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NIC R. CORDUM, M.D., P.A.

Company Details

Name: NIC R. CORDUM, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 31 Aug 2001 (24 years ago)
Financial Date End: 31 Aug 2023
Date dissolved: 24 Aug 2023
Entity Number: 428359
Place of Formation: IDAHO
File Number: 428359
ZIP code: 83712
County: Ada County
Mailing Address: 2612 E PLATEAU DR BOISE, ID 83712-7563

Agent

Name Role Address
NIC R CORDUM Agent 2612 E PLATEAU DR, BOISE, ID 83712

President

Name Role Address Appointed On Resigned On
NIC R. CORDUM M.D. President 2612 E PLATEAU DR, BOISE, ID 83712 2021-08-16 No data
Nic R Cordum President 6259 W EMERALD ST, BOISE, ID 83704 2020-08-12 2021-08-16

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0005366939 2023-08-24
Annual Report 0004829947 2022-07-23
Annual Report 0004385763 2021-08-16
Annual Report 0003970927 2020-08-12
Annual Report 0003589142 2019-08-06
Annual Report 0002824679 2018-06-18
Annual Report 0002824678 2017-06-20
Annual Report 0002824675 2016-06-21
Annual Report 0002824674 2015-07-10
Annual Report 0002824672 2014-06-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6888268901 2021-05-05 1087 PPS 2612 E Plateau Dr, Boise, ID, 83712-7563
Loan Status Date 2022-07-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57281
Loan Approval Amount (current) 57281
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124663
Servicing Lender Name Idaho Trust Bank
Servicing Lender Address 888 W Broad St, BOISE, ID, 83702-7140
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83712-7563
Project Congressional District ID-02
Number of Employees 1
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 124663
Originating Lender Name Idaho Trust Bank
Originating Lender Address BOISE, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 53900.22
Forgiveness Paid Date 2022-06-17
8078217201 2020-04-28 1087 PPP 2612 East Plateau Dr, BOISE, ID, 83712-7563
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57280
Loan Approval Amount (current) 57280
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124663
Servicing Lender Name Idaho Trust Bank
Servicing Lender Address 888 W Broad St, BOISE, ID, 83702-7140
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BOISE, ADA, ID, 83712-7563
Project Congressional District ID-02
Number of Employees 1
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 124663
Originating Lender Name Idaho Trust Bank
Originating Lender Address BOISE, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 53760.05
Forgiveness Paid Date 2021-03-11

Date of last update: 07 Apr 2025

Sources: Idaho Secretary of State