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BOISE ORTHODONTICS, PLLC

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Company Details

Name: BOISE ORTHODONTICS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 02 Sep 2015 (10 years ago)
Financial Date End: 30 Sep 2022
Date dissolved: 30 Mar 2022
Entity Number: 473313
Place of Formation: IDAHO
File Number: 473313
ZIP code: 83713
County: Ada County
Principal Address: 4725 N CLOVERDALE RD STE 101 BOISE, ID 83713
Mailing Address: 4870 PEVERO DR IDAHO FALLS, ID 83401-6162

Agent

Name Role Address
DAVID A COLEMAN Agent 156 2ND AVE W, TWIN FALLS, ID 83646

Member

Name Role Address Appointed On
Anthony D Mongillo Member 4725 N CLOVERDALE RD, BOISE, ID 83713 2020-08-29

Form 5500 Series

Employer Identification Number (EIN):
475031715
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004676623 2022-03-30
Annual Report 0004399190 2021-09-02
Statement of Change of Business Mailing Address 0004247676 2021-04-14
Annual Report 0003981898 2020-08-29
Annual Report 0003674340 2019-11-11

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
30800.00
Total Face Value Of Loan:
30800.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2015-07-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
325000.00
Total Face Value Of Loan:
287988.33
Date:
2015-07-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
25000.00
Total Face Value Of Loan:
25000.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$30,800
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$30,800
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$30,980.69
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $23,100
Utilities: $2,556.4
Mortgage Interest: $2,556.4
Healthcare: $2587.2

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State