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WILLOW TREE DENTAL, PLLC

Company Details

Name: WILLOW TREE DENTAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Feb 2016 (9 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 491822
Place of Formation: IDAHO
File Number: 491822
ZIP code: 83642
County: Ada County
Principal Address: 317 W. CHERRY LN. MERIDIAN, ID 83642
Mailing Address: 317 W CHERRY LN MERIDIAN, ID 83642-1608

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLOW TREE DENTAL 401(K) PLAN 2023 811537213 2024-10-10 WILLOW TREE DENTAL 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2083951000
Plan sponsor’s address 317 W. CHERRY LANE, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing JULIE HESS
Valid signature Filed with authorized/valid electronic signature
WILLOW TREE DENTAL 401(K) PLAN 2022 811537213 2023-10-09 WILLOW TREE DENTAL 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621210
Sponsor’s telephone number 2083951000
Plan sponsor’s address 317 W. CHERRY LANE, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing JULIE HESS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DOUGLAS DOWDLE DMD Agent 317 W CHERRY LN, MERIDIAN, ID 83642

Member

Name Role Address Appointed On Resigned On
Blake Imam Member 317 W. CHERRY LANE, MERIDIAN, ID 83642 2024-03-08 2024-03-08
Douglas Dowdle Member 317 W. CHERRY LANE, MERIDIAN, ID 83642 2024-03-08 2024-03-08
Julie Hess Member 317 W. CHERRY LANE, MERIDIAN, ID 83642 2021-07-26 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0006128922 2025-02-26
Annual Report 0005641210 2024-03-08
Annual Report 0005200651 2023-04-13
Application for Reinstatement 0004829684 2022-07-22
Dissolution/Revocation - Administrative 0004743922 2022-05-12
Application for Reinstatement 0004357746 2021-07-26
Dissolution/Revocation - Administrative 0004271995 2021-05-05
Application for Reinstatement 0003842593 2020-04-10
Dissolution/Revocation - Administrative 0003542889 2019-06-18
Annual Report 0003038680 2018-03-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7949947101 2020-04-14 1087 PPP 317 W CHERRY LN, MERIDIAN, ID, 83642-1608
Loan Status Date 2021-11-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 384300
Loan Approval Amount (current) 384300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 59698
Servicing Lender Name Umpqua Bank
Servicing Lender Address 445 SE Main St, First Fl, ROSEBURG, OR, 97470-4934
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MERIDIAN, ADA, ID, 83642-1608
Project Congressional District ID-01
Number of Employees 37
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 59698
Originating Lender Name Umpqua Bank
Originating Lender Address ROSEBURG, OR
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 389827.6
Forgiveness Paid Date 2021-10-06
9488518310 2021-01-30 1087 PPS 317 W Cherry Ln, Meridian, ID, 83642-1608
Loan Status Date 2022-07-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 390749
Loan Approval Amount (current) 390749
Undisbursed Amount 0
Franchise Name -
Lender Location ID 59698
Servicing Lender Name Umpqua Bank
Servicing Lender Address 445 SE Main St, First Fl, ROSEBURG, OR, 97470-4934
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Meridian, ADA, ID, 83642-1608
Project Congressional District ID-01
Number of Employees 35
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 59698
Originating Lender Name Umpqua Bank
Originating Lender Address ROSEBURG, OR
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 396176.66
Forgiveness Paid Date 2022-06-28

Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State