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KEITH DAVIS M.D. P.L.L.C.

Company Details

Name: KEITH DAVIS M.D. P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Sep 2014 (11 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 434967
Place of Formation: IDAHO
File Number: 434967
ZIP code: 83352
County: Lincoln County
Principal Address: 113 S APPLE SHOSHONE, ID 83352
Mailing Address: PO BOX 609 SHOSHONE, ID 83352-0609

Agent

Name Role Address
JEFFREY E ROLIG Agent 195 RIVER VISTA PL. STE. 306, TWIN FALLS, ID 83301

Manager

Name Role Address Appointed On
Keith Eldon Davis Manager 113 S APPLE ST, SHOSHONE, ID 83352 2020-08-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005837873 2024-08-03
Annual Report 0005348506 2023-08-03
Annual Report 0004838743 2022-08-03
Annual Report 0004367613 2021-08-03
Annual Report 0003954771 2020-08-03
Annual Report 0003626241 2019-09-21
Annual Report 0002849720 2018-08-01
Annual Report 0002849718 2017-07-24
Annual Report 0002849716 2016-09-13
Annual Report 0002849714 2015-07-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8689807102 2020-04-15 1087 PPP 113 S Apple St, SHOSHONE, ID, 83352
Loan Status Date 2021-08-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 189900
Loan Approval Amount (current) 189900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20132
Servicing Lender Name D. L. Evans Bank
Servicing Lender Address 375 N Overland Ave, BURLEY, ID, 83318-3432
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SHOSHONE, LINCOLN, ID, 83352-0001
Project Congressional District ID-02
Number of Employees 26
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 20132
Originating Lender Name D. L. Evans Bank
Originating Lender Address BURLEY, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 192282.85
Forgiveness Paid Date 2021-07-26

Date of last update: 07 Apr 2025

Sources: Idaho Secretary of State