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  5. BEAR LAKE DENTAL CARE, PLLC

BEAR LAKE DENTAL CARE, PLLC

Company Details

Name: BEAR LAKE DENTAL CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Apr 2000 (25 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 49769
Place of Formation: IDAHO
File Number: 49769
ZIP code: 83254
County: Bear Lake County
Principal Address: 215 S 4TH ST MONTPELIER, ID 83254-1591
Mailing Address: CINDY COOK 215 S 4TH ST MONTPELIER, ID 83254-1591

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEAR LAKE DENTAL 401(K) PLAN 2023 820521971 2024-07-08 BEAR LAKE DENTAL CARE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401(K) PLAN 2022 820521971 2023-05-17 BEAR LAKE DENTAL CARE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401(K) PLAN 2021 820521971 2022-06-23 BEAR LAKE DENTAL CARE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401(K) PLAN 2020 820521971 2021-05-04 BEAR LAKE DENTAL CARE, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401(K) PLAN 2019 820521971 2020-07-17 BEAR LAKE DENTAL CARE, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401(K) PLAN 2018 820521971 2019-02-20 BEAR LAKE DENTAL CARE, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401(K) PLAN 2017 820521971 2018-04-03 BEAR LAKE DENTAL CARE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401(K) PLAN 2016 820521971 2017-06-13 BEAR LAKE DENTAL CARE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401K PLAN 2015 820521971 2016-05-03 BEAR LAKE DENTAL CARE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254
BEAR LAKE DENTAL 401K PLAN 2014 820521971 2015-05-27 BEAR LAKE DENTAL CARE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 2088470153
Plan sponsor’s address 215 SOUTH 4TH STREET, MONTPELIER, ID, 83254

Agent

Name Role Address
MONTY B WESTON Agent 215 S 4TH, MONTPELIER, ID 83254

Manager

Name Role Address Appointed On
Micah D Himmerich Manager 215 S 4TH STREET, MONTPELIER, ID 83254 2021-03-08

Member

Name Role Address Appointed On
Micah D Himmerich Member 215 S 4TH STREET, MONTPELIER, ID 83254 2025-03-03

Filing

Filing Name Filing Number Filing date
Annual Report 0006133655 2025-03-03
Application for Reinstatement 0005783274 2024-06-18
Dissolution/Revocation - Administrative 0004810696 2022-07-09
Annual Report 0004200928 2021-03-08
Annual Report 0003792613 2020-03-03
Annual Report 0003497701 2019-04-30
Annual Report 0001114719 2018-02-27
Annual Report 0001114718 2017-02-27
Annual Report 0001114717 2016-02-23
Annual Report 0001114716 2015-02-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2214087110 2020-04-10 1087 PPP 215 South 4th Street, MONTPELIER, ID, 83254-1591
Loan Status Date 2020-12-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 98025
Loan Approval Amount (current) 98025
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20171
Servicing Lender Name Ireland Bank
Servicing Lender Address 33, Bannock St, Malad City, ID, 83252-1240
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MONTPELIER, BEAR LAKE, ID, 83254-1591
Project Congressional District ID-02
Number of Employees 13
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 20171
Originating Lender Name Ireland Bank
Originating Lender Address Malad City, ID
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 98577.46
Forgiveness Paid Date 2021-02-12

Related by officers

MONTY B WESTON

BEAR LAKE DENTAL HOLDINGS, LLC

Micah D Himmerich

BEAR LAKE DENTAL HOLDINGS, LLC

Related by address

215 S 4TH ST MONTPELIER, ID 83254-1591

MONTY B. WESTON, DDS, P.A.

Date of last update: 30 Mar 2025

Sources: Idaho Secretary of State

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