| Name: | IDAHO OCCUPATIONAL MEDICINE GROUP, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 14 Feb 2008 (17 years ago) |
| Financial Date End: | 28 Feb 2026 |
| Entity Number: | 224544 |
| Place of Formation: | IDAHO |
| File Number: | 224544 |
| ZIP code: | 83814 |
| County: | Kootenai County |
| Principal Address: | 3318 N GRAND MILL LN COEUR D ALENE, ID 83814-5689 |
| Mailing Address: | 1839 N GOVERNMENT WAY COEUR D ALENE, ID 83814-3454 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LRBDTNA76SQ4 | 2025-01-08 | 1839 N GOVERNMENT WAY, COEUR D ALENE, ID, 83814, 3454, USA | 1839 N GOVERNMENT WAY, COEUR D ALENE, ID, 83814, 3454, USA | |||||||||||||||||||||||||||||||||||
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| Congressional District | 01 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2024-01-11 |
| Initial Registration Date | 2022-12-13 |
| Entity Start Date | 2012-07-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAWN STANCIU |
| Address | 1839 N GOVERNMENT WAY, COEUR D ALENE, ID, 83814, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAWN STANCIU |
| Address | 1839 N GOVERNMENT WAY, COEUR D ALENE, ID, 83814, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| MICHAEL ALAN LUDWIG | Agent | 1839 N. GOVERNMENT WAY, COEUR D’ALENE, ID 83814 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Idaho Occupational Medicine Group | Manager | 1839 N GOVERNMENT WAY, COEUR D’ALENE, ID 83815 | 2021-01-04 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006051528 | 2025-01-06 |
| Annual Report | 0005552762 | 2024-01-09 |
| Annual Report | 0005103599 | 2023-02-08 |
| Annual Report | 0004600958 | 2022-02-08 |
| Statement of Change of Business Mailing Address | 0004389583 | 2021-08-20 |
| Annual Report | 0004114757 | 2021-01-04 |
| Annual Report | 0003779872 | 2020-02-12 |
| Dissolution/Revocation - Administrative | 0003542019 | 2019-06-18 |
| Annual Report | 0003544786 | 2019-06-18 |
| Annual Report | 0001821678 | 2018-02-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1595657200 | 2020-04-15 | 1094 | PPP | 3318 N GRAND MILL, COEUR D ALENE, ID, 83815 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9349478409 | 2021-02-16 | 1094 | PPS | 1839 N Government Way, Coeur D Alene, ID, 83814-3454 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Idaho Secretary of State
