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GARDEN VALLEY FAMILY MEDICINE, PC

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GARDEN VALLEY FAMILY MEDICINE 401(K) PLAN 2023 203164316 2024-10-02 GARDEN VALLEY FAMILY MEDICINE, PC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2084623533
Plan sponsor’s address 856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID, 83622

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing ROSEMARY KOENIG
Valid signature Filed with authorized/valid electronic signature
GARDEN VALLEY FAMILY MEDICINE 401(K) PLAN 2022 203164316 2023-10-10 GARDEN VALLEY FAMILY MEDICINE, PC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2084623533
Plan sponsor’s address 856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID, 83622

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing ROSEMARY KOENIG
Valid signature Filed with authorized/valid electronic signature
GARDEN VALLEY FAMILY MEDICINE 401(K) PLAN 2021 203164316 2022-10-17 GARDEN VALLEY FAMILY MEDICINE, PC 15
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2084623533
Plan sponsor’s address 856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID, 83622

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing MICHAEL KOENIG
Valid signature Filed with authorized/valid electronic signature
GARDEN VALLEY FAMILY MEDICINE 401(K) PLAN 2021 203164316 2022-11-10 GARDEN VALLEY FAMILY MEDICINE, PC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2084623533
Plan sponsor’s address 856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID, 83622

Signature of

Role Plan administrator
Date 2022-11-10
Name of individual signing MICHAEL KOENIG
Valid signature Filed with authorized/valid electronic signature

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

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
Annual Report 0003904679 2020-06-09
Annual Report 0003564246 2019-07-12
Annual Report 0003034036 2018-06-21
Annual Report 0003034034 2017-08-14
Annual Report 0003034038 2016-08-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9784887107 2020-04-15 1087 PPP 856 BANKS RD, GARDEN VALLEY, ID, 83622
Loan Status Date 2021-10-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 97740
Loan Approval Amount (current) 97740
Undisbursed Amount 0
Franchise Name -
Lender Location ID 53803
Servicing Lender Name U.S. Bank, National Association
Servicing Lender Address 425 Walnut St, CINCINNATI, OH, 45202-3956
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address GARDEN VALLEY, BOISE, ID, 83622-0001
Project Congressional District ID-01
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 53803
Originating Lender Name U.S. Bank, National Association
Originating Lender Address CINCINNATI, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 99105.65
Forgiveness Paid Date 2021-09-02

Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State