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White Sands Surgical Associates LLC

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Company Details

Name: White Sands Surgical Associates LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 08 Feb 2021 (4 years ago)
Financial Date End: 28 Feb 2025
Date dissolved: 13 May 2025
Entity Number: 4168273
Place of Formation: IDAHO
File Number: 746558
ZIP code: 83835
County: Kootenai County
Principal Address: 11345 N. ENCHANTMENT LN. HAYDEN, ID 83835
Mailing Address: 186 SNOW VALLEY RD PRIEST RIVER, ID 83856-9276

Agent

Name Role Address
Robert B Shillingstad Agent 186 SNOW VALLEY ROAD, PRIEST RIVER, ID 83856

Member

Name Role Address Appointed On
Lorraine Jean Shillingstad MD Member 186 SNOW VALLEY ROAD, PRIEST RIVER, ID 83856 2024-04-15
Robert Bret Shillingstad MD Member 186 SNOW VALLEY ROAD, PRIEST RIVER, ID 83856 2022-03-02

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006250810 2025-05-13
Statement of Change of Business Mailing Address 0005954017 2024-10-30
Annual Report 0005693060 2024-04-15
Statement of Change of Business Mailing Address 0005693084 2024-04-15
Annual Report 0005119857 2023-02-19

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Date of last update: 15 Jun 2025

Sources: Idaho Secretary of State