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  5. STODDARD MEDICAL, INC.

STODDARD MEDICAL, INC.

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Company Details

Name: STODDARD MEDICAL, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Sep 2007 (18 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 529517
Place of Formation: IDAHO
File Number: 529517
ZIP code: 83201
County: Bannock County
Mailing Address: 1685 GRANITE DR POCATELLO, ID 83201-8023

Agent

Name Role Address
EARL L STODDARD MD Agent 147 W CHUBBUCK RD, POCATELLO, ID 83202

Director

Name Role Address Appointed On
Stoddard Medical, Inc Director 147 W CHUBBUCK RD, CHUBBUCK, ID 83202 2020-09-02

National Provider Identifier

NPI Number:
1972745594
Link:
View on NPI website

Authorized Person:

Name:
EARL R STODDARD
Role:
OWNER/PHYSICIAN
Phone:
2082387546

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 208-238-7546
Fax:
2082379643

Form 5500 Series

Employer Identification Number (EIN):
900340231
Plan Year:
2021
Number Of Participants:
32
Sponsors Telephone Number:
2082387546
File:
View File
Plan Year:
2019
Number Of Participants:
25
Sponsors Telephone Number:
2082387546
File:
View File
Plan Year:
2018
Number Of Participants:
24
Sponsors Telephone Number:
2082387546
File:
View File
Plan Year:
2017
Number Of Participants:
19
Sponsors Telephone Number:
2082387546
File:
View File
Plan Year:
2016
Number Of Participants:
16
Sponsors Telephone Number:
2082387546
File:
View File

Filing

Filing Name Filing Number Filing date
Annual Report 0005878284 2024-09-03
Statement of Change of Business Mailing Address 0005615251 2024-02-27
Annual Report 0005381625 2023-09-05
Annual Report 0004884541 2022-09-06
Annual Report 0004370735 2021-08-05

USAspending Awards / Financial Assistance

Date:
2021-03-17
Link:
View on USAspending
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:
364810.00
Total Face Value Of Loan:
364810.00
Date:
2020-04-13
Link:
View on USAspending
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:
355400.00
Total Face Value Of Loan:
355400.00
Date:
2020-04-13
Link:
View on USAspending
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:
355400.00
Total Face Value Of Loan:
355400.00

Paycheck Protection Program

Jobs Reported:
44
Initial Approval Amount:
$364,810
Date Approved:
2021-03-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$364,810
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$367,568.56
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $364,804
Utilities: $1
Jobs Reported:
34
Initial Approval Amount:
$355,400
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$355,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$358,681.36
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $266,550
Utilities: $44,425
Rent: $44,425

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1685 GRANITE DR POCATELLO, ID 83201-8023

E & B STODDARD PROPERTIES LLC EB STODDARD MEDICAL LLC

Date of last update: 11 Aug 2025

Sources: Idaho Secretary of State

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