Boise Orthodontics, PLLC

David A Coleman Registered Agent	156 2ND AVE W, TWIN FALLS, ID 83646
Anthony D Mongillo Member	4725 N CLOVERDALE RD STE 101, BOISE, ID 83713

4725 N CLOVERDALE RD STE 101, BOISE, ID 83713 View Map
4870 PEVERO DR, IDAHO FALLS, ID 83401 (Mailing) View Map

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Form 5500

4725 N. Cloverdale Rd., Ste. 101, Boise, Id 83713 (208) 323-6775 EIN:47-5031715 Plan Admin:Anthony Mongillo

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2020	Plan NameBOISE ORTHODONTICS, PLLC 401(K) PLAN Plan #001 Participants BOY/EOY4 / 2 Assets BOY/EOY$21,800 / $46,532	2020	BOISE ORTHODONTICS, PLLC 401(K) PLAN - Plan #001	4 / 2	$21,800 / $46,532
2019	Plan NameBOISE ORTHODONTICS, PLLC 401(K) PLAN Plan #001 Participants BOY/EOY5 / 4 Assets BOY/EOY$0 / $21,800	2019	BOISE ORTHODONTICS, PLLC 401(K) PLAN - Plan #001	5 / 4	$0 / $21,800

Benefit & Retirement Plans based on Form 5500.

PPP Loans

4725 N Cloverdale Rd, STE 101, Boise, Id 83713 Industry:Offices of Dentists Ethnicity:Not Hispanic or Latino Veteran:No

Loan Date	Approved	Forgiven	Lender	Jobs
04/29/2020	Approved$30,800 Forgiven$30,981 LenderD. L. Evans Bank Jobs4	04/29/2020	$30,800	$30,981	D. L. Evans Bank	4

PPP Loans based on Paycheck Protection Program.

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The following government agencies have contributed data:

Idaho Secretary of State's Office U.S. Department of Labor U.S. Small Business Administration

Company Summary