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CROCKETT MEDICAL, INC.

Company Details

Name: CROCKETT MEDICAL, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 14 Jun 2007 (18 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 525770
Place of Formation: IDAHO
File Number: 525770
ZIP code: 83616
County: Ada County
Mailing Address: 450 PEBBLE BEACH WAY EAGLE, ID 83616-5184

Agent

Name Role Address
KELLEE J CROCKETT Agent 450 PEBBLE BEACH WAY, EAGLE, ID 83616

Treasurer

Name Role Address Appointed On
Daniel Crockett Treasurer 450 PEBBLE BEACH WAY, EAGLE, ID 83616 2024-05-30

President

Name Role Address Appointed On
Kellee Crockett President 450 PEBBLE BEACH WAY, EAGLE, ID 83616 2021-05-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005750526 2024-05-30
Annual Report 0005274814 2023-06-09
Annual Report 0004735262 2022-05-04
Annual Report 0004263232 2021-05-03
Annual Report 0003889080 2020-06-03
Annual Report 0003524383 2019-05-27
Annual Report 0003128433 2018-05-04
Application for Reinstatement 0003128431 2017-02-16
Application for Reinstatement 0000923363 2017-02-06
Legacy Amendment 0003128429 2009-04-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8371457300 2020-05-01 1087 PPP 450 Pebble Beach Way, EAGLE, ID, 83616
Loan Status Date 2021-06-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 11400
Loan Approval Amount (current) 11400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 106925
Servicing Lender Name Mountain America FCU
Servicing Lender Address 9800 S Monroe St, SANDY, UT, 84070-4419
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address EAGLE, ADA, ID, 83616-0001
Project Congressional District ID-01
Number of Employees 1
NAICS code 621330
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 106925
Originating Lender Name Mountain America FCU
Originating Lender Address SANDY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 11494.95
Forgiveness Paid Date 2021-03-08

Date of last update: 17 Mar 2025

Sources: Idaho Secretary of State