| Name: | LAKE CITY SURGEONS, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 20 Dec 2004 (20 years ago) |
| Financial Date End: | 31 Dec 2013 |
| Date dissolved: | 10 Mar 2014 |
| Entity Number: | 118391 |
| Place of Formation: | IDAHO |
| File Number: | 0000118391 |
| ZIP code: | 83814 |
| County: | Kootenai County |
| Principal Address: | 608 NW BLVD STE 301 COEUR D ALENE, ID 83814 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKE CITY SURGEONS PLLC 401(K) PROFIT SHARING PLAN | 2009 | 202108756 | 2010-10-07 | LAKE CITY SURGEONS, PLLC | 9 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 202108756 |
| Plan administrator’s name | LAKE CITY SURGEONS, PLLC |
| Plan administrator’s address | 608 NORTHWEST BLVD, SUITE 301, COEUR D ALENE, ID, 83814 |
| Administrator’s telephone number | 2086644940 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-07 |
| Name of individual signing | KEVIN M. JOHNSON, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0001370233 | 2012-10-26 |
| Annual Report | 0001370232 | 2012-01-10 |
| Annual Report | 0001370231 | 2011-02-11 |
| Annual Report | 0001370230 | 2009-10-22 |
| Annual Report | 0001370235 | 2008-10-20 |
| Annual Report | 0001370234 | 2007-10-22 |
| Annual Report | 0001370229 | 2006-12-11 |
| Annual Report | 0001370228 | 2005-10-21 |
| Statement of Change of Business Mailing Address | 0001370227 | 2005-02-18 |
| Initial Filing | 0000118391 | 2004-12-20 |
Date of last update: 23 Sep 2024
Sources: Idaho Secretary of State
