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MEDICINE MAN NORTH PHARMACY, INC.

Company Details

Name: MEDICINE MAN NORTH PHARMACY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Dec 1990 (34 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 291255
Place of Formation: IDAHO
File Number: 291255
ZIP code: 83814
County: Kootenai County
Mailing Address: STE 100 1410 LINCOLN WAY COEUR D ALENE, ID 83814-2300

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICINE MAN NORTH PHARMACY 401(K) & PSP 2023 820440746 2024-08-16 MEDICINE MAN NORTH PHARMACY, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2086603938
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2024-08-16
Name of individual signing KOREY KREIDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-16
Name of individual signing KOREY KREIDER
Valid signature Filed with authorized/valid electronic signature
MEDICINE MAN NORTH PHARMACY 401(K) & PSP 2022 820440746 2023-06-16 MEDICINE MAN NORTH PHARMACY, INC. 38
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2086603938
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2023-06-15
Name of individual signing KOREY KREIDER
Valid signature Filed with authorized/valid electronic signature
MEDICINE MAN NORTH PHARMACY, INC. 401(K) & PROFIT SHARING PLAN 2021 820440746 2022-07-25 MEDICINE MAN NORTH PHARMACY, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2087629355
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing BARRY FEELY
Valid signature Filed with authorized/valid electronic signature
MEDICINE MAN NORTH PHARMACY, INC. 401(K) & PROFIT SHARING PLAN 2020 820440746 2021-06-21 MEDICINE MAN NORTH PHARMACY, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2087629355
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 83835

Signature of

Role Plan administrator
Date 2021-06-21
Name of individual signing BARRY FEELY
Valid signature Filed with authorized/valid electronic signature
MEDICINE MAN NORTH PHARMACY, INC. 401(K) PLAN 2019 820440746 2020-03-25 MEDICINE MAN NORTH PHARMACY, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2087629355
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 838358753

Signature of

Role Plan administrator
Date 2020-03-25
Name of individual signing ADAM WARREN
Valid signature Filed with authorized/valid electronic signature
MEDICINE MAN NORTH PHARMACY, INC. 401(K) PLAN 2018 820440746 2019-10-06 MEDICINE MAN NORTH PHARMACY, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2087629355
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 838358753

Signature of

Role Plan administrator
Date 2019-10-06
Name of individual signing BARRY W. FEELY
Valid signature Filed with authorized/valid electronic signature
MEDICINE MAN NORTH PHARMACY, INC. 401(K) PLAN 2017 820440746 2018-07-31 MEDICINE MAN NORTH PHARMACY, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2087629355
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 838358753

Signature of

Role Plan administrator
Date 2018-07-31
Name of individual signing BARRY FEELY
Valid signature Filed with authorized/valid electronic signature
MEDICINE MAN NORTH PHARMACY, INC. 401(K) PLAN 2016 820440746 2017-10-09 MEDICINE MAN NORTH PHARMACY, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2087629355
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 838358753

Signature of

Role Plan administrator
Date 2017-10-09
Name of individual signing BARRY FEELY
Valid signature Filed with authorized/valid electronic signature
MEDICINE MAN NORTH PHARMACY, INC. 401(K) PLAN 2015 820440746 2016-03-22 MEDICINE MAN NORTH PHARMACY, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2087629355
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 838358753
MEDICINE MAN NORTH PHARMACY, INC. 401(K) PLAN 2014 820440746 2015-05-12 MEDICINE MAN NORTH PHARMACY, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-05-01
Business code 446110
Sponsor’s telephone number 2087629355
Plan sponsor’s address 8093 CORNERSTONE DRIVE, HAYDEN, ID, 838358753

Signature of

Role Plan administrator
Date 2015-05-12
Name of individual signing BARRY FEELY
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address Appointed On Resigned On
Jordan Redman President 1410 S LINCOLN WAY, COEUR D'ALENE, ID 83814 2021-11-03 No data
Barry Feely President 9737 N CIRCLE DR, HAYDEN, ID 83835 2020-11-03 2021-11-03
Korey E Kreider President 2925 E RIMBAULD AVE, COEUR D'ALENE, ID 83815 2023-11-03 No data

Agent

Name Role Address
GIVENS PURSLEY CORPORATE SERVICES LLC Agent 601 W BANNOCK ST, BOISE, ID 83702

Filing

Filing Name Filing Number Filing date
Change of Registered Office/Agent/Both (by Entity) 0006160895 2025-03-14
Annual Report 0005987885 2024-11-18
Statement of Change of Business Mailing Address 0005568564 2024-01-22
Annual Report 0005458582 2023-11-03
Annual Report 0005008729 2022-12-03
Change of Registered Office/Agent/Both (by Entity) 0004495071 2021-11-29
Annual Report 0004477639 2021-11-03
Annual Report 0004049182 2020-11-03
Annual Report 0003693547 2019-12-02
Annual Report 0003366341 2018-12-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4946667101 2020-04-13 1094 PPP 8093 N CORNERSTONE DR, HAYDEN, ID, 83835-8753
Loan Status Date 2020-12-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 349930.62
Loan Approval Amount (current) 349930.62
Undisbursed Amount 0
Franchise Name -
Lender Location ID 87893
Servicing Lender Name Glacier Bank
Servicing Lender Address 202 Main St, KALISPELL, MT, 59901-4454
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HAYDEN, KOOTENAI, ID, 83835-8753
Project Congressional District ID-01
Number of Employees 26
NAICS code 446110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 87893
Originating Lender Name Glacier Bank
Originating Lender Address KALISPELL, MT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 351943.92
Forgiveness Paid Date 2020-11-17

Date of last update: 03 Apr 2025

Sources: Idaho Secretary of State