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WOOD RIVER DENTAL CARE, PC

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Company Details

Name: WOOD RIVER DENTAL CARE, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Aug 2008 (17 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 543990
Place of Formation: IDAHO
File Number: 543990
ZIP code: 83333
County: Blaine County
Mailing Address: 503 N MAIN ST HAILEY, ID 83333-8417

Agent

Name Role Address
JARED HILL Agent 503 N MAIN ST, HAILEY, ID 83333

Treasurer

Name Role Address Appointed On
Linsey Nelson Treasurer 950 BUCKHORN, HAILEY, ID 83333 2023-09-11

Vice President

Name Role Address Appointed On
Dan Nelson Vice President 950 BUCKHORN, HAILEY, ID 83333 2023-09-11

Secretary

Name Role Address Appointed On
Mared Hill Secretary 121 DEER VALLEY LANE, HAILEY, ID 83333 2023-09-11

President

Name Role Address Appointed On
Jared J Hill President 121 DEER VALLEY LANE, HAILEY, ID 83333 2020-10-13

National Provider Identifier

NPI Number:
1083877674

Authorized Person:

Name:
DR. DANIEL T NORRIS
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2087881122

Form 5500 Series

Employer Identification Number (EIN):
800244310
Plan Year:
2024
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005984166 2024-11-15
Application for Reinstatement 0005984516 2024-11-15
Annual Report 0005397742 2023-09-11
Annual Report 0004939118 2022-10-05
Annual Report 0004445251 2021-10-13

USAspending Awards / Financial Assistance

Date:
2021-02-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
187324.00
Total Face Value Of Loan:
187324.00
Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
212500.00
Total Face Value Of Loan:
212500.00
Date:
2013-03-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
401000.00
Total Face Value Of Loan:
401000.00
Date:
2013-03-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
310000.00
Total Face Value Of Loan:
310000.00

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$212,500
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$212,500
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$214,258.22
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $212,500
Jobs Reported:
20
Initial Approval Amount:
$187,324
Date Approved:
2021-02-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$187,324
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$189,305.02
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $187,324

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State