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WAYNE MORTENSEN DMD, P.C.

Company Details

Name: WAYNE MORTENSEN DMD, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 28 Dec 2010 (14 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 572537
Place of Formation: IDAHO
File Number: 572537
ZIP code: 83714
County: Ada County
Mailing Address: 9213 W STATE ST BOISE, ID 83714-1737

Agent

Name Role Address
WAYNE MORTENSEN Agent 9213 W STATE ST, BOISE, ID 83714

President

Name Role Address Appointed On
Wayne A Mortensen President 9213 W STATE STREET, BOISE, ID 83714 2020-11-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005989662 2024-11-20
Annual Report 0005483111 2023-11-17
Annual Report 0005010617 2022-12-05
Annual Report 0004524345 2021-12-10
Annual Report 0004048766 2020-11-03
Annual Report 0003697758 2019-12-03
Annual Report 0003361721 2018-12-04
Annual Report 0003228238 2017-11-28
Annual Report 0003228237 2016-10-31
Annual Report 0003228236 2015-12-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5788388606 2021-03-20 1087 PPS 9213 W State St, Boise, ID, 83714-1737
Loan Status Date 2022-03-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 49515
Loan Approval Amount (current) 49515
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83714-1737
Project Congressional District ID-02
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Partnership
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 49945.03
Forgiveness Paid Date 2022-02-17

Date of last update: 18 Mar 2025

Sources: Idaho Secretary of State