NICHOLAS J. KELSEY O.D., P.A.

Company Details

Name:	NICHOLAS J. KELSEY O.D., P.A.
Jurisdiction:	Idaho
Legal type:	Professional Service Corporation (D)
Status:	Active-Good Standing
Date of registration:	25 Aug 2009 (16 years ago)
Financial Date End:	31 Aug 2025
Entity Number:	556955
Place of Formation:	IDAHO
File Number:	556955
ZIP code:	83316
County:	Twin Falls County
Mailing Address:	650 BROADWAY AVE S BUHL, ID 83316-1808

Name	Role	Address
NICHOLAS J KELSEY	Agent	650 BROADWAY AVE SOUTH, BUHL, ID 83316

Name	Role	Address	Appointed On	Resigned On
Nick Kelsey	President	650 BROADWAY AVE SOUTH, BUHL, ID 83316	2020-11-17	2022-01-12
Nick Kelsey	President	650 BROADWAY AVE S, BUHL, ID 83316-1808	2023-01-04	No data
Nick KELSEY	President	650 BROADWAY AVE SOUTH, BUHL, ID 83316	2022-01-12	2023-01-04

Filing Name	Filing Number	Filing date
Annual Report	0005935918	2024-10-10
Annual Report	0005446859	2023-10-23
Application for Reinstatement	0005051881	2023-01-04
Dissolution/Revocation - Administrative	0004981408	2022-11-05
Application for Reinstatement	0004565768	2022-01-12
Dissolution/Revocation - Administrative	0004499977	2021-11-17
Application for Reinstatement	0004069883	2020-11-17
Dissolution/Revocation - Administrative	0004058730	2020-11-05
Annual Report	0003589947	2019-08-06
Annual Report	0003197807	2018-06-26
Annual Report	0003197805	2017-06-29
Annual Report	0003197804	2016-06-23
Annual Report	0003197803	2015-07-02
Annual Report	0003197802	2014-06-11
Annual Report	0003197801	2013-06-15
Annual Report	0003197800	2012-06-13
Annual Report	0003197799	2011-09-11
Annual Report	0003197798	2010-08-25
Initial Filing	0000556955	2009-08-25

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5287498704

2021-04-02

1087

PPS

650 Broadway Ave S, Buhl, ID, 83316-1808

Loan Status Date	2021-11-06
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	28110
Loan Approval Amount (current)	28110
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	80257
Servicing Lender Name	First Federal Savings Bank of Twin Falls
Servicing Lender Address	383 Shoshone St North, TWIN FALLS, ID, 83301-6152
Rural or Urban Indicator	U
Hubzone	Y
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Buhl, TWIN FALLS, ID, 83316-1808
Project Congressional District	ID-02
Number of Employees	4
NAICS code	621320
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	80257
Originating Lender Name	First Federal Savings Bank of Twin Falls
Originating Lender Address	TWIN FALLS, ID
Gender	Unanswered
Veteran	Non-Veteran
Forgiveness Amount	28264.03
Forgiveness Paid Date	2021-10-27

4732077008

2020-04-04

1087

PPP

650 Broadway Ave S, BUHL, ID, 83316-1532

Loan Status Date	2021-10-09
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	26800
Loan Approval Amount (current)	26800
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	80257
Servicing Lender Name	First Federal Savings Bank of Twin Falls
Servicing Lender Address	383 Shoshone St North, TWIN FALLS, ID, 83301-6152
Rural or Urban Indicator	U
Hubzone	Y
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	BUHL, TWIN FALLS, ID, 83316-1532
Project Congressional District	ID-02
Number of Employees	4
NAICS code	621320
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	80257
Originating Lender Name	First Federal Savings Bank of Twin Falls
Originating Lender Address	TWIN FALLS, ID
Gender	Unanswered
Veteran	Non-Veteran
Forgiveness Amount	27153.91
Forgiveness Paid Date	2021-08-10

Date of last update: 11 Apr 2025