY, UT
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	60423.91
Forgiveness Paid Date	2022-01-03

Date of last update: 08 Apr 2025