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FORGIVEN, P.A.

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Company Details

Name: FORGIVEN, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Jan 2004 (21 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 464879
Place of Formation: IDAHO
File Number: 464879
ZIP code: 83706
County: Ada County
Mailing Address: SCOTT COULTER STE 102 4619 W EMERALD ST BOISE, ID 83706-2051

Agent

Name Role Address
SCOTT COULTER Agent 4619 EMERALD STE 102, BOISE, ID 83706

Secretary

Name Role Address Appointed On
Theresa Cramer Secretary 4619 EMERALD ST, STE 102, BOISE, ID 83706 2021-02-05

President

Name Role Address Appointed On Resigned On
Scott C Coulter President 4619 EMERALD ST, BOISE, ID 83706 2023-12-06 2023-12-06

National Provider Identifier

NPI Number:
1649495532

Authorized Person:

Name:
DR. SCOTT C COULTER
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2083859190

Filing

Filing Name Filing Number Filing date
Annual Report 0006104517 2025-02-10
Annual Report 0005503134 2023-12-06
Annual Report 0005061519 2023-01-11
Annual Report 0004514252 2021-12-03
Annual Report 0004165813 2021-02-05

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$14,100
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$14,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$14,221.3
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $14,100

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State