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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 2024
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
Sean Carr Manager 620 W HAYS ST, BOISE, ID 83702 2021-11-03
Sean Carr MD Manager 620 W HAYS ST, BOISE, ID 83702 2020-11-17
Russell Wright MD Manager 620 W HAYS ST, BOISE, ID 83702 2023-11-03

Filing

Filing Name Filing Number Filing date
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
Annual Report 0001373687 2014-10-15

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: 30 Nov 2024

Sources: Idaho Secretary of State

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