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sparkMD LLC

Company Details

Name: sparkMD LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Oct 2023 (2 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 5441178
Place of Formation: IDAHO
File Number: 903048
ZIP code: 83702
County: Ada County
Principal Address: 2402 W JEFFERSON ST. BOISE, ID 83702
Mailing Address: JANE ANKENBAUER 2402 W JEFFERSON ST BOISE, ID 83702-4811

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPARKMD 401(K) P/S PLAN 2021 464490736 2022-04-22 SPARKMD 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2083694590
Plan sponsor’s address 2402 W JEFFERSON ST, BOISE, ID, 83702

Signature of

Role Plan administrator
Date 2022-04-22
Name of individual signing TANYA KOWITZ
Valid signature Filed with authorized/valid electronic signature
SPARKMD 401(K) P/S PLAN 2021 464490736 2022-03-11 SPARKMD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2083694590
Plan sponsor’s address 2402 W JEFFERSON ST, BOISE, ID, 83702

Signature of

Role Plan administrator
Date 2022-03-11
Name of individual signing TANYA KOWITZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Josh Leavitt Agent 2402 W JEFFERSON ST, BOISE, ID 83702

Manager

Name Role Address Appointed On
Josh Leavitt Manager 2402 W JEFFERSON ST, BOISE, ID 83702 2024-10-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005920979 2024-10-03
Initial Filing 0005441178 2023-10-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9178687008 2020-04-09 1087 PPP 2402 W JEFFERSON ST, BOISE, ID, 83702-4811
Loan Status Date 2021-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51759.8
Loan Approval Amount (current) 51759.8
Undisbursed Amount 0
Franchise Name -
Lender Location ID 87893
Servicing Lender Name Glacier Bank
Servicing Lender Address 202 Main St, KALISPELL, MT, 59901-4454
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BOISE, ADA, ID, 83702-4811
Project Congressional District ID-02
Number of Employees 5
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 87893
Originating Lender Name Glacier Bank
Originating Lender Address KALISPELL, MT
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 52197.99
Forgiveness Paid Date 2021-02-24
6684658506 2021-03-04 1087 PPS 2402 W Jefferson St, Boise, ID, 83702-4811
Loan Status Date 2021-10-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 39482.47
Loan Approval Amount (current) 39482.47
Undisbursed Amount 0
Franchise Name -
Lender Location ID 87893
Servicing Lender Name Glacier Bank
Servicing Lender Address 202 Main St, KALISPELL, MT, 59901-4454
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83702-4811
Project Congressional District ID-02
Number of Employees 5
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 87893
Originating Lender Name Glacier Bank
Originating Lender Address KALISPELL, MT
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 39680.42
Forgiveness Paid Date 2021-09-10

Date of last update: 17 Apr 2025

Sources: Idaho Secretary of State