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VITALITY ACUPUNCTURE LLC

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Company Details

Name: VITALITY ACUPUNCTURE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 22 Aug 2011 (14 years ago)
Financial Date End: 31 Aug 2024
Date dissolved: 17 Dec 2023
Entity Number: 327212
Place of Formation: IDAHO
File Number: 327212
ZIP code: 83704
County: Ada County
Principal Address: 2908 N PAULEY DR BOISE, ID 83704
Mailing Address: PO BOX 44244 BOISE, ID 83711-0244

Agent

Name Role Address
HEATHER BERGSTROM Agent 2908 N PAULEY DR., BOISE, ID 83704

Manager

Name Role Address Appointed On
Heather A Bergstrom Manager PO BOX 44244, BOISE, ID 83711 2020-07-07

National Provider Identifier

NPI Number:
1205337656

Authorized Person:

Name:
HEATHER ANN BERGSTROM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
Yes

Contacts:

Fax:
8883615391

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005517988 2023-12-17
Annual Report 0005361880 2023-08-13
Amendment to Certificate 0005209876 2023-04-24
Statement of Change of Business Mailing Address 0005076437 2023-01-20
Annual Report 0004837791 2022-08-02

USAspending Awards / Financial Assistance

Date:
2021-02-24
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:
21650.00
Total Face Value Of Loan:
21650.00
Date:
2020-05-18
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:
3000.00
Total Face Value Of Loan:
0.00
Date:
2020-04-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-14
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:
24036.20
Total Face Value Of Loan:
24036.20

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$24,036.2
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,036.2
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$24,202.81
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $24,036.2
Jobs Reported:
3
Initial Approval Amount:
$21,650
Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,650
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$21,801.85
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $21,650

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State