FALL CREEK SKIN AND HEALTH, PLLC

Company Details

Name:	FALL CREEK SKIN AND HEALTH, PLLC
Jurisdiction:	Idaho
Legal type:	Limited Liability Company (D)
Status:	Active-Existing
Date of registration:	28 May 2004 (21 years ago)
Financial Date End:	31 May 2025
Entity Number:	105652
Place of Formation:	IDAHO
File Number:	105652
ZIP code:	83440
County:	Madison County
Principal Address:	534 TREJO SUITE 400 REXBURG, ID 83440
Mailing Address:	STE 400 534 TREJO ST REXBURG, ID 83440-5405

Name	Role	Address	Appointed On
Janice Bagley	Manager	4301 JUD STREET, REXBURG, ID 83440	2024-04-04

Name	Role	Address	Appointed On
BRETT BAGLEY	Member	4301 JUD STREET, REXBURG, ID 83440	2021-04-12

Name	Role	Address
BRETT BAGLEY	Agent	534 TREJO SUITE 400, REXBURG, ID 83440

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

7788587207

2020-04-28

1087

PPP

534 TREJO STREET SUITE 400, REXBURG, ID, 83440-5405

Loan Status Date	2020-12-17
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	28700
Loan Approval Amount (current)	28700
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	20144
Servicing Lender Name	The Bank of Commerce
Servicing Lender Address	3113, S 25th E, Idaho Falls, ID, 83406
Rural or Urban Indicator	U
Hubzone	Y
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	REXBURG, MADISON, ID, 83440-5405
Project Congressional District	ID-02
Number of Employees	8
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	20144
Originating Lender Name	The Bank of Commerce
Originating Lender Address	Idaho Falls, ID
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	28844.68
Forgiveness Paid Date	2020-11-02

Date of last update: 31 Mar 2025