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DANCE DENTISTRY PLLC

Company Details

Name: DANCE DENTISTRY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Jun 2018 (7 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 612313
Place of Formation: IDAHO
File Number: 612313
ZIP code: 83835
County: Kootenai County
Principal Address: 1027 W PRAIRIE AVE HAYDEN, ID 83835
Mailing Address: 1027 W PRAIRIE AVE HAYDEN, ID 83835-4900

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANCE DENTISTRY PLLC CASH BALANCE PLAN 2023 830718233 2024-10-09 DANCE DENTISTRY PLLC 24
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 WEST PRAIRIE AVENUE, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing TOM DANCE
Valid signature Filed with authorized/valid electronic signature
DANCE DENTISTRY PLLC 401(K) PLAN 2023 830718233 2024-10-09 DANCE DENTISTRY PLLC 21
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 WEST PRAIRIE AVENUE, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2024-10-08
Name of individual signing TOM DANCE
Valid signature Filed with authorized/valid electronic signature
DANCE DENTISTRY PLLC CASH BALANCE PLAN 2022 830718233 2023-10-11 DANCE DENTISTRY PLLC 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 WEST PRAIRIE AVENUE, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing TOM DANCE
Valid signature Filed with authorized/valid electronic signature
DANCE DENTISTRY PLLC 401(K) PLAN 2022 830718233 2023-10-11 DANCE DENTISTRY PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 WEST PRAIRIE AVENUE, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing TOM DANCE
Valid signature Filed with authorized/valid electronic signature
DANCE DENTISTRY PLLC CASH BALANCE PLAN 2021 830718233 2022-09-19 DANCE DENTISTRY PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 W PRAIRIE AVE, HAYDEN, ID, 838354900
DANCE DENTISTRY PLLC 401(K) PLAN 2021 830718233 2022-04-13 DANCE DENTISTRY PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 W PRAIRIE AVE, HAYDEN, ID, 838354900
DANCE DENTISTRY PLLC 401(K) PLAN 2020 830718233 2021-08-18 DANCE DENTISTRY PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 W PRAIRIE AVE, HAYDEN, ID, 838354900
DANCE DENTISTRY PLLC CASH BALANCE PLAN 2020 830718233 2021-08-18 DANCE DENTISTRY PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 W PRAIRIE AVE, HAYDEN, ID, 838354900
DANCE DENTISTRY PLLC CASH BALANCE PLAN 2019 830718233 2020-10-07 DANCE DENTISTRY PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 W PRAIRIE AVE, HAYDEN, ID, 838354900
DANCE DENTISTRY PLLC 401(K) PLAN 2019 830718233 2020-08-27 DANCE DENTISTRY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2087722202
Plan sponsor’s address 1027 W PRAIRIE AVE, HAYDEN, ID, 838354900

Agent

Name Role Address
THOMAS DANCE Agent 1027 W PRAIRIE AVE, HAYDEN, ID 83835

Member

Name Role Address Appointed On
DR DANCE DENTISTRY FOR KIDS PC Member 1027 W PRAIRIE AVE, HAYDEN, ID 83835 2024-05-03
D&C DANCE PLLC Member 1027 W PRAIRIE AVE, HAYDEN, ID 83835 2021-06-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005722607 2024-05-03
Annual Report 0005224595 2023-05-04
Annual Report 0004733292 2022-05-04
Annual Report 0004304875 2021-06-03
Annual Report 0003866488 2020-05-04
Annual Report 0003526348 2019-05-29
Initial Filing 0000612313 2018-06-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2602297203 2020-04-16 1094 PPP 1027 W Prairie Ave, HAYDEN, ID, 83835
Loan Status Date 2021-03-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 162648.83
Loan Approval Amount (current) 162648.83
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 HAYDEN, KOOTENAI, ID, 83835-0001
Project Congressional District ID-01
Number of Employees 17
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 41844
Originating Lender Name First Interstate Bank
Originating Lender Address BILLINGS, MT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 163747.28
Forgiveness Paid Date 2021-02-12

Date of last update: 12 Apr 2025

Sources: Idaho Secretary of State