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IDAHO STATE DENTAL ASSOCIATION, INC.

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Company Details

Name: IDAHO STATE DENTAL ASSOCIATION, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Sep 1949 (76 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 87046
Place of Formation: IDAHO
File Number: 87046
ZIP code: 83702
County: Ada County
Mailing Address: 1220 W HAYS ST BOISE, ID 83702-5315

Treasurer

Name Role Address Appointed On
Scott D Alexander Treasurer 3167 S. BOWN WAY, BOISE, ID 83706 2020-08-05

Secretary

Name Role Address Appointed On
Scott D Alexander Secretary 3167 S. BOWN WAY, BOISE, ID 83706 2023-08-04

Director

Name Role Address Appointed On
Bret B. Christensen Director 77 SOUTHWAY AVE STE D, LEWISTON, ID 83501 2023-08-04
Mark E Baker Director 165 N. 14TH AVE, POCATELLO, ID 83201 2023-08-04
S John Staley Director 1029 E PARK BLVD STE 100, BOISE, ID 83712 2023-08-04
Shaun C Christensen Director 155 S MIDLAND BLVD, NAMPA, ID 83686 2023-08-04
Justin Frandsen Director 3375 MERLIN DRIVE, IDAHO FALLS, ID 83404 2023-08-04
Shaun Whitney Director 1322 W KATHLEEN AVE STE 2, COEUR D ALENE, ID 83615 2023-08-04
N. Tyler Elison Director 1555 S. LINCOLN AVE, JEROME, ID 83338 2023-08-04
Jonathan Butler Director 210 W MALLARD DRIVE STE E, BOISE, ID 83706 2023-08-04

Vice President

Name Role Address Appointed On
Steven F Nielsen Vice President 371 W FIR ST, SHELLY, ID 83274 2023-08-04

President

Name Role Address Appointed On
Kevin Hamblin President 1415 N FILLMORE ST STE 701, TWIN FALLS, ID 83301 2023-08-04

Agent

Name Role Address
Jeremy Miller Agent 1220 WEST HAYS STREET, BOISE, ID 83702-5315

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006032110 2024-12-20
Dissolution/Revocation - Administrative 0006024467 2024-12-13
Annual Report 0005352164 2023-08-04
Annual Report 0004841117 2022-08-03
Annual Report 0004366853 2021-08-03

USAspending Awards / Financial Assistance

Date:
2021-01-30
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:
40725.00
Total Face Value Of Loan:
40725.00

Tax Exempt

Employer Identification Number (EIN) :
82-6007766
Classification:
Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Ruling Date:
1964-04

Paycheck Protection Program

Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
40725
Current Approval Amount:
40725
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
40923.6

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Date of last update: 26 May 2025

Sources: Idaho Secretary of State