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BOISE DENTAL CENTER PLLC

Company Details

Name: BOISE DENTAL CENTER PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 May 2015 (10 years ago)
Financial Date End: 31 May 2025
Entity Number: 461796
Place of Formation: IDAHO
File Number: 461796
ZIP code: 83702
County: Ada County
Principal Address: 801 N 10TH ST BOISE, ID 83702
Mailing Address: 801 N 10TH ST BOISE, ID 83702-5423

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOISE DENTAL CENTER 401(K) PLAN 2023 474151507 2024-09-13 BOISE DENTAL CENTER PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2083434986
Plan sponsor’s address 801 NORTH 10TH STREET, BOISE, ID, 83702
BOISE DENTAL CENTER 401(K) PLAN 2022 474151507 2023-07-24 BOISE DENTAL CENTER PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2083434986
Plan sponsor’s address 801 NORTH 10TH STREET, BOISE, ID, 83702

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing EVAN SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE DENTAL CENTER 401(K) PLAN 2021 474151507 2022-10-10 BOISE DENTAL CENTER PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2083434986
Plan sponsor’s address 801 NORTH 10TH STREET, BOISE, ID, 83702
BOISE DENTAL CENTER 401(K) PLAN 2020 474151507 2021-07-09 BOISE DENTAL CENTER PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2083434986
Plan sponsor’s address 801 NORTH 10TH STREET, BOISE, ID, 83702

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing EVAN SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE DENTAL CENTER 401(K) PLAN 2019 474151507 2020-07-22 BOISE DENTAL CENTER PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2083434986
Plan sponsor’s address 801 NORTH 10TH STREET, BOISE, ID, 83702

Signature of

Role Plan administrator
Date 2020-07-22
Name of individual signing EVAN SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE DENTAL CENTER 401(K) PLAN 2018 474151507 2019-08-01 BOISE DENTAL CENTER PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2083434986
Plan sponsor’s address 801 NORTH 10TH STREET, BOISE, ID, 83702

Signature of

Role Plan administrator
Date 2019-08-01
Name of individual signing EVAN SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE DENTAL CENTER 401(K) PLAN 2017 474151507 2018-07-17 BOISE DENTAL CENTER PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2083434986
Plan sponsor’s address 801 NORTH 10TH STREET, BOISE, ID, 83702

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing EVAN SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE DENTAL CENTER 401(K) PLAN 2016 474151507 2017-10-02 BOISE DENTAL CENTER PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2083434986
Plan sponsor’s address 801 NORTH 10TH STREET, BOISE, ID, 83702

Signature of

Role Plan administrator
Date 2017-10-02
Name of individual signing EVAN SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EVAN SMITH Agent 801 N 10TH ST, BOISE, ID 83702

Manager

Name Role Address Appointed On
Evan Smith Manager 801 N 10TH ST, BOISE, ID 83702 2021-05-11

Filing

Filing Name Filing Number Filing date
Annual Report 0005743349 2024-05-21
Annual Report 0005175177 2023-04-03
Annual Report 0004733413 2022-05-04
Annual Report 0004279712 2021-05-11
Annual Report 0003898818 2020-06-04
Annual Report 0003495949 2019-04-29
Annual Report 0002944100 2018-03-25
Annual Report 0002944099 2017-05-02
Annual Report 0002944098 2016-03-21
Initial Filing 0000461796 2015-05-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6447047010 2020-04-06 1087 PPP 801 N 10th St, BOISE, ID, 83702-5423
Loan Status Date 2020-11-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57600
Loan Approval Amount (current) 57600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 74899
Servicing Lender Name Washington Trust Bank
Servicing Lender Address 717 W Sprague Ave, SPOKANE, WA, 99201-3915
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address BOISE, ADA, ID, 83702-5423
Project Congressional District ID-02
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 74899
Originating Lender Name Washington Trust Bank
Originating Lender Address SPOKANE, WA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 57896.68
Forgiveness Paid Date 2020-10-22

Date of last update: 08 Apr 2025

Sources: Idaho Secretary of State