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  5. HELLS CANYON HEALTH AND WELLNESS PHARMACY, LLC

HELLS CANYON HEALTH AND WELLNESS PHARMACY, LLC

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Company Details

Name: HELLS CANYON HEALTH AND WELLNESS PHARMACY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 25 Feb 2015 (10 years ago)
Financial Date End: 28 Feb 2025
Date dissolved: 13 May 2025
Entity Number: 451614
Place of Formation: IDAHO
File Number: 451614
ZIP code: 83501
County: Nez Perce County
Principal Address: 2034 CRESTVIEW DR CLARKSTON, WA 99403
Mailing Address: ANDY POTTENGER 523 THAIN RD LEWISTON, ID 83501-5530

Agent

Name Role Address
ANDREW POTTENGER Agent 523 THAIN RD, LEWISTON, ID 83501

Member

Name Role Address Appointed On
ABAGALE M POTTENGER Member 2005 QUAILWOOD DR, CLARKSTON, WA 99403 2021-03-04

National Provider Identifier

NPI Number:
1619507761
Certification Date:
2020-01-16
Link:
View on NPI website

Authorized Person:

Name:
CHARLES ANDREW POTTENGER
Role:
OWNER
Phone:
2087435515

Taxonomy:

Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 208-743-5515

Form 5500 Series

Employer Identification Number (EIN):
473494421
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:
2087435515
File:
View File
Plan Year:
2020
Number Of Participants:
17
Sponsors Telephone Number:
2087435515
File:
View File
Plan Year:
2019
Number Of Participants:
11
Sponsors Telephone Number:
2087435515
Plan Year:
2019
Number Of Participants:
11
Sponsors Telephone Number:
2087435515
File:
View File
Plan Year:
2018
Number Of Participants:
14
Sponsors Telephone Number:
2087435515
File:
View File

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006250364 2025-05-13
Annual Report 0005537364 2024-01-03
Annual Report 0005046676 2023-01-03
Annual Report 0004553249 2022-01-04
Annual Report 0004197336 2021-03-04

USAspending Awards / Financial Assistance

Date:
2021-03-12
Link:
View on USAspending
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:
76413.00
Total Face Value Of Loan:
76413.00
Date:
2020-05-20
Link:
View on USAspending
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:
150000.00
Total Face Value Of Loan:
500000.00
Date:
2020-04-11
Link:
View on USAspending
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:
67700.00
Total Face Value Of Loan:
67700.00

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$76,413
Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$76,413
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$76,764.71
Servicing Lender:
Live Oak Banking Company
Use of Proceeds:
Payroll: $76,412
Utilities: $1
Jobs Reported:
7
Initial Approval Amount:
$67,700
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$67,700
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$68,389.98
Servicing Lender:
Live Oak Banking Company
Use of Proceeds:
Payroll: $67,700

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Related by address

2034 CRESTVIEW DR CLARKSTON, WA 99403

AP HOLDINGS, LLC

Date of last update: 09 Aug 2025

Sources: Idaho Secretary of State

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