Search icon

BOISE ORTHODONTICS, PLLC

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOISE ORTHODONTICS, PLLC 401(K) PLAN 2020 475031715 2021-08-26 BOISE ORTHODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2083236775
Plan sponsor’s address 4725 N. CLOVERDALE RD., STE. 101, BOISE, ID, 83713
BOISE ORTHODONTICS, PLLC 401(K) PLAN 2019 475031715 2020-09-15 BOISE ORTHODONTICS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 2083236775
Plan sponsor’s address 4725 N. CLOVERDALE RD., STE. 101, BOISE, ID, 83713

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

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
Annual Report 0002982039 2018-08-01
Annual Report 0002982038 2017-08-21
Annual Report 0002982037 2016-08-02
Legacy Amendment 0000909049 2016-01-06
Initial Filing 0000473313 2015-09-02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3718097307 2020-04-29 1087 PPP 4725 N CLOVERDALE RD, STE 101, BOISE, ID, 83713
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) 30800
Loan Approval Amount (current) 30800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20132
Servicing Lender Name D. L. Evans Bank
Servicing Lender Address 375 N Overland Ave, BURLEY, ID, 83318-3432
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address BOISE, ADA, ID, 83713-0001
Project Congressional District ID-02
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 20132
Originating Lender Name D. L. Evans Bank
Originating Lender Address BURLEY, ID
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 30980.69
Forgiveness Paid Date 2021-02-12

Date of last update: 08 Apr 2025

Sources: Idaho Secretary of State