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Inland Orthopaedic Surgery and Sports Medicine Clinic, PLLC

Company Details

Name: Inland Orthopaedic Surgery and Sports Medicine Clinic, PLLC
Jurisdiction: Idaho
Legal type: Professional Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Oct 2018 (7 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 3308012
Place of Formation: IDAHO
File Number: 639409
ZIP code: 83843
County: Latah County
Principal Address: STE 201 2500 W A STREET MOSCOW, ID 83843
Mailing Address: STE 201 2500 W A ST MOSCOW, ID 83843-6000

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Member

Name Role Address Appointed On Resigned On
Edwin M. Tingstad, MD, PLLC Member 2500 W A STREET, MOSCOW, ID 83843 2021-09-03 No data
Kyle Hazelwood MD PLLC Member 2500 WEST A STREET, MOSCOW, ID 83843 2023-10-03 2023-10-03
Aaron J Vandenbos MD Member 2500 W A ST, MOSCOW, ID 83843 2023-10-03 No data
Mathew Z Taylor MD Member 2500 W A ST, MOSCOW, ID 83843 2023-10-03 No data

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006068613 2025-02-07
Annual Report 0005955562 2024-10-31
Change of Registered Office/Agent/Both (by Entity) 0005774121 2024-06-27
Amendment to Certificate 0005441751 2023-10-16
Annual Report 0005417830 2023-10-03
Annual Report 0004927630 2022-09-29
Annual Report 0004401151 2021-09-03
Annual Report Amendment 0004396523 2021-08-31
Annual Report 0004015175 2020-10-01
Annual Report 0003620140 2019-09-11

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5089407310 2020-04-30 1094 PPP 2500 W A St. Ste 201, MOSCOW, ID, 83843
Loan Status Date 2021-06-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 292201.24
Loan Approval Amount (current) 292201.24
Undisbursed Amount 0
Franchise Name -
Lender Location ID 79430
Servicing Lender Name Banner Bank
Servicing Lender Address 10 S First Ave, WALLA WALLA, WA, 99362-1942
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description New Business or 2 years or less
Project Address MOSCOW, LATAH, ID, 83843-0001
Project Congressional District ID-01
Number of Employees 26
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 79430
Originating Lender Name Banner Bank
Originating Lender Address WALLA WALLA, WA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 295099.24
Forgiveness Paid Date 2021-05-05

Date of last update: 13 Apr 2025

Sources: Idaho Secretary of State