BOISE VALLEY SPORTS MEDICINE PLLC

Company Details

Name:	BOISE VALLEY SPORTS MEDICINE PLLC
Jurisdiction:	Idaho
Legal type:	Limited Liability Company (D)
Status:	Active-Existing
Date of registration:	21 Dec 2001 (23 years ago)
Financial Date End:	31 Dec 2025
Entity Number:	66328
Place of Formation:	IDAHO
File Number:	66328
ZIP code:	83702
County:	Ada County
Principal Address:	301 NORTH 27TH BOISE, ID 83702
Mailing Address:	301 N 27TH ST BOISE, ID 83702-4725

Name	Role	Address
JEFF WELKER	Agent	301 NORTH 27TH, BOISE, ID 83702

Name	Role	Address	Appointed On	Resigned On
Jeffrey T Welker	Manager	301 N 27TH, BOISE, ID 83702	2023-12-03	No data
Boise Valley S Medicine	Manager	301 N 27TH, BOISE, ID 83702	2020-11-03	2023-12-03

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

4732347202

2020-04-27

1087

PPP

301 N 27th St., Boise, ID, 83702

Loan Status Date	2021-02-03
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	8200
Loan Approval Amount (current)	8200
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	96211
Servicing Lender Name	Idaho Central CU
Servicing Lender Address	4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Boise, ADA, ID, 83702-0100
Project Congressional District	ID-02
Number of Employees	1
NAICS code	621111
Borrower Race	White
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	96211
Originating Lender Name	Idaho Central CU
Originating Lender Address	CHUBBUCK, ID
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	8256.39
Forgiveness Paid Date	2021-01-07

1734158505

2021-02-19

1087

PPS

301 N 27th St, Boise, ID, 83702-4725

Loan Status Date	2022-03-09
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	8005
Loan Approval Amount (current)	8005
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	96211
Servicing Lender Name	Idaho Central CU
Servicing Lender Address	4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Boise, ADA, ID, 83702-4725
Project Congressional District	ID-02
Number of Employees	1
NAICS code	621111
Borrower Race	White
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	96211
Originating Lender Name	Idaho Central CU
Originating Lender Address	CHUBBUCK, ID
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	8034.39
Forgiveness Paid Date	2021-07-12

Date of last update: 30 Mar 2025