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  5. INTERMOUNTAIN DENTAL, PC

INTERMOUNTAIN DENTAL, PC

Company Details

Name: INTERMOUNTAIN DENTAL, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Dec 2006 (18 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 515998
Place of Formation: IDAHO
File Number: 515998
ZIP code: 83864
County: Bonner County
Mailing Address: 519 JENNY LN SANDPOINT, ID 83864-6006

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERMOUNTAIN DENTAL 401(K) PLAN 2023 208027551 2024-08-12 INTERMOUNTAIN DENTAL, PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2024-08-12
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2022 208027551 2023-06-13 INTERMOUNTAIN DENTAL, PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2023-06-13
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2021 208027551 2022-08-31 INTERMOUNTAIN DENTAL, PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2022-08-31
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2020 208027551 2021-10-15 INTERMOUNTAIN DENTAL, PC 6
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2019 208027551 2020-06-08 INTERMOUNTAIN DENTAL, PC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2018 208027551 2019-07-17 INTERMOUNTAIN DENTAL, PC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2017 208027551 2018-04-24 INTERMOUNTAIN DENTAL, PC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2018-04-24
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2016 208027551 2017-05-12 INTERMOUNTAIN DENTAL, PC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2015 208027551 2016-05-20 INTERMOUNTAIN DENTAL, PC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature
INTERMOUNTAIN DENTAL 401(K) PLAN 2014 208027551 2015-05-04 INTERMOUNTAIN DENTAL, PC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 2084481241
Plan sponsor’s address 519 JENNY LANE, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing MARK DUKE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARK E DUKE DMD Agent 519 JENNY LN, SANDPOINT, ID 83864

President

Name Role Address Appointed On
Mark E Duke President 519 JENNY LN, SANDPOINT, ID 83864-6006 2020-11-19

Filing

Filing Name Filing Number Filing date
Annual Report 0005986034 2024-11-16
Annual Report 0005557393 2024-01-10
Annual Report 0005028059 2022-12-12
Annual Report 0004495726 2021-11-11
Annual Report 0004071382 2020-11-19
Annual Report 0003713929 2019-12-20
Annual Report 0003368242 2018-12-10
Annual Report 0003104200 2017-11-02
Annual Report 0003104196 2016-11-03
Annual Report 0003104195 2015-10-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3909708310 2021-01-22 1094 PPS 519 Jenny Ln, Sandpoint, ID, 83864-6006
Loan Status Date 2021-08-13
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 67032
Loan Approval Amount (current) 67032
Undisbursed Amount 0
Franchise Name -
Lender Location ID 525692
Servicing Lender Name Potlatch No. 1 Financial Credit Union
Servicing Lender Address 1025 Warner Avenue, Lewiston, ID, 83501
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Sandpoint, BONNER, ID, 83864-6006
Project Congressional District ID-01
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 525692
Originating Lender Name Potlatch No. 1 Financial Credit Union
Originating Lender Address Lewiston, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 67368.08
Forgiveness Paid Date 2021-07-28
2234107100 2020-04-10 1094 PPP 519 JENNY LN, SANDPOINT, ID, 83864-6006
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50303
Loan Approval Amount (current) 50303
Undisbursed Amount 0
Franchise Name -
Lender Location ID 525692
Servicing Lender Name Potlatch No. 1 Financial Credit Union
Servicing Lender Address 1025 Warner Avenue, Lewiston, ID, 83501
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address SANDPOINT, BONNER, ID, 83864-6006
Project Congressional District ID-01
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 525692
Originating Lender Name Potlatch No. 1 Financial Credit Union
Originating Lender Address Lewiston, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 50643.41
Forgiveness Paid Date 2020-12-17

Related by officers

Mark E Duke

INTERMOUNTAIN LAND HOLDINGS LLC

Related by address

519 JENNY LN SANDPOINT, ID 83864-6006

INTERMOUNTAIN LAND HOLDINGS LLC

Date of last update: 10 Apr 2025

Sources: Idaho Secretary of State

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