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ELLIS CHIROPRACTIC, PC

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Company Details

Name: ELLIS CHIROPRACTIC, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 17 Jan 2002 (23 years ago)
Financial Date End: 31 Jan 2025
Date dissolved: 26 Apr 2025
Entity Number: 433318
Place of Formation: IDAHO
File Number: 433318
ZIP code: 83221
County: Bingham County
Mailing Address: 512 W JUDICIAL ST BLACKFOOT, ID 83221-2031

Agent

Name Role Address
VALDEN ELLIS Agent 512 W JUDICIAL ST, BLACKFOOT, ID 83221

President

Name Role Address Appointed On
Valden J Ellis President 512 W JUDICIAL STREET, BLACKFOOTB, ID 83221 2022-08-01
Valden J Ellis President 512 W JUDICIAL STREET, BLACKFOOT, ID 83221 2024-02-20

Director

Name Role Address Appointed On Resigned On
Valden J Ellis DC Director 512 W JUDICIAL ST, BLACKFOOT, ID 83221 2021-02-08 2022-08-01

National Provider Identifier

NPI Number:
1043406705

Authorized Person:

Name:
DR. VALDEN J ELLIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2087821999

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006221397 2025-04-26
Annual Report 0005608726 2024-02-20
Application for Reinstatement 0005335733 2023-07-31
Dissolution/Revocation - Administrative 0005199360 2023-04-13
Application for Reinstatement 0004836626 2022-08-01

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
59200.00
Total Face Value Of Loan:
59200.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
59200
Current Approval Amount:
59200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
59709.28

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Date of last update: 05 Jun 2025

Sources: Idaho Secretary of State