| Name: | ADA WEST DERMATOLOGY, INC. |
| Jurisdiction: | Idaho |
| Legal type: | General Business Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 01 Aug 2005 (19 years ago) |
| Financial Date End: | 31 Aug 2025 |
| Entity Number: | 491042 |
| Place of Formation: | IDAHO |
| File Number: | 491042 |
| ZIP code: | 83642 |
| County: | Ada County |
| Mailing Address: | STE 100 1618 S MILLENIUM WAY MERIDIAN, ID 83642-6457 |
| Name | Role | Address |
|---|---|---|
| Somphane Phimmasone | Agent | 1618 S MILLENNIUM WAY, 100, MERIDIAN, ID 83642 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Mona J Burr | Secretary | 1618 S MILLENIUM WAY, MERIDIAN, ID 83642-6457 | 2020-08-04 | 2021-08-10 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Gregory Wells, M.D. | Treasurer | 1618 S MILLENIUM WAY, MERIDIAN, ID 83642-6457 | 2022-07-07 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Randall D Burr, M.D. | Incorporator | 1618 S MILLENIUM WAY, MERIDIAN, ID 83642-6457 | 2021-12-30 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| SOMPHANE PHIMMASONE | President | 1618 S. MILLENNIUM WAY, MERIDIAN, ID 83642-9066 | 2023-07-05 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| DAVID MART HOLDAWAY | Vice President | 1618 S. MILLENNIUM WAY, MERIDIAN, ID 83642-9066 | 2023-07-05 |
| Rhea A Morrison | Vice President | 12761 N. 12TH AVE., BOISE, ID 83714 | 2024-08-06 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005849304 | 2024-08-06 |
| Annual Report | 0005304466 | 2023-07-05 |
| Annual Report | 0004808457 | 2022-07-07 |
| Change of Registered Office/Agent/Both (by Entity) | 0004704530 | 2022-04-19 |
| Statement of Conversion | 0004544993 | 2021-12-30 |
| Annual Report | 0004376396 | 2021-08-10 |
| Annual Report | 0003955870 | 2020-08-04 |
| Annual Report | 0003586540 | 2019-08-02 |
| Annual Report | 0003036510 | 2018-06-21 |
| Annual Report | 0003036508 | 2017-06-29 |
Date of last update: 22 Dec 2024
Sources: Idaho Secretary of State
