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BROOK MEDICAL PLLC

Company Details

Name: BROOK MEDICAL PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Sep 2005 (19 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 141861
Place of Formation: IDAHO
File Number: 141861
ZIP code: 83616
County: Ada County
Principal Address: 1281 E IRON EAGLE DR EAGLE, ID 83616
Mailing Address: PO BOX 2179 EAGLE, ID 83616-9113

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAGLE CREEK FAMILY MEDICINE PROFIT SHARING PLAN 2023 680624385 2024-01-23 BROOK MEDICAL, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2084598220
Plan sponsor’s address 13422 WEST BLUEBELL DRIVE, BOISE, ID, 83713
EAGLE CREEK FAMILY MEDICINE PROFIT SHARING PLAN 2022 680624385 2023-06-26 BROOK MEDICAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2084598220
Plan sponsor’s address 1281 E. IRON EAGLE DRIVE, EAGLE, ID, 83616
EAGLE CREEK FAMILY MEDICINE PROFIT SHARING PLAN 2021 680624385 2022-10-07 BROOK MEDICAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2084598220
Plan sponsor’s address 1281 E. IRON EAGLE DRIVE, EAGLE, ID, 83616
EAGLE CREEK FAMILY MEDICINE, PROFIT SHARING PLAN 2020 680624385 2021-07-07 BROOK MEDICAL, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2084598220
Plan sponsor’s address 1281 E. IRON EAGLE DRIVE, EAGLE, ID, 83616
EAGLE CREEK FAMILY MEDICINE PROFIT SHARING PLAN 2019 680624385 2020-10-09 BROOK MEDICAL, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2084598220
Plan sponsor’s address 13422 WEST BLUEBELL DRIVE, BOISE, ID, 83713
EAGLE CREEK FAMILY MEDICINE PROFIT SHARING PLAN 2018 680624385 2019-04-08 BROOK MEDICAL, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2084598220
Plan sponsor’s address 1281 E. IRON EAGLE DRIVE, EAGLE, ID, 83616
EAGLE CREEK FAMILY MEDICINE, PROFIT SHARING PLAN 2017 680624385 2018-07-17 BROOK MEDICAL, PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2084598220
Plan sponsor’s address 1281 E. IRON EAGLE DRIVE, EAGLE, ID, 83616

Agent

Name Role Address
VICKI L WOOLL MD Agent 1281 E IRON EAGLE DR, EAGLE, ID 83616

Manager

Name Role Address Appointed On
Vicki Wooll Manager 1281 E. IRON EAGLE DRIVE, EAGLE, ID 83616 2020-10-08

Filing

Filing Name Filing Number Filing date
Annual Report 0005864205 2024-08-16
Statement of Change of Business Mailing Address 0005821560 2024-07-16
Annual Report 0005360210 2023-08-10
Annual Report 0004863287 2022-08-17
Annual Report 0004474389 2021-11-01
Annual Report 0004028630 2020-10-08
Annual Report 0003676586 2019-11-13
Annual Report 0001469148 2018-08-02
Annual Report 0001469147 2017-08-29
Annual Report 0001469146 2016-07-25

Date of last update: 01 Dec 2024

Sources: Idaho Secretary of State