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AXIS SPINE PLLC

Company Details

Name: AXIS SPINE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Oct 2016 (9 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 524841
Place of Formation: IDAHO
File Number: 524841
ZIP code: 83835
County: Kootenai County
Principal Address: PO BOX 1119 HAYDEN, ID 83835
Mailing Address: AMY REYNOLDS PO BOX 1119 HAYDEN, ID 83835-1119

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AXIS SPINE CENTER 401(K) RETIREMENT PLAN 2021 814378927 2022-02-15 AXIS SPINE, PLLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621510
Sponsor’s telephone number 2084574208
Plan sponsor’s address P.O. BOX 1119, POST FALLS, ID, 83854
AXIS SPINE CENTER 401(K) RETIREMENT PLAN 2020 814378927 2021-08-12 AXIS SPINE, PLLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621510
Sponsor’s telephone number 2084574208
Plan sponsor’s address P.O. BOX 1119, HAYDEN, ID, 83835
AXIS SPINE CENTER 401(K) RETIREMENT PLAN 2019 814378927 2020-10-07 AXIS SPINE, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621510
Sponsor’s telephone number 2084574208
Plan sponsor’s address 7600 N MINERAL DRIVE 700, COEURD ALENE, ID, 83815
AXIS SPINE CENTER 401(K) RETIREMENT PLAN 2018 814378927 2019-05-03 AXIS SPINE, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621510
Sponsor’s telephone number 2084574208
Plan sponsor’s address 1641 E POLSTON AVE, #101, P.O. BOX 1119, POST FALLS, ID, 83854

Agent

Name Role Address
JESSICA JAMESON Agent 1641 E POLSTON AVE, STE 101, AMY REYNOLDS, POST FALLS, ID 83854

Member

Name Role Address Appointed On Resigned On
Roland S Kent Member PO BOX 1119, HAYDEN, ID 83835 2020-09-03 2023-02-09
RSKMD P.C., AN IDAHO PROFESSIONAL CORPORATION Member 6415 E EVERNADE RD, HAYDEN LAKE, ID 83835 2023-09-08 2023-09-08
Snowstorm Spine PLLC Member 2600 E SELTICE WAY, POST FALLS, ID 83854-7991 2023-09-08 2023-09-08
DOUBLE J ENTERPRISES P.C. Member 6648 N DAVENPORT ST, DALTON GARDENS, ID 83815-9566 2023-02-09 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0005943973 2024-10-17
Annual Report 0005391272 2023-09-08
Annual Report Amendment 0005105228 2023-02-09
Annual Report 0004889280 2022-09-07
Annual Report 0004400773 2021-09-03
Annual Report 0003993484 2020-09-03
Annual Report 0003614305 2019-09-04
Annual Report 0003369409 2018-12-11
Annual Report 0003126014 2017-08-29
Initial Filing 0000524841 2016-10-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6682217002 2020-04-07 1094 PPP PO BOX 1119, HAYDEN, ID, 83835
Loan Status Date 2021-05-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 530123.21
Loan Approval Amount (current) 530123.21
Undisbursed Amount 0
Franchise Name -
Lender Location ID 87893
Servicing Lender Name Glacier Bank
Servicing Lender Address 202 Main St, KALISPELL, MT, 59901-4454
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HAYDEN, KOOTENAI, ID, 83835-0001
Project Congressional District ID-01
Number of Employees 58
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 87893
Originating Lender Name Glacier Bank
Originating Lender Address KALISPELL, MT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 535366.35
Forgiveness Paid Date 2021-04-14

Date of last update: 10 Apr 2025

Sources: Idaho Secretary of State