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IDAHO ALLERGY, LLC

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Company Details

Name: IDAHO ALLERGY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 02 May 2008 (17 years ago)
Financial Date End: 31 May 2024
Date dissolved: 13 Aug 2024
Entity Number: 232218
Place of Formation: IDAHO
File Number: 232218
ZIP code: 83616
County: Ada County
Principal Address: 379 E SHORE DR 100 EAGLE, ID 83616
Mailing Address: APT 401D 10599 WILSHIRE BLVD LOS ANGELES, CA 90024-7624

Agent

Name Role Address
Sanjeev Jain Agent 379 E SHORE DR 100 , EAGLE, ID 83616

Member

Name Role Address Appointed On Resigned On
Sanjeev Jain Member 14603 NE 20TH AVE, A202, VANCOUVER, WA 98686 2020-10-09 2023-02-06
Pacifica Medical Group, LLC Member 43575 MISSION BLVD, FREMONT, CA 94539 2023-02-06 No data

National Provider Identifier

NPI Number:
1477866606

Authorized Person:

Name:
DR. STEPHEN B FRITZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207KA0200X - Allergy Physician
Is Primary:
Yes

Contacts:

Fax:
2089383553

Form 5500 Series

Employer Identification Number (EIN):
611566873
Plan Year:
2009
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005856474 2024-08-13
Annual Report 0005263504 2023-06-03
Statement of Change of Business Mailing Address 0005172165 2023-03-30
Amendment to Certificate 0005084280 2023-02-06
Application for Reinstatement 0004844033 2022-08-04

USAspending Awards / Financial Assistance

Date:
2021-03-31
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:
143637.00
Total Face Value Of Loan:
143637.00
Date:
2020-05-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
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:
83235.00
Total Face Value Of Loan:
83235.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$83,235
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$83,235
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$84,287
Servicing Lender:
WebBank
Use of Proceeds:
Payroll: $83,235
Jobs Reported:
13
Initial Approval Amount:
$143,637
Date Approved:
2021-03-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$143,637
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$145,250.46
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $143,632
Utilities: $1

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State