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EASTERN IDAHO AUDIOLOGY, LLC

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Company Details

Name: EASTERN IDAHO AUDIOLOGY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 18 Dec 2009 (16 years ago)
Financial Date End: 31 Dec 2022
Date dissolved: 04 Jan 2023
Entity Number: 277095
Place of Formation: IDAHO
File Number: 277095
ZIP code: 83201
County: Bannock County
Principal Address: 1423 WINCHESTER DRIVE POCATELLO, ID 83201
Mailing Address: KELLEY OLENICK 1423 WINCHESTER DR POCATELLO, ID 83201-4974

Manager

Name Role Address Appointed On
KELLEY OLENICK Manager 1423 WINCHESTER DRIVE, POCATELLO, ID 83201 2020-11-04

Agent

Name Role Address
KELLEY OLENICK Agent 4155 YELLOWSTONE HWY, PINE RIDGE MALL, CHUBBUCK, ID 83202

National Provider Identifier

NPI Number:
1972833481

Authorized Person:

Name:
DR. KELLEY J OLENICK
Role:
OWNER/AUDIOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
237600000X - Audiologist-Hearing Aid Fitter
Is Primary:
Yes

Contacts:

Fax:
2082380021

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005052702 2023-01-04
Annual Report 0004491260 2021-11-08
Annual Report 0004052760 2020-11-04
Annual Report 0003668676 2019-11-05
Annual Report 0003362450 2018-12-05

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
46500.00
Total Face Value Of Loan:
46500.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$46,500
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$46,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$46,767.53
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $34,875
Utilities: $5,812
Rent: $5,813

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Date of last update: 27 Jun 2025

Sources: Idaho Secretary of State