LIFESPAN WELLNESS, PLLC

Company Details

Name:	LIFESPAN WELLNESS, PLLC
Jurisdiction:	Idaho
Legal type:	Limited Liability Company (D)
Status:	Active-Existing
Date of registration:	14 Aug 2015 (10 years ago)
Financial Date End:	31 Aug 2025
Entity Number:	471120
Place of Formation:	IDAHO
File Number:	471120
ZIP code:	83642
County:	Ada County
Principal Address:	1404 N MAIN ST STE 101 MERIDIAN, ID 83642
Mailing Address:	STE 240 3597 E MONARCH SKY LN MERIDIAN, ID 83646-1055

Name	Role	Address
REBEKAH DANIELLE NATION	Agent	3597 E MONARCH SKY LANE, STE 240, MERIDIAN, ID 83646

Name	Role	Address	Appointed On
Rebekah D Nation	Member	3597 E MONARCH SKY LANE, MERIDIAN, ID 83646	2020-07-03

Filing Name	Filing Number	Filing date
Annual Report	0005839693	2024-08-05
Annual Report	0005302299	2023-07-04
Annual Report	0004884251	2022-09-06
Annual Report	0004344413	2021-07-12
Annual Report	0003928221	2020-07-03
Annual Report	0003556053	2019-07-01
Statement of Change of Business Mailing Address	0003364046	2018-12-06
Annual Report	0002975162	2018-06-18
Annual Report	0002975160	2017-06-26
Annual Report	0002975158	2016-06-21
Statement of Change of Business Mailing Address	0002975156	2016-01-22
Change of Registered Office/Agent/Both (by Entity)	0002975155	2016-01-22
Initial Filing	0000471120	2015-08-14

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

1610788504

2021-02-19

1087

PPS

1920 N Lakes Pl, Meridian, ID, 83646-5939

Loan Status Date	2021-07-21
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	27285
Loan Approval Amount (current)	27285
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	20132
Servicing Lender Name	D. L. Evans Bank
Servicing Lender Address	375 N Overland Ave, BURLEY, ID, 83318-3432
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Meridian, ADA, ID, 83646-5939
Project Congressional District	ID-01
Number of Employees	3
NAICS code	621420
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	20132
Originating Lender Name	D. L. Evans Bank
Originating Lender Address	BURLEY, ID
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	27370.97
Forgiveness Paid Date	2021-06-15

8925787308

2020-05-01

1087

PPP

1920 N Lakes Place Suite 110, MERIDIAN, ID, 83646

Loan Status Date	2021-03-18
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	23600
Loan Approval Amount (current)	23600
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	20132
Servicing Lender Name	D. L. Evans Bank
Servicing Lender Address	375 N Overland Ave, BURLEY, ID, 83318-3432
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Unanswered
Project Address	MERIDIAN, ADA, ID, 83646-0001
Project Congressional District	ID-01
Number of Employees	3
NAICS code	622210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	20132
Originating Lender Name	D. L. Evans Bank
Originating Lender Address	BURLEY, ID
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	23752.25
Forgiveness Paid Date	2021-02-16

Date of last update: 08 Apr 2025