| Name: | BASIS INTERNAL MEDICINE, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 29 Sep 2016 (8 years ago) |
| Financial Date End: | 30 Sep 2025 |
| Entity Number: | 522722 |
| Place of Formation: | IDAHO |
| File Number: | 522722 |
| Principal Address: | 804 SW CAPRINGTON ST BENTONVILLE, AR 72712-4857 |
| Name | Role | Address |
|---|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent | 784 S CLEARWATER LOOP STE B, POST FALLS, ID 83854 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Harry Andres Lazarte jr | Manager | 804 SW CAPRINGTON STREET, BENTONVILLE, AR 72712 | 2022-02-24 | 2022-09-08 |
| Harry Andres Lazarte | Manager | 4105 HIGHPLAINS DRIVE, LITTLE FLOCK, AR 72756 | 2021-12-24 | 2022-02-24 |
| Harry Lazarte | Manager | 1723 S GRAND FORK WAY, MERIDIAN, ID 83642 | 2021-01-15 | 2021-12-24 |
| Harry A Lazarte jr | Manager | 804 SW CAPRINGTON STREET, BENTONVILLE, AR 72712 | 2020-08-17 | No data |
| Harry andres lazarte jr | Manager | 804 SW CAPRINGTON STREET, BENTONVILLE, AR 72712 | 2024-08-03 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005838437 | 2024-08-03 |
| Change of Registered Office/Agent/Both (by Entity) | 0005645582 | 2024-03-12 |
| Application for Reinstatement | 0005638534 | 2024-03-06 |
| Dissolution/Revocation - Administrative | 0005514275 | 2023-12-16 |
| Annual Report | 0004890079 | 2022-09-08 |
| Amendment to Certificate | 0004622283 | 2022-02-24 |
| Statement of Change of Business Mailing Address | 0004613980 | 2022-02-16 |
| Application for Reinstatement | 0004541230 | 2021-12-24 |
| Dissolution/Revocation - Administrative | 0004539755 | 2021-12-24 |
| Annual Report Amendment | 0004135806 | 2021-01-15 |
Date of last update: 23 Dec 2024
Sources: Idaho Secretary of State
