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AUTUMN LEAVES PSYCHIATRY, PLLC

Company Details

Name: AUTUMN LEAVES PSYCHIATRY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Mar 2021 (4 years ago)
Financial Date End: 31 Mar 2025
Entity Number: 4206201
Place of Formation: IDAHO
File Number: 752445
ZIP code: 83404
County: Bonneville County
Principal Address: STE 4 3670 S 25TH E IDAHO FALLS, ID 83404
Mailing Address: STE 4 3670 S 25TH E IDAHO FALLS, ID 83404-4956

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NSRZFFLEJ6U3 2025-03-22 3670 S 25TH E STE 4, IDAHO FALLS, ID, 83404, 4956, USA 3670 S 25TH E STE 4, IDAHO FALLS, ID, 83404, 4956, USA

Business Information

URL https://www.autumnleavespsychiatry.com/
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2024-03-26
Initial Registration Date 2024-02-21
Entity Start Date 2021-03-12
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621330

Points of Contacts

Electronic Business
Title PRIMARY POC
Name BRYCE RICKLEFS
Address 3670 S 25TH E STE 4, IDAHO FALLS, ID, 83404, USA
Government Business
Title PRIMARY POC
Name BRYCE RICKLEFS
Address 3670 S 25TH E STE 4, IDAHO FALLS, ID, 83404, USA
Past Performance Information not Available

Agent

Name Role Address
MERJURIE FAIR RICKLEFS Agent 244 CALISTOGA DRIVE, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
MERJURIE FAIR RICKLEFS Manager PO BOX 3470, IDAHO FALLS, ID 83403-3470 2021-08-04

Member

Name Role Address Appointed On
BRYCE D RICKLEFS Member 3670 S 25TH E, IDAHO FALLS, ID 83404 2024-02-05

Filing

Filing Name Filing Number Filing date
Annual Report 0005585767 2024-02-05
Annual Report 0005093296 2023-02-03
Annual Report 0004595749 2022-02-04
Amendment to Certificate 0004369920 2021-08-04
Initial Filing 0004206201 2021-03-12

Date of last update: 04 Jan 2025

Sources: Idaho Secretary of State