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BLACKFOOT PHYSICIANS & SURGEONS PLLC

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Company Details

Name: BLACKFOOT PHYSICIANS & SURGEONS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Apr 2016 (9 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 500994
Place of Formation: IDAHO
File Number: 500994
ZIP code: 83404
County: Bonneville County
Principal Address: 2105 CORONADO ST IDAHO FALLS, ID 83404
Mailing Address: 1441 PARKWAY DR BLACKFOOT, ID 83221-1667

Agent

Name Role Address
GUARDIAN REGISTERED AGENTS LLC Agent 955 PIER VIEW DR, IDAHO FALLS, ID 83402

Member

Name Role Address Appointed On Resigned On
Kirt M. Mckinlay MD Member 1441 PARKWAY DR., BLACKFOOT, ID 83221 2021-04-30 2024-05-01
Matthew Fackrell Member 1441 PARKWAY DR., BLACKFOOT, ID 83221 2024-05-01 No data
Gary Soucie Member 1441 PARKWAY DR., BLACKFOOT, ID 83221 2024-05-01 2024-05-01
Paul Beckett Member 1441 PARKWAY DR., BLACKFOOT, ID 83221 2024-05-01 No data

Form 5500 Series

Employer Identification Number (EIN):
812462129
Plan Year:
2023
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
21
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006244403 2025-05-07
Annual Report 0005709067 2024-05-01
Annual Report 0005213280 2023-04-27
Annual Report 0004718998 2022-04-28
Annual Report 0004261012 2021-04-30

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
84500.00
Total Face Value Of Loan:
84500.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
84500
Current Approval Amount:
84500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
85104.23

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State