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The Orthopedic Surgery and Sports Medicine Clinic, PLLC

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Company Details

Name: The Orthopedic Surgery and Sports Medicine Clinic, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Jun 2001 (24 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 60752
Place of Formation: IDAHO
File Number: 60752
ZIP code: 83814
County: Kootenai County
Principal Address: STE 202 850 W IRONWOOD DR COEUR D ALENE, ID 83814-4903

Agent

Name Role Address
ROGER C DUNTEMAN Agent 850 W IRONWOOD DR, STE 202, COEUR D ALENE, ID 83814

Manager

Name Role Address Appointed On
Roger Dunteman MD Manager 850 W IRONWOOD DR, COEUR D ALENE, ID 83814 2021-09-28

Member

Name Role Address Appointed On Resigned On
Justin Luke Smith DO Member 850 W IRONWOOD DR, COEUR D ALENE, ID 83814 2024-05-06 2024-05-06
Gregory Keese MD Member 850 W IRONWOOD DR, COEUR D ALENE, ID 83814 2024-05-06 2024-05-06
Jonathan King MD Member 850 W IRONWOOD DR, COEUR D ALENE, ID 83814 2024-05-06 2024-05-06
Scott Brown DO Member 850 W IRONWOOD DR, COEUR D ALENE, ID 83814 2024-05-06 2024-05-06
Douglas McInnis MD Member 850 W IRONWOOD DR, COEUR D ALENE, ID 83814 2024-05-06 2024-05-06
William Sims MD Member 850 W IRONWOOD DR, COEUR D ALENE, ID 83814 2024-05-06 2024-05-06

Form 5500 Series

Employer Identification Number (EIN):
043718451
Plan Year:
2023
Number Of Participants:
66
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
78
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
64
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
50
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006242665 2025-05-06
Annual Report 0005724544 2024-05-06
Annual Report 0005222073 2023-05-03
Annual Report 0004747171 2022-05-14
Annual Report Amendment 0004671885 2022-03-24

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State