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MICKELSON DENTISTRY, LLC

Company Details

Name: MICKELSON DENTISTRY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Apr 2018 (7 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 606833
Place of Formation: IDAHO
File Number: 606833
ZIP code: 83835
County: Kootenai County
Principal Address: 11867 N THAMES CT HAYDEN, ID 83835
Mailing Address: STE A 30336 HIGHWAY 200 PONDERAY, ID 83852-9775

Manager

Name Role Address Appointed On Resigned On
Mickelson Dentistry Manager 30336 HIGHWAY 200, PONDERAY, ID 83852-9775 2022-03-03 No data
Benjamin Gates Manager 2165 N MERRITT CREEK, COEUR D ALENE, ID 83814 2021-03-08 2022-03-03

Agent

Name Role Address
Chace Mickelson Agent 1504 E GARDEN AVE, N/A, COEUR D'ALENE, ID 83814

Filing

Filing Name Filing Number Filing date
Annual Report 0006136525 2025-03-03
Statement of Change of Business Mailing Address 0005643843 2024-03-11
Annual Report 0005637634 2024-03-06
Annual Report 0005138259 2023-03-06
Annual Report 0004628800 2022-03-03
Annual Report 0004201914 2021-03-08
Annual Report 0003833114 2020-04-03
Change of Registered Office/Agent/Both (by Entity) 0003756560 2020-01-29
Application for Reinstatement 0003614660 2019-09-04
Dissolution/Revocation - Administrative 0003569020 2019-07-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2304327201 2020-04-16 1094 PPP 2055 E Hanley Ave, Dalton Gardens, ID, 83815
Loan Status Date 2022-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 14700
Loan Approval Amount (current) 14700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 96211
Servicing Lender Name Idaho Central CU
Servicing Lender Address 4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Dalton Gardens, KOOTENAI, ID, 83815-0002
Project Congressional District ID-01
Number of Employees 1
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 96211
Originating Lender Name Idaho Central CU
Originating Lender Address CHUBBUCK, ID
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 14844.58
Forgiveness Paid Date 2021-04-15

Date of last update: 12 Apr 2025

Sources: Idaho Secretary of State