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EMERALD SURGICAL CENTER, L.L.C.

Company Details

Name: EMERALD SURGICAL CENTER, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Nov 1995 (29 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 11599
Place of Formation: IDAHO
File Number: 11599
ZIP code: 83704
County: Ada County
Principal Address: 811 N LIBERTY BOISE, ID 83704
Mailing Address: 811 N LIBERTY ST BOISE, ID 83704-8703

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2023 820485376 2024-07-19 EMERALD SURGICAL CENTER, L.L.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2024-07-19
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2022 820485376 2023-08-28 EMERALD SURGICAL CENTER, L.L.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2023-08-28
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2021 820485376 2022-09-30 EMERALD SURGICAL CENTER, L.L.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2022-09-30
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2020 820485376 2021-07-02 EMERALD SURGICAL CENTER, L.L.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2021-07-02
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2019 820485376 2020-06-29 EMERALD SURGICAL CENTER, L.L.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2020-06-29
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2018 820485376 2019-03-22 EMERALD SURGICAL CENTER, L.L.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2019-03-22
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2017 820485376 2018-03-26 EMERALD SURGICAL CENTER, L.L.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2018-03-26
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2016 820485376 2017-06-13 EMERALD SURGICAL CENTER, L.L.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2017-06-13
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2015 820485376 2016-04-29 EMERALD SURGICAL CENTER, L.L.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2016-04-29
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature
EMERALD SURGICAL CENTER, L.L.C. PROFIT SHARING PLAN 2014 820485376 2015-04-20 EMERALD SURGICAL CENTER, L.L.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083234522
Plan sponsor’s address 811 NORTH LIBERTY, BOISE, ID, 83704

Signature of

Role Plan administrator
Date 2015-04-20
Name of individual signing KERRY ANDERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KERRY ANDERSON Agent 811 N LIBERTY, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
kerry Anderson Manager 811 N. LIBERTY ST, BOISE, ID 83704 2021-02-04 2023-12-04
Kerry Anderson Manager 811 N. LIBERTY ST, BOISE, ID 83704 2023-12-04 No data
Ron Kristensen Manager 811 N LIBERTY ST, BOISE, ID 83704 2023-12-04 2023-12-04

Filing

Filing Name Filing Number Filing date
Annual Report 0005921232 2024-10-03
Annual Report 0005497583 2023-12-04
Annual Report 0004986492 2022-11-08
Annual Report 0004528485 2021-12-14
Dissolution/Revocation - Administrative 0004160670 2021-02-04
Application for Reinstatement 0004162911 2021-02-04
Annual Report 0003742096 2020-01-09
Annual Report 0003334202 2018-10-23
Annual Report 0000975120 2017-09-18
Annual Report 0000975118 2016-09-26

Date of last update: 27 Nov 2024

Sources: Idaho Secretary of State