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ARTISAN PRIMARY CARE PLLC

Company Details

Name: ARTISAN PRIMARY CARE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Jun 2018 (7 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 614989
Place of Formation: IDAHO
File Number: 614989
ZIP code: 83854
County: Kootenai County
Principal Address: 185 W 4TH AVE STE B POST FALLS, ID 83854
Mailing Address: STE B 185 W 4TH AVE POST FALLS, ID 83854-4979

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARTISAN PRIMARY CARE 401(K) PLAN 2023 831043514 2024-11-19 ARTISAN PRIMARY CARE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2087731592
Plan sponsor’s address 185 W. 4TH AVE., SUITE B, POST FALLS, ID, 83854
ARTISAN PRIMARY CARE 401(K) PLAN 2023 831043514 2024-10-21 ARTISAN PRIMARY CARE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2087731592
Plan sponsor’s address 185 W. 4TH AVE., SUITE B, POST FALLS, ID, 83854
ARTISAN PRIMARY CARE 401(K) PLAN 2022 831043514 2023-07-28 ARTISAN PRIMARY CARE 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2087731592
Plan sponsor’s address 185 W. 4TH AVE., SUITE B, POST FALLS, ID, 83854
ARTISAN PRIMARY CARE 401(K) PLAN 2021 831043514 2022-10-17 ARTISAN PRIMARY CARE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2087731592
Plan sponsor’s address 185 W. 4TH AVE., SUITE B, POST FALLS, ID, 83854

Agent

Name Role Address
JAMES BAILEY Agent 185 W 4TH AVE, STE B, POST FALLS, ID 83854-4979

Manager

Name Role Address Appointed On
James Bailey Manager 185 W 4TH AVE STE B, POST FALLS, ID 83854 2021-05-10

Filing

Filing Name Filing Number Filing date
Annual Report 0005742187 2024-05-19
Annual Report 0005234884 2023-05-09
Annual Report 0004767686 2022-06-03
Annual Report 0004279107 2021-05-10
Annual Report 0003883630 2020-05-26
Annual Report 0003549310 2019-06-23
Initial Filing 0000614989 2018-06-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9217737003 2020-04-09 1094 PPP 185 W 4TH AVE STE B, POST FALLS, ID, 83854-4978
Loan Status Date 2021-09-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 17604
Loan Approval Amount (current) 17604
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 New Business or 2 years or less
Project Address POST FALLS, KOOTENAI, ID, 83854-4978
Project Congressional District ID-01
Number of Employees 1
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 87893
Originating Lender Name Glacier Bank
Originating Lender Address KALISPELL, MT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 17838.88
Forgiveness Paid Date 2021-08-23

Date of last update: 12 Apr 2025

Sources: Idaho Secretary of State