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PASSPORT TO INDEPENDENCE LLC

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Company Details

Name: PASSPORT TO INDEPENDENCE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 16 Apr 2008 (17 years ago)
Financial Date End: 30 Apr 2025
Date dissolved: 07 Jan 2025
Entity Number: 230724
Place of Formation: IDAHO
File Number: 230724
ZIP code: 83686
County: Canyon County
Principal Address: 12369 S CARRIAGE HILL WAY NAMPA, ID 83686
Mailing Address: 1259 W ULTAR DR NAMPA, ID 83686-6924

Agent

Name Role Address
michael anthony triolo Agent 1259 W ULTAR DR, NAMPA, ID 83686

Member

Name Role Address Appointed On
Michael Triolo Member 1259 W ULTAR DR, NAMPA, ID 83686 2024-03-03
Lisa D Triolo Member 12369 S CARRIAGE HILL WAY, NAMPA, ID 83686-5764 2022-06-06

Manager

Name Role Address Appointed On
Lisa D Triolo Manager 1259 W ULTAR DR, NAMPA, ID 83686 2024-03-03

National Provider Identifier

NPI Number:
1275790081

Authorized Person:

Name:
MR. MICHAEL ANTHONY TRIOLO
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QX0100X - Occupational Medicine Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0006054102 2025-01-07
Statement of Change of Business Mailing Address 0005822861 2024-07-17
Annual Report 0005626720 2024-03-03
Annual Report 0005153443 2023-03-12
Amendment to Certificate 0004786628 2022-06-24

Trademarks Section

Serial Number:
77498994
Mark:
PASSPORT TO INDEPENDENCE
Status:
Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Service Mark
Application Filing Date:
2008-06-13
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
PASSPORT TO INDEPENDENCE

Goods And Services

For:
Occupational therapy services
First Use:
2008-06-13
International Classes:
044 - Primary Class
Class Status:
SECTION 8 - CANCELLED

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Date of last update: 30 May 2025

Sources: Idaho Secretary of State