Search icon

MOSCOW MOUNTAIN ANESTHESIA PLLC

Company Details

Name: MOSCOW MOUNTAIN ANESTHESIA PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Apr 2017 (8 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 548522
Place of Formation: IDAHO
File Number: 548522
ZIP code: 83843
County: Latah County
Principal Address: 2300 WEST A ST MOSCOW, ID 83843
Mailing Address: 2300 W A ST MOSCOW, ID 83843-4038

Agent

Name Role Address
Edward R Winterbottom Agent 2364 HENRY CT, MOSCOW, ID 83843

Manager

Name Role Address Appointed On
Robert S Smith Manager 2300 W A ST, MOSCOW, ID 83843 2021-03-03
Edward R Winterbottom Manager 2364 HENRY CT, MOSCOW, ID 83843 2024-06-25

Member

Name Role Address Appointed On
Robert Ellison Member 2300 W A ST,, MOSCOW, ID 83843 2024-06-25

Filing

Filing Name Filing Number Filing date
Annual Report 0005787941 2024-06-25
Annual Report 0005151220 2023-03-09
Change of Registered Office/Agent/Both (by Entity) 0005151219 2023-03-09
Annual Report 0004628338 2022-03-03
Annual Report 0004188886 2021-03-03
Annual Report 0003794171 2020-03-03
Annual Report 0003487865 2019-04-22
Annual Report 0003180490 2018-02-27
Initial Filing 0000548522 2017-04-06

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6791147200 2020-04-28 1094 PPP 2300 W A St, Moscow, ID, 83843
Loan Status Date 2021-01-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 62500
Loan Approval Amount (current) 62500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Moscow, LATAH, ID, 83843-0001
Project Congressional District ID-01
Number of Employees 3
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 62933.22
Forgiveness Paid Date 2021-01-08

Date of last update: 10 Apr 2025

Sources: Idaho Secretary of State