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MADISON AVENUE SURGERY CENTER LLC

Company Details

Name: MADISON AVENUE SURGERY CENTER LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Oct 2015 (9 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 479427
Place of Formation: IDAHO
File Number: 479427
ZIP code: 83404
County: Bonneville County
Principal Address: 1855 MADISON AVE IDAHO FALLS, ID 83404
Mailing Address: BRETT MAXFIELD STE B 1855 MADISON AVE IDAHO FALLS, ID 83404-1212

Agent

Name Role Address
MARK FREEMAN Agent 1855 MADISON AVE, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Mark Freeman Manager 1855 MADISON AVE, IDAHO FALLS, ID 83404 2020-09-03

Member

Name Role Address Appointed On
Andrew L McCall Member 2920 CORTEZ AVE, IDAHO FALLS, ID 83401 2023-09-04
Kylin T Kovac Member 1540 ELK CREEK DRIVE, IDAHO FALLS, ID 83404 2023-09-04
Jed H Erickson Member 1540 ELK CREEK DRIVE, IDAHO FALLS, ID 83404 2023-09-04
Maxfield Healthcare Solutions Member 143 N 3762 E, RIGBY, ID 83442 2023-09-04
Bruce J Watkins Member 3369 MERLIN DRIVE, IFAHO FALLS, ID 83404 2023-09-04

Filing

Filing Name Filing Number Filing date
Annual Report 0005877063 2024-09-03
Annual Report 0005380774 2023-09-04
Annual Report 0004890521 2022-09-08
Annual Report 0004402091 2021-09-03
Annual Report 0003994243 2020-09-03
Annual Report 0003636362 2019-10-02
Annual Report 0003391436 2019-01-10
Annual Report 0003001516 2018-04-26
Legacy Amendment 0003001519 2017-09-28
Change of Registered Office/Agent/Both (by Entity) 0003001515 2016-09-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4503227110 2020-04-13 1087 PPP 1855 Madison Ave Suite B, IDAHO FALLS, ID, 83404
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45600
Loan Approval Amount (current) 45600
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 U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address IDAHO FALLS, BONNEVILLE, ID, 83404-1200
Project Congressional District ID-02
Number of Employees 10
NAICS code 621111
Borrower Race White
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 46048.5
Forgiveness Paid Date 2021-04-13

Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State