JOHANSEN SURGICAL, P.A.

Company Details

Name:	JOHANSEN SURGICAL, P.A.
Jurisdiction:	Idaho
Legal type:	Professional Service Corporation (D)
Status:	Active-Good Standing
Date of registration:	30 Aug 2013 (12 years ago)
Financial Date End:	31 Aug 2025
Entity Number:	601911
Place of Formation:	IDAHO
File Number:	601911
ZIP code:	83406
County:	Bonneville County
Mailing Address:	STE 140 3456 E 17TH ST AMMON, ID 83406-6746

Name	Role	Address
F TAYLOR JOHANSEN	Agent	331 N 400 W, BLACKFOOT, ID 83221

Name	Role	Address	Appointed On
F. Taylor Johansen	President	331 N 400 W, BLACKFOOT, ID 83221	2020-07-30

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

2979227106

2020-04-11

1087

PPP

331 N 400 W, BLACKFOOT, ID, 83221-5472

Loan Status Date	2021-05-21
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	25700
Loan Approval Amount (current)	25700
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	20132
Servicing Lender Name	D. L. Evans Bank
Servicing Lender Address	375 N Overland Ave, BURLEY, ID, 83318-3432
Rural or Urban Indicator	R
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	BLACKFOOT, BINGHAM, ID, 83221-5472
Project Congressional District	ID-02
Number of Employees	2
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	20132
Originating Lender Name	D. L. Evans Bank
Originating Lender Address	BURLEY, ID
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	25964.04
Forgiveness Paid Date	2021-04-28

8499608608

2021-03-25

1087

PPS

331 N 400 W, Blackfoot, ID, 83221-5472

Loan Status Date	2021-09-24
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	25700
Loan Approval Amount (current)	25700
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	20132
Servicing Lender Name	D. L. Evans Bank
Servicing Lender Address	375 N Overland Ave, BURLEY, ID, 83318-3432
Rural or Urban Indicator	R
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Blackfoot, BINGHAM, ID, 83221-5472
Project Congressional District	ID-02
Number of Employees	2
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	20132
Originating Lender Name	D. L. Evans Bank
Originating Lender Address	BURLEY, ID
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	25799.98
Forgiveness Paid Date	2021-08-20

Date of last update: 12 Apr 2025