| Name: | BOISE SHOULDER CLINIC, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | General Business Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 19 Sep 2006 (19 years ago) |
| Financial Date End: | 30 Sep 2025 |
| Entity Number: | 512185 |
| Place of Formation: | IDAHO |
| File Number: | 512185 |
| ZIP code: | 83616 |
| County: | Ada County |
| Mailing Address: | 3381 W BAVARIA ST EAGLE, ID 83616-5341 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAUCRAG9NU27 | 2023-11-28 | 3381 W BAVARIA ST, EAGLE, ID, 83616, 5341, USA | 3381 W BAVARIA ST, EAGLE, ID, 83616, 5341, USA | |||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 01 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2022-12-15 |
| Initial Registration Date | 2015-08-28 |
| Entity Start Date | 2006-09-19 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CARL HUMPHREY |
| Role | BUSINESS OWNER |
| Address | 3381 W BAVARIA ST, EAGLE, ID, 83616, 5341, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CARL HUMPHREY |
| Role | BUSINESS OWNER |
| Address | 3381 W BAVARIA ST, EAGLE, ID, 83616, 5341, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| Carl S Humphrey | Agent | 1805 W SPANISH BAY DR, EAGLE, ID 83616 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Carl Scott Humphrey | President | 3381 W BAVARIA ST, EAGLE, ID 83616 | 2020-08-21 | 2023-08-03 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Carrie Humphrey | Secretary | 1805 W SPANISH BAY DR, EAGLE, ID 83616 | 2023-08-03 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Carl Scott Humphrey | Director | 1805 W SPANISH BAY DR, EAGLE, ID 83616 | 2023-08-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005837469 | 2024-08-03 |
| Annual Report Amendment | 0005579275 | 2024-02-02 |
| Annual Report | 0005343004 | 2023-08-03 |
| Change of Registered Office/Agent/Both (by Entity) | 0004949269 | 2022-10-11 |
| Annual Report | 0004859789 | 2022-08-12 |
| Annual Report | 0004368768 | 2021-08-04 |
| Annual Report | 0003977378 | 2020-08-21 |
| Annual Report | 0003605973 | 2019-08-26 |
| Application for Reinstatement | 0003425136 | 2019-02-07 |
| Annual Report | 0003094446 | 2016-08-31 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4790565008 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | No data | No data | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2957467107 | 2020-04-11 | 1087 | PPP | 3381 W BAVARIA ST, EAGLE, ID, 83616-5341 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Apr 2025
Sources: Idaho Secretary of State
