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DAVID R. DONALDSON, M.D., PLLC

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Company Details

Name: DAVID R. DONALDSON, M.D., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Apr 2006 (19 years ago)
Financial Date End: 30 Apr 2026
Date dissolved: 03 Jul 2020
Entity Number: 160265
Place of Formation: IDAHO
File Number: 160265
ZIP code: 83201
County: Bannock County
Principal Address: 2037 SUNRISE WAY POCATELLO, ID 83201-1985

Agent

Name Role Address
DAVID R DONALDSON MD Agent 2037 SUNRISE WAY, POCATELLO, ID 83201

Member

Name Role Address Appointed On
DAVID DONALDSON Member 2037 SUNRISE WAY, POCATELLO, ID 83201 2025-04-03

National Provider Identifier

NPI Number:
1689869836

Authorized Person:

Name:
MRS. DEBBY WILCOX
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082322770

Form 5500 Series

Employer Identification Number (EIN):
203385308
Plan Year:
2024
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006188150 2025-04-03
Application for Reinstatement 0005950711 2024-10-25
Dissolution/Revocation - Administrative 0003925408 2020-07-03
Annual Report 0003487025 2019-04-22
Annual Report 0001548809 2018-02-27

USAspending Awards / Financial Assistance

Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
40220.00
Total Face Value Of Loan:
40220.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$40,220
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,220
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$40,739
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $40,220

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Date of last update: 16 Jul 2025

Sources: Idaho Secretary of State