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West Shoshone Hospital District #1

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Company Details

Name: West Shoshone Hospital District #1
Jurisdiction: Idaho
Legal type: Unincorporated Nonprofit Association (D)
Status: Active-Current
Date of registration: 21 Sep 2020 (5 years ago)
Entity Number: 4008285
Place of Formation: IDAHO
File Number: 726612
ZIP code: 83837
County: Shoshone County
Principal Address: 25 JACOBS GULCH KELLOGG, ID 83837
Mailing Address: DONJA ERDMAN 25 JACOBS GULCH RD KELLOGG, ID 83837-2023

Agent

Name Role Address
Donja Erdman Agent 25 JACOBS GULCH, KELLOGG, ID 83837

Unique Entity ID

Unique Entity ID:
Y2VFPYKWJF29
CAGE Code:
8R0R6
UEI Expiration Date:
2026-03-10

Business Information

Division Name:
SHOSHONE MEDICAL CENTER
Activation Date:
2025-03-12
Initial Registration Date:
2020-08-28

Filing

Filing Name Filing Number Filing date
Initial Filing 0004008285 2020-09-21

USAspending Awards / Financial Assistance

Date:
2020-06-30
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:
1178300.00
Total Face Value Of Loan:
1178300.00

Paycheck Protection Program

Jobs Reported:
134
Initial Approval Amount:
$1,178,300
Date Approved:
2020-06-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,178,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,173,969.05
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $1,178,300

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State