| Name: | CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 13 Sep 2018 (7 years ago) |
| Financial Date End: | 30 Sep 2025 |
| Entity Number: | 625289 |
| Place of Formation: | IDAHO |
| File Number: | 625289 |
| ZIP code: | 83440 |
| County: | Madison County |
| Principal Address: | STE 1202 859 S YELLOWSTONE HWY REXBURG, ID 83440-6201 |
| Name | Role | Address |
|---|---|---|
| Courtney M Jackson | Agent | 3981 NOTTINGHAM LN, IDAHO FALLS, ID 83402 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Courtney M Jackson | Manager | 859 S YELLOWSTONE HWY, REXBURG, ID 83440-6201 | 2020-09-24 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005855969 | 2024-08-12 |
| Annual Report | 0005344903 | 2023-08-03 |
| Annual Report | 0004865623 | 2022-08-19 |
| Change of Registered Office/Agent/Both (by Entity) | 0004806247 | 2022-07-06 |
| Annual Report | 0004394418 | 2021-08-27 |
| Annual Report | 0004011189 | 2020-09-24 |
| Amendment to Certificate | 0004011187 | 2020-09-24 |
| Annual Report | 0003614550 | 2019-09-04 |
| Statement of Change of Business Mailing Address | 0003507698 | 2019-05-10 |
| Initial Filing | 0000625289 | 2018-09-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6893177210 | 2020-04-28 | 1087 | PPP | 859 S. Yellowstone Hwy. Ste. 1202, Rexburg, ID, 83440 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Apr 2025
Sources: Idaho Secretary of State
