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TETON SUPPORTED LIVING LLC

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Company Details

Name: TETON SUPPORTED LIVING LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Jan 2017 (8 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 537202
Place of Formation: IDAHO
File Number: 537202
ZIP code: 83616
County: Ada County
Principal Address: SUITE 166 1036 E. IRON EAGLE DRIVE EAGLE, ID 83616
Mailing Address: SUITE 160 1036 E. IRON EAGLE DRIVE EAGLE, ID 83616

Manager

Name Role Address Appointed On Resigned On
Jodi L Copeland Manager 1036 E IRON EAGLE DRIVE, EAGLE, ID 83616 2020-12-07 2023-02-21
Jordan New Manager 1036 IRON EAGLE DRIVE, EAGLE, ID 83616 2023-02-21 No data
Jeffrey Copeland Manager 10261 PACKSADDLE LAKE RD, TETONIA, ID 83452 2023-12-06 2023-12-06
Cheryl Copeland Manager 10261 PACKSADDLE LAKE RD, TETONIA, ID 83452 2023-12-06 2023-12-06

Agent

Name Role Address
JODI COPELAND Agent 1036 IRON EAGLE DRIVE, SUITE 160, EAGLE, ID 83616

National Provider Identifier

NPI Number:
1477086114

Authorized Person:

Name:
JODI L COPELAND
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
Yes

Contacts:

Fax:
2086721388

Filing

Filing Name Filing Number Filing date
Annual Report 0006034625 2024-12-24
Change of Registered Office/Agent/Both (by Entity) 0005882872 2024-09-04
Amendment to Certificate 0005526655 2023-12-26
Annual Report 0005503502 2023-12-06
Application for Reinstatement 0005121421 2023-02-21

USAspending Awards / Financial Assistance

Date:
2021-04-09
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:
148854.00
Total Face Value Of Loan:
148854.00
Date:
2020-04-13
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:
147300.00
Total Face Value Of Loan:
147300.00

Paycheck Protection Program

Date Approved:
2021-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
148854
Current Approval Amount:
148854
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
149465.73
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
147300
Current Approval Amount:
147300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
148898.1

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State