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GARDEN VALLEY FAMILY MEDICINE, PC

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Company Details

Name: GARDEN VALLEY FAMILY MEDICINE, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 14 Jul 2005 (20 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 490139
Place of Formation: IDAHO
File Number: 490139
ZIP code: 83622
County: Boise County
Mailing Address: PO BOX 270 GARDEN VALLEY, ID 83622-0270

Agent

Name Role Address
MICHAEL KOENING MD Agent 856 BANKS LOWMAN RD, GARDEN VALLEY, ID 83622

President

Name Role Address Appointed On
MICHAEL KOENIG President PO BOX 270, GARDEN VALLEY, ID 83622 2021-08-13

Secretary

Name Role Address Appointed On
Rosemary Koenig Secretary PO BOX 270, GARDEN VALLEY, ID 83622-0270 2024-07-09

National Provider Identifier

NPI Number:
1245312750

Authorized Person:

Name:
DR. MICHAEL R KOENIG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2084623736

Form 5500 Series

Employer Identification Number (EIN):
203164316
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005813937 2024-07-09
Annual Report 0005265939 2023-06-05
Articles of Amendment 0005178969 2023-04-03
Annual Report 0004856992 2022-08-11
Annual Report 0004383348 2021-08-13

USAspending Awards / Financial Assistance

Date:
2020-04-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
9000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
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:
97740.00
Total Face Value Of Loan:
97740.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
97740
Current Approval Amount:
97740
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
99105.65

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State