| Name: | LAKESIDE PEDIATRIC AND ADOLESCENT MEDICINE, P.L.L.C. |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 15 Apr 2002 (23 years ago) |
| Financial Date End: | 30 Apr 2025 |
| Entity Number: | 70340 |
| Place of Formation: | IDAHO |
| File Number: | 70340 |
| ZIP code: | 83814 |
| County: | Kootenai County |
| Principal Address: | 980 W IRONWOOD DR STE 302 COEUR D'ALENE, ID 83814 |
| Mailing Address: | STE 302 980 W IRONWOOD DR COEUR D ALENE, ID 83814-2668 |
| Name | Role | Address |
|---|---|---|
| JEAN M PRINCE | Agent | 980 W IRONWOOD DR STE 302, COEUR D'ALENE, ID 83814 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| BRIAN HICKOK | Member | 980 IRONWOOD DR, COEUR D ALENE, ID 83814 | 2024-03-30 |
| RONDA WESTCOTT | Member | 980 IRONWOOD DR, COEUR D'ALENE, ID 83814 | 2024-03-30 |
| JEAN M PRINCE MD | Member | 980 W IRONWOOD DR STE 302, COEUR D'ALENE, ID 83814 | 2021-03-22 |
| Matt Parker | Member | 980 IRONWOOD DR, COEUR D ALENE, ID 83814 | 2024-07-05 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report Amendment | 0005803211 | 2024-07-05 |
| Annual Report | 0005663524 | 2024-03-30 |
| Annual Report Amendment | 0005270477 | 2023-06-06 |
| Annual Report | 0005242868 | 2023-05-15 |
| Annual Report | 0004630665 | 2022-03-03 |
| Annual Report | 0004215332 | 2021-03-22 |
| Annual Report | 0003801285 | 2020-03-04 |
| Annual Report | 0003487862 | 2019-04-22 |
| Annual Report | 0001182865 | 2018-02-27 |
| Annual Report | 0001182864 | 2017-02-21 |
Date of last update: 29 Nov 2024
Sources: Idaho Secretary of State
