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83616
IDAHO ALLERGY, LLC

IDAHO ALLERGY, LLC

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

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

IDAHO ALLERGY 401(K) PLAN

2009

611566873

2010-09-24

IDAHO ALLERGY, LLC.

Three-digit plan number (PN)	001
Effective date of plan	2009-10-01
Business code	621399
Sponsor’s telephone number	2089383443
Plan sponsor’s mailing address	379 E. SHORE DR., STE. 100, EAGLE, ID, 83616
Plan sponsor’s address	379 E. SHORE DR. STE. 100, EAGLE, ID, 83616

Plan administrator’s name and address

Administrator’s EIN	611566873
Plan administrator’s name	IDAHO ALLERGY, INC.
Plan administrator’s address	379 E. SHORE DR., STE. 100, EAGLE, ID, 83616
Administrator’s telephone number	2089383443

Number of participants as of the end of the plan year

Active participants	8
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2010-09-24
Name of individual signing	STEPHEN FRITZ
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-09-24
Name of individual signing	STEPHEN FRITZ
Valid signature	Filed with authorized/valid electronic signature

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

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
Dissolution/Revocation - Administrative	0004843658	2022-08-04
Annual Report	0004312591	2021-06-11
Application for Reinstatement	0004029482	2020-10-09
Dissolution/Revocation - Administrative	0003957753	2020-08-05
Application for Reinstatement	0003608906	2019-08-28
Dissolution/Revocation - Administrative	0003599053	2019-08-20
Change of Registered Office/Agent/Both (by Entity)	0003427005	2019-02-11
Amendment to Certificate	0003427201	2019-02-11
Annual Report	0001855560	2018-04-09
Annual Report	0001855559	2017-04-11
Annual Report	0001855558	2016-04-05
Annual Report	0001855557	2015-06-23
Application for Reinstatement	0001855556	2014-09-02
Application for Reinstatement	0000811438	2014-08-27
Annual Report	0001855555	2013-03-18
Annual Report	0001855554	2012-03-23
Annual Report	0001855553	2011-05-25
Annual Report	0001855552	2010-03-15
Annual Report	0001855551	2009-03-18
Initial Filing	0000232218	2008-05-02

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

8668637710

2020-05-01

1087

PPP

379 East Shore Drive Suite 100, Eagle, ID, 83616

Loan Status Date	2021-09-24
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	83235
Loan Approval Amount (current)	83235
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	122043
Servicing Lender Name	WebBank
Servicing Lender Address	215 S State St, Ste 1000, SALT LAKE CITY, UT, 84111-2336
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Unanswered
Project Address	Eagle, ADA, ID, 83616-0001
Project Congressional District	ID-01
Number of Employees	13
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	122043
Originating Lender Name	WebBank
Originating Lender Address	SALT LAKE CITY, UT
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	84287
Forgiveness Paid Date	2021-08-04

3330988706

2021-03-31

1087

PPS

379 E Shore Dr Ste 100, Eagle, ID, 83616-5410

Loan Status Date	2021-04-10
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	143637
Loan Approval Amount (current)	143637
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	121536
Servicing Lender Name	Customers Bank
Servicing Lender Address	40 General Warren Blvd, Malvern, PA, 19355
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Eagle, ADA, ID, 83616-5410
Project Congressional District	ID-02
Number of Employees	13
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	122043
Originating Lender Name	WebBank
Originating Lender Address	SALT LAKE CITY, UT
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	145250.46
Forgiveness Paid Date	2022-05-17

Date of last update: 02 Apr 2025

Sources: Idaho Secretary of State