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TRISTA E. POTTENGER, DMD, PLLC

Company Details

Name: TRISTA E. POTTENGER, DMD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Jul 2018 (7 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 618828
Place of Formation: IDAHO
File Number: 618828
ZIP code: 83709
County: Ada County
Principal Address: 4370 S COCHEES WAY BOISE, ID 83709
Mailing Address: 12212 W AMITY RD BOISE, ID 83709-5389

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGH DESERT DENTAL 401(K) PLAN 2023 831470698 2024-06-26 TRISTA E. POTTENGER DMD PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 2083506795
Plan sponsor’s address 12212 W AMITY ROAD, BOISE, ID, 83709

Agent

Name Role Address
TRISTA E POTTENGER, DMD Agent 12212 W AMITY RD, BOISE, ID 83709

Manager

Name Role Address Appointed On
Trista E Pottenger Manager 4370 S COCHEES WAY, BOISE, ID 83709 2021-07-12

Filing

Filing Name Filing Number Filing date
Annual Report 0005758059 2024-06-03
Annual Report 0005344349 2023-08-03
Annual Report 0004764608 2022-06-03
Statement of Change of Business Mailing Address 0004475377 2021-11-02
Statement of Change of Business Mailing Address 0004459756 2021-10-25
Annual Report 0004344970 2021-07-12
Annual Report 0003890627 2020-06-03
Annual Report 0003590142 2019-08-07
Initial Filing 0000618828 2018-07-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7606697205 2020-04-28 1087 PPP 4370 S Cochees Way, Boise, ID, 83709
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) 13700
Loan Approval Amount (current) 13700
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 New Business or 2 years or less
Project Address Boise, ADA, ID, 83709-0001
Project Congressional District ID-02
Number of Employees 1
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 96211
Originating Lender Name Idaho Central CU
Originating Lender Address CHUBBUCK, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 13840.38
Forgiveness Paid Date 2021-05-24

Date of last update: 12 Apr 2025

Sources: Idaho Secretary of State