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LESLIE WAGNER, DMD, PLLC

Company Details

Name: LESLIE WAGNER, DMD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Jun 2017 (8 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 560026
Place of Formation: IDAHO
File Number: 560026
ZIP code: 83716
County: Elmore County
Principal Address: 4239 E HARDESTY CT BOISE, ID 83716
Mailing Address: LESLIE WAGNER 2105 N HILLWAY DR BOISE, ID 83702-0927

Agent

Name Role Address
LESLIE WAGNER Agent 2105 N HILLWAY DR, LESLIE WAGNER, BOISE, ID 83702

Manager

Name Role Address Appointed On
Leslie Wagner Manager 2105 N HILLWAY DR, BOISE, ID 83702 2021-06-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005803658 2024-07-05
Annual Report 0005222381 2023-05-03
Annual Report 0004742371 2022-05-11
Annual Report 0004307504 2021-06-06
Annual Report 0003863960 2020-05-04
Annual Report 0003533122 2019-06-06
Annual Report 0003204186 2018-04-25
Initial Filing 0000560026 2017-06-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9120528609 2021-03-25 1087 PPS 2105 N Hillway Dr, Boise, ID, 83702-0927
Loan Status Date 2021-12-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 6920
Loan Approval Amount (current) 6920
Undisbursed Amount 0
Franchise Name -
Lender Location ID 41844
Servicing Lender Name First Interstate Bank
Servicing Lender Address 401 N 31st St, BILLINGS, MT, 59101-1200
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83702-0927
Project Congressional District ID-02
Number of Employees 1
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 41844
Originating Lender Name First Interstate Bank
Originating Lender Address BILLINGS, MT
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 6961.71
Forgiveness Paid Date 2021-11-08
3002447408 2020-05-06 1087 PPP 2105 N Hillway Dr, BOISE, ID, 83702
Loan Status Date 2021-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 4640
Loan Approval Amount (current) 4640
Undisbursed Amount 0
Franchise Name -
Lender Location ID 41844
Servicing Lender Name First Interstate Bank
Servicing Lender Address 401 N 31st St, BILLINGS, MT, 59101-1200
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BOISE, ADA, ID, 83702-0100
Project Congressional District ID-02
Number of Employees 1
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 41844
Originating Lender Name First Interstate Bank
Originating Lender Address BILLINGS, MT
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 4671.15
Forgiveness Paid Date 2021-01-20

Date of last update: 11 Apr 2025

Sources: Idaho Secretary of State