| Name: | White Sands Surgical Associates LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 08 Feb 2021 (4 years ago) |
| Financial Date End: | 28 Feb 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 |
| Name | Role | Address |
|---|---|---|
| Robert B Shillingstad | Agent | 186 SNOW VALLEY ROAD, PRIEST RIVER, ID 83856 |
| 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 Name | Filing Number | Filing date |
|---|---|---|
| Statement of Change of Business Mailing Address | 0005954017 | 2024-10-30 |
| Statement of Change of Business Mailing Address | 0005693084 | 2024-04-15 |
| Annual Report | 0005693060 | 2024-04-15 |
| Annual Report | 0005119857 | 2023-02-19 |
| Annual Report | 0004627714 | 2022-03-02 |
| Initial Filing | 0004168273 | 2021-02-08 |
Date of last update: 03 Jan 2025
Sources: Idaho Secretary of State
