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ADA DERMATOLOGY, P.A.

Company Details

Name: ADA DERMATOLOGY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Dec 1999 (25 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 402948
Place of Formation: IDAHO
File Number: 402948
ZIP code: 83704
County: Ada County
Mailing Address: MICHELLE MORGAN 6454 W EMERALD ST BOISE, ID 83704-8734

President

Name Role Address Appointed On
Richard Blickenstaff President 1304 W STAFFORD DR, EAGLE, ID 83616 2020-11-17
Nicholas Blickenstaff President 6454 W EMERALD STREET, BOISE, ID 83704 2024-12-03

Vice President

Name Role Address Appointed On Resigned On
Nicholas Blickenstaff Vice President 6454 W EMERALD STREET, BOISE, ID 83704 2023-11-06 2023-11-06

Agent

Name Role Address
Nicholas R Blickenstaff Agent 6454 W EMERALD STREET, BOISE, ID 83704

Filing

Filing Name Filing Number Filing date
Annual Report 0006003167 2024-12-03
Annual Report 0005466385 2023-11-06
Annual Report 0005072252 2023-01-17
Annual Report 0004571794 2022-01-14
Annual Report 0004069695 2020-11-17
Annual Report 0003666914 2019-11-04
Annual Report 0003356538 2018-12-03
Annual Report 0002726369 2017-10-30
Annual Report 0002726367 2016-10-27
Annual Report 0002726365 2015-10-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1225748300 2021-01-16 1087 PPS 6454 W Emerald St, Boise, ID, 83704-8734
Loan Status Date 2021-08-17
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 135375
Loan Approval Amount (current) 135375
Undisbursed Amount 0
Franchise Name -
Lender Location ID 436276
Servicing Lender Name Idaho First Bank
Servicing Lender Address 475 E Deinhard Ln, MCCALL, ID, 83638-4800
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83704-8734
Project Congressional District ID-02
Number of Employees 7
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 436276
Originating Lender Name Idaho First Bank
Originating Lender Address MCCALL, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 136116.78
Forgiveness Paid Date 2021-08-09
4755517001 2020-04-04 1087 PPP 6454 EMERALD ST, BOISE, ID, 83704-8734
Loan Status Date 2021-01-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 173900
Loan Approval Amount (current) 100700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 436276
Servicing Lender Name Idaho First Bank
Servicing Lender Address 475 E Deinhard Ln, MCCALL, ID, 83638-4800
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BOISE, ADA, ID, 83704-8734
Project Congressional District ID-02
Number of Employees 7
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 436276
Originating Lender Name Idaho First Bank
Originating Lender Address MCCALL, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 101395.24
Forgiveness Paid Date 2020-12-23

Date of last update: 06 Apr 2025

Sources: Idaho Secretary of State