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GRIN PLLC

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Company Details

Name: GRIN PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Dec 2017 (7 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 582806
Place of Formation: IDAHO
File Number: 582806
ZIP code: 83404
County: Bonneville County
Principal Address: 2685 CHANNING WAY IDAHO FALLS, ID 83404
Mailing Address: 2685 CHANNING WAY IDAHO FALLS, ID 83404-7518

Agent

Name Role Address
PARKWEST DENTAL CARE PLLC Agent 885 PANCHERI DR, IDAHO FALLS, ID 83402

Member

Name Role Address Appointed On Resigned On
Brett D Jacobson Member 885 PANCHERI DR, IDAHO FALLS, ID 83402 2021-01-11 No data
James G Drake Member 885 PANCHERI DR, IDAHO FALLS, ID 83402 2023-12-05 2023-12-05

National Provider Identifier

NPI Number:
1144720103

Authorized Person:

Name:
DR. JAMES G DRAKE
Role:
DOCTOR/PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2085240873

Filing

Filing Name Filing Number Filing date
Annual Report 0006019708 2024-12-10
Annual Report 0005500855 2023-12-05
Annual Report 0004984998 2022-11-07
Annual Report 0004476866 2021-11-03
Annual Report 0004128791 2021-01-11

USAspending Awards / Financial Assistance

Date:
2021-04-10
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:
73502.50
Total Face Value Of Loan:
73502.50
Date:
2020-04-07
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:
68100.00
Total Face Value Of Loan:
68100.00

Paycheck Protection Program

Date Approved:
2021-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
73502.5
Current Approval Amount:
73502.5
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
73776.37
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
68100
Current Approval Amount:
68100
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
68851.9

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State