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  5. BOISE RADIOLOGY GROUP, PLLC

BOISE RADIOLOGY GROUP, PLLC

Company Details

Name: BOISE RADIOLOGY GROUP, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Dec 2004 (20 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 119171
Place of Formation: IDAHO
File Number: 119171
ZIP code: 83702
County: Ada County
Principal Address: 115 W MAIN ST #202 BOISE, ID 83702
Mailing Address: AUDRA FREZZA 620 W HAYS ST BOISE, ID 83702-5511

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
F7ZHVMFZWPH1 2024-11-26 620 W HAYS ST, BOISE, ID, 83702, 5511, USA PO BOX 17170, RENO, NV, 89511, 7170, USA

Business Information
Doing Business As BOISE RADIOLOGY GROUP PLLC
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2023-12-12
Initial Registration Date 2014-05-06
Entity Start Date 1972-07-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621112

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANN SUAREZ
Role CONTROLLER
Address 620 W HAYS ST, BOISE, ID, 83702, USA
Government Business
Title PRIMARY POC
Name AUDRA FREZZA
Role ADMINISTRATOR
Address 620 W HAYS ST, BOISE, ID, 83702, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOISE RADIOLOGY GROUP, PLLC HYBRID PENSION PLAN 2023 820301061 2024-12-02 BOISE RADIOLOGY GROUP, PLLC 52
File View Page
Three-digit plan number (PN) 007
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 115 WEST MAIN STREET, SUITE 202, BOISE, ID, 837027303

Signature of
Role Plan administrator
Date 2024-12-02
Name of individual signing AUDRA FREZZA
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC HYBRID PENSION PLAN 2023 820301061 2024-07-16 BOISE RADIOLOGY GROUP, PLLC 47
File View Page
Three-digit plan number (PN) 007
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 620 W HAYS STREET, BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2024-07-16
Name of individual signing AUDRA FREZZA
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC HYBRID PENSION PLAN 2022 820301061 2023-06-05 BOISE RADIOLOGY GROUP, PLLC 45
File View Page
Three-digit plan number (PN) 007
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 620 W HAYS STREET, BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing LISA SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC HYBRID PENSION PLAN 2021 820301061 2022-06-15 BOISE RADIOLOGY GROUP, PLLC 41
File View Page
Three-digit plan number (PN) 007
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 620 W HAYS STREET, BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2022-06-15
Name of individual signing LISA SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC HYBRID PENSION PLAN 2020 820301061 2021-09-03 BOISE RADIOLOGY GROUP, PLLC 38
File View Page
Three-digit plan number (PN) 007
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 620 W HAYS STREET, BOISE, ID, 83702

Signature of
Role Plan administrator
Date 2021-09-03
Name of individual signing LISA SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC HYBRID PENSION PLAN 2019 820301061 2020-05-18 BOISE RADIOLOGY GROUP, PLLC 0
File View Page
Three-digit plan number (PN) 007
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 115 WEST MAIN STREET, SUITE 202, BOISE, ID, 837027303

Signature of
Role Plan administrator
Date 2020-05-18
Name of individual signing LISA SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC CASH BALANCE PLAN 2018 820301061 2019-04-24 BOISE RADIOLOGY GROUP, PLLC 38
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 115 WEST MAIN STREET, SUITE 202, BOISE, ID, 837027303

Signature of
Role Plan administrator
Date 2019-04-24
Name of individual signing LISA SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC CASH BALANCE PLAN 2017 820301061 2018-05-02 BOISE RADIOLOGY GROUP, PLLC 36
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 115 WEST MAIN STREET, SUITE 202, BOISE, ID, 837027303

Signature of
Role Plan administrator
Date 2018-05-02
Name of individual signing LISA SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC CASH BALANCE PLAN 2016 820301061 2017-10-03 BOISE RADIOLOGY GROUP, PLLC 34
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 115 WEST MAIN STREET, SUITE 202, BOISE, ID, 837027303

Signature of
Role Plan administrator
Date 2017-10-03
Name of individual signing LISA SMITH
Valid signature Filed with authorized/valid electronic signature
BOISE RADIOLOGY GROUP, PLLC CASH BALANCE PLAN 2015 820301061 2016-06-14 BOISE RADIOLOGY GROUP, PLLC 33
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2084339466
Plan sponsor’s address 115 WEST MAIN STREET, SUITE 202, BOISE, ID, 837027303

Signature of
Role Plan administrator
Date 2016-06-14
Name of individual signing LISA SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Audra Frezza Agent 620 W HAYS ST, BOISE, ID 83702

Manager

Name Role Address Appointed On Resigned On
Sean Carr Manager 620 W HAYS ST, BOISE, ID 83702 2021-11-03 2023-11-03
Sean Carr MD Manager 620 W HAYS ST, BOISE, ID 83702 2020-11-17 No data
Russell Wright MD Manager 620 W HAYS ST, BOISE, ID 83702 2023-11-03 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0006002666 2024-12-03
Annual Report 0005455597 2023-11-03
Annual Report 0004968742 2022-11-03
Annual Report 0004476152 2021-11-03
Annual Report 0004069539 2020-11-17
Annual Report 0003659361 2019-11-01
Annual Report 0003356706 2018-12-03
Annual Report 0001373690 2017-10-30
Annual Report 0001373689 2016-10-27
Annual Report 0001373688 2015-10-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5542597004 2020-04-05 1087 PPP 115 W MAIN ST STE 202, BOISE, ID, 83702-7261
Loan Status Date 2022-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1034200
Loan Approval Amount (current) 1034200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 96211
Servicing Lender Name Idaho Central CU
Servicing Lender Address 4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BOISE, ADA, ID, 83702-7261
Project Congressional District ID-02
Number of Employees 42
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 96211
Originating Lender Name Idaho Central CU
Originating Lender Address CHUBBUCK, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1044683.67
Forgiveness Paid Date 2021-04-16

Related by officers

Audra Frezza

Innovative Solutions Development Co., LLC

Related by address

115 W MAIN ST #202 BOISE, ID 83702

STATE43 LLC

Date of last update: 31 Mar 2025

Sources: Idaho Secretary of State

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