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SOUTHWEST IDAHO SURGERY CENTER, INC.

Company Details

Name: SOUTHWEST IDAHO SURGERY CENTER, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jan 1996 (29 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 361569
Place of Formation: IDAHO
File Number: 361569
ZIP code: 83704
County: Ada County
Mailing Address: ERIN PRETTYWEASEL STE 450 900 N LIBERTY ST BOISE, ID 83704-8891

President

Name Role Address Appointed On Resigned On
Todd J Rustad President 900 N LIBERTY STREET, BOISE, ID 83704-8787 2020-12-03 2022-01-07
Ryan Van De Graaff President 900 N LIBERTY STREET, BOISE, ID 83704-8787 2022-01-07 No data

Director

Name Role Address Appointed On Resigned On
Alexander Rock Director 900 N LIBERTY ST, BOISE, ID 83704-8891 2024-02-27 2024-02-27
Matthew Schwarz Director 900 N LIBERTY STREET, BOISE, ID 83704-8787 2024-02-27 2024-02-27

Secretary

Name Role Address Appointed On Resigned On
Eric Garner Secretary 900 N LIBERTY STREET, BOISE, ID 83704-8787 2024-02-27 2024-02-27

Agent

Name Role Address
GIVENS PURSLEY CORPORATE SERVICES LLC Agent 601 W BANNOCK ST, BOISE, ID 83702

Vice President

Name Role Address Appointed On
Ryan Van De Graaff Vice President 900 N LIBERTY STREET, BOISE, ID 83704-8787 2025-01-30

Filing

Filing Name Filing Number Filing date
Annual Report 0006085073 2025-01-30
Annual Report 0005615033 2024-02-27
Annual Report 0005020758 2022-12-08
Annual Report 0004558148 2022-01-07
Change of Registered Office/Agent/Both (by Entity) 0004295454 2021-06-03
Annual Report 0004083272 2020-12-03
Annual Report 0003695150 2019-12-02
Annual Report 0003405994 2019-01-22
Annual Report 0002546430 2017-11-30
Annual Report 0002546429 2016-12-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1624118503 2021-02-19 1087 PPS 900 N Liberty St Ste 450, Boise, ID, 83704-8891
Loan Status Date 2021-07-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 233320
Loan Approval Amount (current) 233320
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20132
Servicing Lender Name D. L. Evans Bank
Servicing Lender Address 375 N Overland Ave, BURLEY, ID, 83318-3432
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Boise, ADA, ID, 83704-8891
Project Congressional District ID-02
Number of Employees 18
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 20132
Originating Lender Name D. L. Evans Bank
Originating Lender Address BURLEY, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 234106.26
Forgiveness Paid Date 2021-06-23
1589297105 2020-04-10 1087 PPP 900 N. Liberty St., Ste 450, BOISE, ID, 83704-8704
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 200500
Loan Approval Amount (current) 200500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20132
Servicing Lender Name D. L. Evans Bank
Servicing Lender Address 375 N Overland Ave, BURLEY, ID, 83318-3432
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BOISE, ADA, ID, 83704-8704
Project Congressional District ID-02
Number of Employees 20
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 20132
Originating Lender Name D. L. Evans Bank
Originating Lender Address BURLEY, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 202142.45
Forgiveness Paid Date 2021-02-11

Date of last update: 05 Apr 2025

Sources: Idaho Secretary of State