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  5. PHOENIX RADIOLOGY PLLC

PHOENIX RADIOLOGY PLLC

Company Details

Name: PHOENIX RADIOLOGY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Jul 2004 (20 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 108501
Place of Formation: IDAHO
File Number: 108501
ZIP code: 83501
County: Nez Perce County
Principal Address: 531 4TH AVE LEWISTON, ID 83501
Mailing Address: 531 4TH AVE LEWISTON, ID 83501-2450

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
D7CQJDTLCET5 2023-08-24 531 4TH AVE, LEWISTON, ID, 83501, 2450, USA 531 4TH AVE, LEWISTON, ID, 83501, 2450, USA

Business Information
Congressional District 01
State/Country of Incorporation ID, USA
Activation Date 2022-08-26
Initial Registration Date 2022-07-25
Entity Start Date 2004-10-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LIBBY MADISON
Role OFFICE MANAGER
Address 531 4TH AVE, LEWISTON, ID, 83501, USA
Government Business
Title PRIMARY POC
Name LIBBY MADISON
Role OFFICE MANAGER
Address 531 4TH AVE, LEWISTON, ID, 83501, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHOENIX RADIOLOGY PLLC 401(K) PROFIT SHARING PLAN 2023 201383479 2024-08-16 PHOENIX RADIOLOGY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVENUE, LEWISTON, ID, 83501
PHOENIX RADIOLOGY PLLC 401(K) PROFIT SHARING PLAN 2022 201383479 2023-10-02 PHOENIX RADIOLOGY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVENUE, LEWISTON, ID, 83501
PHOENIX RADIOLOGY PLLC 401(K) PROFIT SHARING PLAN 2021 201383479 2022-10-14 PHOENIX RADIOLOGY PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVENUE, LEWISTON, ID, 83501
PHOENIX RADIOLOGY PLLC 401K PROFIT SHARING PLAN 2020 201383479 2021-06-17 PHOENIX RADIOLOGY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVE., LEWISTON, ID, 83501
PHOENIX RADIOLOGY PLLC 401K PROFIT SHARING PLAN 2019 201383479 2020-10-14 PHOENIX RADIOLOGY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVE., LEWISTON, ID, 83501
PHOENIX RADIOLOGY PLLC 401K PROFIT SHARING PLAN 2018 201383479 2019-06-12 PHOENIX RADIOLOGY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVE., LEWISTON, ID, 83501
PHOENIX RADIOLOGY PLLC 401K PROFIT SHARING PLAN 2017 201383479 2018-10-09 PHOENIX RADIOLOGY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVE., LEWISTON, ID, 83501
PHOENIX RADIOLOGY PLLC 401K PROFIT SHARING PLAN 2016 201383479 2017-10-11 PHOENIX RADIOLOGY PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVE., LEWISTON, ID, 83501
PHOENIX RADIOLOGY PLLC 401K PROFIT SHARING PLAN 2015 201383479 2016-04-04 PHOENIX RADIOLOGY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVE., LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2016-04-04
Name of individual signing BETH ELFERING
Valid signature Filed with authorized/valid electronic signature
PHOENIX RADIOLOGY PLLC 401K PROFIT SHARING PLAN 2014 201383479 2015-07-27 PHOENIX RADIOLOGY PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2087434393
Plan sponsor’s address 531 FOURTH AVE., LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing MARK PETERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing MARK PETERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Paul J Sanchirico Agent 531 4TH AVE, ID, LEWISTON, ID 83501

Member

Name Role Address Appointed On
PAUL SANCHIRICO Member 531 4TH AVE, LEWISTON, ID 83501 2020-07-02
DALLEN ASHBY Member 531 4TH AVE, LEWISTON, ID 83501 2023-07-12
MICHAEL BURTIS Member 531 4TH AVE, LEWISTON, ID 83501 2023-07-12
GREGORY SPURLING Member 531 4TH AVE, LEWISTON, ID 83501 2023-07-12

Filing

Filing Name Filing Number Filing date
Annual Report 0005815882 2024-07-10
Annual Report 0005317628 2023-07-12
Annual Report 0004822921 2022-07-14
Annual Report 0004346428 2021-07-13
Annual Report 0003924619 2020-07-02
Annual Report 0003559248 2019-07-03
Annual Report 0001330491 2018-05-23
Legacy Amendment 0000712901 2017-08-31
Annual Report 0001330490 2017-06-19
Legacy Amendment 0000712907 2016-07-28

Related by officers

Paul J Sanchirico

P.R. OFFICE LLC 407 MAIN ST, LLC

Related by address

531 4TH AVE LEWISTON, ID 83501

P.R. OFFICE LLC MATTHEW A. STEIN, M.D., P.A.

531 4TH AVE LEWISTON, ID 83501-2450

P.R. OFFICE LLC 407 MAIN ST, LLC

Date of last update: 30 Nov 2024

Sources: Idaho Secretary of State

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