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GREAT WESTERN DISTRIBUTION OF IDAHO, LLC

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Company Details

Name: GREAT WESTERN DISTRIBUTION OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Apr 2006 (19 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 160660
Place of Formation: IDAHO
File Number: 160660
ZIP code: 83714
County: Ada County
Principal Address: SHERMAN LEIBOW 106 E 46TH PL BOISE, ID 83714-4701

Agent

Name Role Address
SHERMAN D LEIBOW Agent 106 E. 46TH PLACE, BOISE, ID 83714

Manager

Name Role Address Appointed On Resigned On
Sherman D Leibow Manager 106 E. 46TH PLACE, BOISE, ID 83714 2020-09-11 2022-12-19
Sherman Leibow Manager 106 E 46TH PLACE, BOISE, ID 83714 2025-05-06 No data

National Provider Identifier

NPI Number:
1497022420

Authorized Person:

Name:
SHERMAN LEIBOW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
2082873695

Form 5500 Series

Employer Identification Number (EIN):
204711334
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006242399 2025-05-06
Application for Reinstatement 0005902162 2024-09-17
Dissolution/Revocation - Administrative 0005318565 2023-07-13
Application for Reinstatement 0005034172 2022-12-19
Dissolution/Revocation - Administrative 0004810766 2022-07-09

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Date of last update: 25 Jun 2025

Sources: Idaho Secretary of State