| Name: | IDAHO EYELID & FACIAL PLASTIC SURGERY, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 12 Apr 2005 (20 years ago) |
| Financial Date End: | 30 Apr 2025 |
| Entity Number: | 128040 |
| Place of Formation: | IDAHO |
| File Number: | 128040 |
| ZIP code: | 83702 |
| County: | Ada County |
| Principal Address: | 111 W. MAIN ST 200 BOISE, ID 83702 |
| Mailing Address: | STE 200 111 W MAIN ST BOISE, ID 83702-7308 |
| Name | Role | Address |
|---|---|---|
| DR MARK BOERNER | Agent | 111 W. MAIN ST, STE 200, BOISE, ID 83702 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Mark J Boerner MD | Member | 111 W MAIN ST, BOISE, ID 83702-7308 | 2023-04-10 | No data |
| Mark Boerner | Member | 111 W MAIN ST. STE 200, BOISE, ID 83702 | 2021-08-30 | 2023-04-10 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Ashley L Gulley | Manager | 111 W MAIN ST, BOISE, ID 83702-7308 | 2024-04-25 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005704212 | 2024-04-25 |
| Application for Reinstatement | 0005193216 | 2023-04-10 |
| Dissolution/Revocation - Administrative | 0004810737 | 2022-07-09 |
| Application for Reinstatement | 0004395390 | 2021-08-30 |
| Dissolution/Revocation - Administrative | 0004347051 | 2021-07-14 |
| Annual Report | 0003804500 | 2020-03-05 |
| Annual Report | 0003493072 | 2019-04-25 |
| Annual Report | 0001411721 | 2018-04-09 |
| Legacy Amendment | 0000730337 | 2017-05-08 |
| Annual Report | 0001411720 | 2017-04-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3323737108 | 2020-04-11 | 1087 | PPP | 111 West Main Street Suite 200, BOISE, ID, 83702-7261 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 31 Mar 2025
Sources: Idaho Secretary of State
