| Name: | CAMILLE SMITH, D.O., P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 29 Sep 2014 (11 years ago) |
| Financial Date End: | 30 Sep 2025 |
| Entity Number: | 613736 |
| Place of Formation: | IDAHO |
| File Number: | 613736 |
| ZIP code: | 83301 |
| County: | Twin Falls County |
| Mailing Address: | 370 NORTH HAVEN DR, STE.101 TWIN FALLS, ID 83301 |
| Name | Role | Address |
|---|---|---|
| Max L Smith | Agent | 370 NORTH HAVEN DR, STE 101, TWIN FALLS, ID 83301 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Max L Smith | Treasurer | 1971 BROOK STONE DR, TWIN FALLS, ID 83301 | 2022-11-17 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Camille Smith Dr | President | 1971 BROOK STONE DR, TWIN FALLS, ID 83301-5836 | 2020-09-09 |
| Camille Smith | President | 1971 BROOK STONE DR, TWIN FALLS, ID 83301 | 2023-09-06 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005854367 | 2024-08-10 |
| Annual Report | 0005385792 | 2023-09-06 |
| Application for Reinstatement | 0004996354 | 2022-11-17 |
| Dissolution/Revocation - Administrative | 0004541003 | 2021-12-24 |
| Annual Report | 0004000575 | 2020-09-09 |
| Annual Report | 0003605897 | 2019-08-26 |
| Annual Report | 0003283737 | 2018-08-15 |
| Annual Report | 0003283736 | 2017-07-24 |
| Annual Report | 0003283735 | 2016-07-25 |
| Annual Report | 0003283734 | 2015-08-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4643797108 | 2020-04-13 | 1087 | PPP | 370 NORTH HAVEN DRIVE SUITE 101, TWIN FALLS, ID, 83301 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 12 Apr 2025
Sources: Idaho Secretary of State
