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JON-ERIC BAILLIE MD PLLC

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Company Details

Name: JON-ERIC BAILLIE MD PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Jan 2013 (12 years ago)
Financial Date End: 31 Jan 2025
Date dissolved: 25 Apr 2025
Entity Number: 372662
Place of Formation: IDAHO
File Number: 372662
ZIP code: 83704
County: Ada County
Principal Address: 8100 W EMERALD STREET SUITE 180 BOISE, ID 83704
Mailing Address: JANENE RAYNE STE 404 850 E FRANKLIN RD MERIDIAN, ID 83642-8917

Agent

Name Role Address
JON-ERIC BAILLIE MD Agent 12510 W GUMWOOD DR, BOISE, ID 83713

Member

Name Role Address Appointed On
Janene E Rayne Member 7070 N HILLGARD AVE, BOISE, ID 83714-7683 2021-01-17
Jon-eric Baillie Member 12510 W GUMWOOD DR, BOISE, ID 83713 2024-02-26

National Provider Identifier

NPI Number:
1982037727

Authorized Person:

Name:
JANENE RAYNE
Role:
OWNER/PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2084605227

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006217954 2025-04-25
Annual Report 0005613737 2024-02-26
Annual Report 0005180995 2023-04-04
Annual Report 0004607460 2022-02-12
Annual Report 0004137034 2021-01-17

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$38,410
Date Approved:
2021-03-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$38,410
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$38,683.61
Servicing Lender:
Banner Bank
Use of Proceeds:
Payroll: $38,408
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$36,900
Date Approved:
2020-05-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$36,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$37,358.98
Servicing Lender:
Banner Bank
Use of Proceeds:
Payroll: $36,900

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Date of last update: 29 Jun 2025

Sources: Idaho Secretary of State