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SOUTHERN IDAHO PAIN INSTITUTE, P.C.

SOUTHERN IDAHO PAIN INSTITUTE, P.C.

Company Details

Name:	SOUTHERN IDAHO PAIN INSTITUTE, P.C.
Jurisdiction:	Idaho
Legal type:	Professional Service Corporation (D)
Status:	Active-Good Standing
Date of registration:	29 Nov 1996 (28 years ago)
Financial Date End:	30 Nov 2025
Entity Number:	360429
Place of Formation:	IDAHO
File Number:	360429
ZIP code:	83301
County:	Twin Falls County
Mailing Address:	248 WOODRIDGE DR TWIN FALLS, ID 83301

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

DLRAHKM6N719

2023-03-25

176 FALLS AVE, TWIN FALLS, ID, 83301, 2306, USA

176 FALLS AVE, TWIN FALLS, ID, 83301, USA

Business Information

Division Name	SOUTHERN IDAHO PAIN INSTITUTE PC
Division Number	SOUTHERN I
Congressional District	02
State/Country of Incorporation	ID, USA
Activation Date	2022-03-02
Initial Registration Date	2021-10-14
Entity Start Date	1996-11-27
Fiscal Year End Close Date	Dec 31

Service Classifications

NAICS Codes

621111

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	DENISE RUE
Role	ADMINISTRATOR
Address	176 FALLS AVE, TWIN FALLS, ID, 83301, 2306, USA

Government Business
Title	PRIMARY POC
Name	DENISE RUE
Role	ADMINISTRATOR
Address	176 FALLS AVE, TWIN FALLS, ID, 83301, 2306, USA

Past Performance	Information not Available

Agent

Name	Role	Address
JULIA POLLOW	Agent	1150 EASTLAND DR. NORTH, TWIN FALLS, ID 83301

President

Name	Role	Address	Appointed On
Clinton L Dille	President	176 FALLS AVE, TWIN FALLS, ID 83301	2020-12-02

Filing

Filing Name	Filing Number	Filing date
Annual Report	0005962920	2024-11-04
Annual Report	0005491090	2023-11-30
Annual Report	0004987317	2022-11-08
Annual Report	0004444267	2021-10-12
Annual Report	0004081711	2020-12-02
Annual Report	0003634264	2019-10-01
Annual Report	0003350911	2018-11-19
Annual Report	0002540815	2017-09-25
Annual Report	0002540812	2016-09-30
Annual Report	0002540810	2015-09-22
Annual Report	0002540806	2014-10-02
Annual Report	0002540807	2013-09-19
Annual Report	0002540803	2012-09-13
Annual Report	0002540797	2011-09-13
Annual Report	0002540796	2010-10-18
Change of Registered Office/Agent/Both (by Entity)	0002540798	2009-12-17
Annual Report	0002540800	2009-12-15
Annual Report	0002540795	2009-01-10
Annual Report	0002540799	2007-11-23
Annual Report	0002540792	2006-09-20
Annual Report	0002540791	2005-09-12
Annual Report	0002540790	2004-09-17
Annual Report	0002540787	2003-09-12
Annual Report	0002540789	2002-09-11
Annual Report	0002540802	2001-11-19
Annual Report	0002540801	2000-09-15
Annual Report	0002540794	1999-07-14
Annual Report	0002540788	1998-07-20
Annual Report	0002540793	1997-07-18
Initial Filing	0000360429	1996-11-29

Paycheck Protection Program

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

7333637104

2020-04-14

1087

PPP

176 Falls Ave, Twin Falls, ID, 83301-2306

Loan Status Date	2021-08-07
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	213500
Loan Approval Amount (current)	213500
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	80257
Servicing Lender Name	First Federal Savings Bank of Twin Falls
Servicing Lender Address	383 Shoshone St North, TWIN FALLS, ID, 83301-6152
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Twin Falls, TWIN FALLS, ID, 83301-2306
Project Congressional District	ID-02
Number of Employees	28
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	80257
Originating Lender Name	First Federal Savings Bank of Twin Falls
Originating Lender Address	TWIN FALLS, ID
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	216243.33
Forgiveness Paid Date	2021-07-29

Date of last update: 05 Apr 2025

Sources: Idaho Secretary of State