Search icon

CLUBHOUSE PEDIATRIC DENTISTRY OF IDAHO FALLS PLLC

Company Details

Name: CLUBHOUSE PEDIATRIC DENTISTRY OF IDAHO FALLS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Sep 2018 (7 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 624677
Place of Formation: IDAHO
File Number: 624677
ZIP code: 83404
County: Bonneville County
Principal Address: 3411 MERLIN DR # 100 IDAHO FALLS, ID 83404-7430

Agent

Name Role Address
Courtney M Jackson Agent 3981 NOTTINGHAM LN, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
Courtney M Jackson Manager 3411 MERLIN DR # 100, IDAHO FALLS, ID 83404-7430 2020-09-24

Filing

Filing Name Filing Number Filing date
Annual Report 0005855966 2024-08-12
Annual Report 0005352661 2023-08-04
Annual Report 0004865622 2022-08-19
Change of Registered Office/Agent/Both (by Entity) 0004806242 2022-07-06
Annual Report 0004394415 2021-08-27
Amendment to Certificate 0004011190 2020-09-24
Annual Report 0004011115 2020-09-24
Annual Report 0003614533 2019-09-04
Statement of Change of Business Mailing Address 0003507706 2019-05-10
Initial Filing 0000624677 2018-09-10

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1868767205 2020-04-15 1087 PPP 3411 South Merlin Drive Ste. 100, IDAHO FALLS, ID, 83404
Loan Status Date 2021-09-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 4000
Loan Approval Amount (current) 4000
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 U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address IDAHO FALLS, BONNEVILLE, ID, 83404-1200
Project Congressional District ID-02
Number of Employees 9
NAICS code 621210
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 4054.79
Forgiveness Paid Date 2021-09-07

Date of last update: 13 Apr 2025

Sources: Idaho Secretary of State