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MAGIC VALLEY FAMILY DENTAL, PC

Company Details

Name: MAGIC VALLEY FAMILY DENTAL, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 15 Jun 2005 (20 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 488739
Place of Formation: IDAHO
File Number: 488739
ZIP code: 83318
County: Cassia County
Mailing Address: STE A 1408 POMERELLE AVE BURLEY, ID 83318-2068

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2023 202982746 2024-05-06 MAGIC VALLEY FAMILY DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2024-05-06
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-06
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2022 202982746 2023-09-20 MAGIC VALLEY FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2023-09-19
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-19
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2021 202982746 2022-06-22 MAGIC VALLEY FAMILY DENTAL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2022-06-20
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-20
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2020 202982746 2021-06-07 MAGIC VALLEY FAMILY DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2021-06-07
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-07
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2019 202982746 2020-07-08 MAGIC VALLEY FAMILY DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-07
Name of individual signing NEAL JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2018 202982746 2019-07-29 MAGIC VALLEY FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2019-07-26
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-26
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2017 202982746 2018-05-23 MAGIC VALLEY FAMILY DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2018-05-23
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-23
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2016 202982746 2017-06-28 MAGIC VALLEY FAMILY DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2017-06-28
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-28
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2015 202982746 2016-08-12 MAGIC VALLEY FAMILY DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2016-08-12
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-12
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
MAGIC VALLEY FAMILY DENTAL 401(K) PLAN 2014 202982746 2015-08-17 MAGIC VALLEY FAMILY DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621210
Sponsor’s telephone number 2086702533
Plan sponsor’s address 1408 POMERELLE, BURLEY, ID, 83318

Signature of

Role Plan administrator
Date 2015-08-17
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-17
Name of individual signing LAUNI JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NEAL JOHNSON Agent 366 EAST 150 SOUTH, 366 EAST 150 SOUTH, BURLEY, ID 83318

President

Name Role Address Appointed On
NEAL L. JOHNSON President 1408 POMERELLE AVE SUITE A, BURLEY, ID 83318 2020-07-06

Secretary

Name Role Address Appointed On
Launi N. JOHNSON Secretary 1408 POMERELLE AVE SUITE A, BURLEY, ID 83318 2024-05-08

Filing

Filing Name Filing Number Filing date
Annual Report 0005730832 2024-05-08
Annual Report 0005241467 2023-05-13
Annual Report 0004735612 2022-05-05
Annual Report 0004282880 2021-05-14
Annual Report 0003931096 2020-07-06
Annual Report 0003557136 2019-07-01
Annual Report 0003029938 2018-04-25
Annual Report 0003029936 2017-04-28
Annual Report 0003029934 2016-04-26
Annual Report 0003029933 2015-04-23

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3271745007 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient MAGIC VALLEY FAMILY DENTAL, PC
Recipient Name Raw MAGIC VALLEY FAMILY DENTAL, PC
Recipient Address 1408 POMERELLE AVE., STE A, BURLEY, CASSIA, IDAHO, 83318-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 1008000.00
Link View Page
3231825002 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient MAGIC VALLEY FAMILY DENTAL, PC
Recipient Name Raw MAGIC VALLEY FAMILY DENTAL, PC
Recipient DUNS 139758742
Recipient Address 3433 S. HILAND, BURLEY, CASSIA, IDAHO, 83318-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1033117309 2020-04-28 1087 PPP 1408 POMERELLE AVE SUITE A, BURLEY, ID, 83318
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 145900
Loan Approval Amount (current) 42500
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 R
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address BURLEY, CASSIA, ID, 83318-0001
Project Congressional District ID-02
Number of Employees 10
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 20132
Originating Lender Name D. L. Evans Bank
Originating Lender Address BURLEY, ID
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 42785.95
Forgiveness Paid Date 2021-02-12

Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State