| Name: | GARY W. WALLACE, M.D., P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 26 Dec 2000 (24 years ago) |
| Financial Date End: | 31 Dec 2024 |
| Entity Number: | 417688 |
| Place of Formation: | IDAHO |
| File Number: | 417688 |
| ZIP code: | 83404 |
| County: | Bonneville County |
| Mailing Address: | GARY W. WALLACE, MD 2295 CORONADO ST IDAHO FALLS, ID 83404-7552 |
| Name | Role | Address |
|---|---|---|
| GARY W WALLACE | Agent | 2295 CORONADO ST, IDAHO FALLS, ID 83404 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Gary Wallace | President | 2295 CORONADO ST, IDAHO FALLS, ID 83404 | 2020-11-04 | 2023-03-21 |
| Gary Wayne Wallace | President | 2295 CORONADO STREET, IDAHO FALLS, ID 83404 | 2023-03-21 | No data |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Gary Wayne Wallace | Secretary | 2295 CORONADO STREET, IDAHO FALLS, ID 83404 | 2023-12-16 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005516790 | 2023-12-16 |
| Application for Reinstatement | 0005163608 | 2023-03-21 |
| Dissolution/Revocation - Administrative | 0005162892 | 2023-03-21 |
| Annual Report Amendment | 0004799260 | 2022-07-01 |
| Annual Report | 0004582938 | 2022-01-27 |
| Annual Report | 0004053231 | 2020-11-04 |
| Annual Report | 0003660432 | 2019-11-01 |
| Annual Report | 0003369645 | 2018-12-12 |
| Annual Report | 0002782996 | 2017-10-31 |
| Annual Report | 0002782994 | 2016-11-22 |
Date of last update: 18 Dec 2024
Sources: Idaho Secretary of State
