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TMD, PLLC

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Company Details

Name: TMD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Jan 2003 (22 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 80034
Place of Formation: IDAHO
File Number: 80034
ZIP code: 83716
County: Elmore County
Principal Address: 2031 E HOSPITALITY LN #100 BOISE, ID 83716
Mailing Address: #100 2031 E HOSPITALITY LN BOISE, ID 83716-6603

Agent

Name Role Address
EDWARD C WAGNER Agent 2031 E HOSPITALITY LANE #100, BOISE, ID 83716

Member

Name Role Address Appointed On Resigned On
Edward C Wagner Member 2031 E HOSPITALITY LANE #100, BOISE, ID 83716 2020-12-07 No data
Travis P Royce Member 2031 E HOSPITALITY LANE, BOISE, ID 83716 2024-02-08 2024-02-08

National Provider Identifier

NPI Number:
1366601734

Authorized Person:

Name:
MRS. MICHELLE D RYAN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
2083435889

Form 5500 Series

Employer Identification Number (EIN):
460516456
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
23
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006144927 2025-03-06
Annual Report 0005592536 2024-02-08
Annual Report 0005017301 2022-12-07
Annual Report 0004517826 2021-12-06
Annual Report 0004091086 2020-12-07

USAspending Awards / Financial Assistance

Date:
2021-02-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
140342.00
Total Face Value Of Loan:
140342.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
163705.00
Total Face Value Of Loan:
163705.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
163705
Current Approval Amount:
163705
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
164578.03
Date Approved:
2021-02-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
140342
Current Approval Amount:
140342
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
140899.47

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Date of last update: 26 May 2025

Sources: Idaho Secretary of State