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SKYLINE ANIMAL HOSPITAL, PLLC

Company Details

Name: SKYLINE ANIMAL HOSPITAL, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Sep 2010 (15 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 298348
Place of Formation: IDAHO
File Number: 298348
ZIP code: 83402
County: Bonneville County
Principal Address: 1378 GRIZZLY AVE IDAHO FALLS, ID 83402
Mailing Address: 1378 GRIZZLY AVE IDAHO FALLS, ID 83402-4805

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SKYLINE ANIMAL HOSPITAL 401(K) PLAN 2023 273457324 2024-08-08 SKYLINE ANIMAL HOSPITAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 541940
Sponsor’s telephone number 2085293244
Plan sponsor’s address 1378 GRIZZLY AVE, IDAHO FALLS, ID, 83402

Signature of

Role Plan administrator
Date 2024-08-08
Name of individual signing ADAM PETERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-08-08
Name of individual signing ADAM PETERSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ADAM PETERSEN DVM Agent 1378 GRIZZLY AVE, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
ADAM M PETERSEN Manager SKYLINE ANIMAL HOSPITAL PLLC, IDAHO FALLS, ID 83402 2020-08-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005880091 2024-09-03
Annual Report 0005366678 2023-08-18
Annual Report 0004864459 2022-08-18
Annual Report 0004385972 2021-08-16
Annual Report 0003962009 2020-08-06
Annual Report 0003623389 2019-09-17
Annual Report 0003345170 2018-11-07
Annual Report 0002219275 2017-07-24
Annual Report 0002219274 2016-07-25
Annual Report 0002219273 2015-07-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5645537109 2020-04-13 1087 PPP 1378 Grizzly Ave, IDAHO FALLS, ID, 83402-4805
Loan Status Date 2020-12-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 82000
Loan Approval Amount (current) 82000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address IDAHO FALLS, BONNEVILLE, ID, 83402-4805
Project Congressional District ID-02
Number of Employees 10
NAICS code 541940
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 82525.7
Forgiveness Paid Date 2020-12-08

Date of last update: 04 Apr 2025

Sources: Idaho Secretary of State