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VALLEY FACIAL PLASTICS & ENT, PA

Company Details

Name: VALLEY FACIAL PLASTICS & ENT, PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Dec 1976 (48 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 175770
Place of Formation: IDAHO
File Number: 175770
ZIP code: 83501
County: Nez Perce County
Mailing Address: KARNA BURRY 330 WARNER DR LEWISTON, ID 83501-4441

Agent

Name Role Address
JEFF D BURRY DO Agent 330 WARNER DRIVE, LEWISTON, ID 83501

President

Name Role Address Appointed On
JEFF D BURRY President 330 WARNER DRIVE, LEWISTON, ID 83501 2023-11-03

National Provider Identifier

NPI Number:
1952441024

Authorized Person:

Name:
JEFF BURRY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
2087467074

Form 5500 Series

Employer Identification Number (EIN):
820329344
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006147455 2025-03-07
Annual Report 0005456470 2023-11-03
Annual Report 0003660102 2019-11-01
Application for Reinstatement 0003484500 2019-04-19
Dissolution/Revocation - Administrative 0003480885 2019-04-16

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
152500.00
Total Face Value Of Loan:
152500.00

Paycheck Protection Program

Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
152500
Current Approval Amount:
152500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
154338.36

Date of last update: 28 May 2025

Sources: Idaho Secretary of State