LAKE CITY PEDIATRIC THERAPY, PLLC

Company Details

Name:	LAKE CITY PEDIATRIC THERAPY, PLLC
Jurisdiction:	Idaho
Legal type:	Limited Liability Company (D)
Status:	Active-Existing
Date of registration:	27 Apr 2016 (9 years ago)
Financial Date End:	30 Apr 2026
Entity Number:	503035
Place of Formation:	IDAHO
File Number:	503035
ZIP code:	83815
County:	Kootenai County
Principal Address:	6924 N. MADELLAINE DRIVE COEUR D ALENE, ID 83815
Mailing Address:	2536 E HARRISON AVE COEUR D ALENE, ID 83814-5932

Name	Role	Address
JONATHON D HALLIN	Agent	1007 N. BOULDER COURT, POST FALLS, ID 83854

Name	Role	Address	Appointed On
Nicole K Neudorfer	Member	2536 EAST HARRISON AVENUE, COEUR D'ALENE, ID 83814	2021-03-03

Filing Name	Filing Number	Filing date
Annual Report	0006144024	2025-03-05
Annual Report	0005630052	2024-03-04
Annual Report	0005132960	2023-03-03
Change of Registered Office/Agent/Both (by Entity)	0005064967	2023-01-13
Statement of Change of Business Mailing Address	0004756814	2022-05-24
Annual Report	0004630080	2022-03-03
Annual Report	0004188010	2021-03-03
Annual Report	0003804134	2020-03-05
Annual Report	0003492601	2019-04-24
Annual Report	0003069804	2018-02-27
Annual Report	0003069803	2017-02-23
Change of Registered Office/Agent/Both (by Entity)	0003069802	2016-08-25
Initial Filing	0000503035	2016-04-27

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

4081978303

2021-01-22

1094

PPS

6924 N Madellaine Dr, Coeur D Alene, ID, 83815-6107

Loan Status Date	2021-12-16
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	10012
Loan Approval Amount (current)	10012
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	12096
Servicing Lender Name	Wells Fargo Bank, National Association
Servicing Lender Address	101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Coeur D Alene, KOOTENAI, ID, 83815-6107
Project Congressional District	ID-01
Number of Employees	1
NAICS code	621610
Borrower Race	White
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	12096
Originating Lender Name	Wells Fargo Bank, National Association
Originating Lender Address	SIOUX FALLS, SD
Gender	Female Owned
Veteran	Non-Veteran
Forgiveness Amount	10088.53
Forgiveness Paid Date	2021-11-10

4074047704

2020-05-01

1094

PPP

6924 N MADELLAINE DR, COEUR D ALENE, ID, 83815

Loan Status Date	2021-05-08
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	12368
Loan Approval Amount (current)	12368
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	12096
Servicing Lender Name	Wells Fargo Bank, National Association
Servicing Lender Address	101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	COEUR D ALENE, KOOTENAI, ID, 83815-0002
Project Congressional District	ID-01
Number of Employees	1
NAICS code	621498
Borrower Race	White
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	12096
Originating Lender Name	Wells Fargo Bank, National Association
Originating Lender Address	SIOUX FALLS, SD
Gender	Female Owned
Veteran	Non-Veteran
Forgiveness Amount	12484.23
Forgiveness Paid Date	2021-04-15

Date of last update: 09 Apr 2025