| Name: | PETRIE WHITE FAMILY MEDICINE OF IDAHO, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 05 Apr 2011 (14 years ago) |
| Financial Date End: | 30 Apr 2026 |
| Entity Number: | 315356 |
| Place of Formation: | IDAHO |
| File Number: | 315356 |
| ZIP code: | 83617 |
| County: | Gem County |
| Principal Address: | 2001 E QUAIL RUN RD EMMETT, ID 83617 |
| Mailing Address: | 2001 E QUAIL RUN RD EMMETT, ID 83617-5059 |
| Name | Role | Address |
|---|---|---|
| JENNIFER L PETRIE MD | Agent | 2001 E QUAIL RUN ROAD, EMMETT, ID 83617 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Ryan E White | Manager | 2001 E QUAIL RUN ROAD, EMMETT, ID 83617 | 2021-03-08 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006141207 | 2025-03-04 |
| Annual Report | 0005632858 | 2024-03-04 |
| Annual Report | 0005155207 | 2023-03-14 |
| Annual Report | 0004686094 | 2022-04-04 |
| Annual Report | 0004201672 | 2021-03-08 |
| Annual Report | 0003830996 | 2020-04-03 |
| Annual Report | 0003496130 | 2019-04-29 |
| Annual Report | 0002314189 | 2018-03-15 |
| Annual Report | 0002314188 | 2017-04-05 |
| Annual Report | 0002314187 | 2016-04-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3842247105 | 2020-04-12 | 1087 | PPP | 2001 E Quail Run, EMMETT, ID, 83617 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 04 Apr 2025
Sources: Idaho Secretary of State
