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FUNCTIONAL MEDICINE CENTER OF BOISE LLC

Company Details

Name: FUNCTIONAL MEDICINE CENTER OF BOISE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Domesticated Out
Date of registration: 26 Mar 2018 (7 years ago)
Financial Date End: 31 Mar 2025
Date dissolved: 21 Feb 2025
Entity Number: 601003
Place of Formation: IDAHO
File Number: 601003
ZIP code: 83687
County: Canyon County
Principal Address: 3808 WHISTLING HEIGHTS WAY NAMPA, ID 83687
Mailing Address: SPENCER ZIMMERMAN STE 100 1678 S WOODSAGE AVE MERIDIAN, ID 83642-8325

Agent

Name Role Address
SPENCER ZIMMERMAN Agent 1678 S WOODSAGE AVE, 100, SPENCER ZIMMERMAN, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
Spencer Zimmerman Manager 1055 S TWIN LAKES AVENUE, MIDDLETON, ID 83644 2021-06-15

Filing

Filing Name Filing Number Filing date
Statement of Domestication Out 0006105230 2025-02-21
Annual Report 0005683894 2024-04-08
Annual Report 0005192593 2023-04-09
Annual Report 0004695266 2022-04-12
Application for Reinstatement 0004317332 2021-06-15
Dissolution/Revocation - Administrative 0004316091 2021-06-15
Annual Report 0003829364 2020-04-03
Statement of Change of Business Mailing Address 0003811086 2020-03-11
Application for Reinstatement 0003598512 2019-08-20
Dissolution/Revocation - Administrative 0003566592 2019-07-14

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1199947409 2020-05-04 1087 PPP 1678 S WOODSAGE AVE #100, MERIDIAN, ID, 83642
Loan Status Date 2021-07-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 15461
Loan Approval Amount (current) 15461
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MERIDIAN, ADA, ID, 83642-0001
Project Congressional District ID-01
Number of Employees 2
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 15635.94
Forgiveness Paid Date 2021-06-25

Date of last update: 12 Apr 2025

Sources: Idaho Secretary of State