# PPP loan: FORM MED SPA LLC
> **$193K** approved 04/09/2020 · Paid in Full · Loan `9412057006`
## Borrower
- **Name:** FORM MED SPA LLC
- **Address:** 6322 S 3000 E Suite 170, SALT LAKE CITY, UT, 84121-3541
- **NAICS:** 621111
- **Business type:** Limited  Liability Company(LLC)
- **Business age:** Existing or more than 2 years old
## Loan
- **Approval amount:** $193K
- **Initial approval:** $193K
- **Forgiven:** $195K (101%)
- **Forgiveness date:** 04/08/2021
- **Status:** Paid in Full
- **Term:** 24 months
## Use of funds
- **Payroll:** $193K
- **Jobs reported:** 20
## Lender
- **Originating:** First Utah Bank
- **Servicing:** First Utah Bank (UT)
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*Source: [SBA PPP Data](https://data.sba.gov/dataset/ppp-foia) · AI Analytics · CC0 1.0*