| Name: | Hailey A. Clark FNP-C LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 08 Dec 2020 (4 years ago) |
| Financial Date End: | 31 Dec 2022 |
| Date dissolved: | 21 Mar 2023 |
| Entity Number: | 4094883 |
| Place of Formation: | IDAHO |
| File Number: | 736901 |
| ZIP code: | 83401 |
| County: | Bonneville County |
| Principal Address: | 4060 DUANE ST IDAHO FALLS, ID 83401-1846 |
| Mailing Address: | 9355 OUTLAW PASS MENAN, ID 83434-5209 |
| Name | Role | Address |
|---|---|---|
| Hailey A Clark | Agent | 9355 OUTLAW PASS, MENAN, ID 83434 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Hailey A Clark | Manager | 9355 OUTLAW PASS, MENAN, ID 83434 | 2022-01-18 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0005161820 | 2023-03-21 |
| Annual Report | 0004574761 | 2022-01-18 |
| Initial Filing | 0004094883 | 2020-12-08 |
Date of last update: 03 Jan 2025
Sources: Idaho Secretary of State
