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IDAHO EMERGENCY PHYSICIANS, P.A.

Company Details

Name: IDAHO EMERGENCY PHYSICIANS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 25 Oct 1974 (50 years ago)
Financial Date End: 31 Oct 2020
Date dissolved: 27 Dec 2019
Entity Number: 162572
Place of Formation: IDAHO
File Number: 0000162572
Mailing Address: STE 156 410 S ORCHARD ST BOISE, ID 83705-1210

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDAHO EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2013 820312175 2014-10-13 IDAHO EMERGENCY PHYSICIANS, P.A. 62
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 621111
Sponsor’s telephone number 2083221730
Plan sponsor’s address 2963 E. COPPER POINT DR., MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2014-10-13
Name of individual signing JOHN EPPERSON
Valid signature Filed with authorized/valid electronic signature
IDAHO EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2012 820312175 2013-10-14 IDAHO EMERGENCY PHYSICIANS, P.A. 52
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 621111
Sponsor’s telephone number 2083221730
Plan sponsor’s address 2963 E. COPPER POINT DR., MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing JOHN EPPERSON
Valid signature Filed with authorized/valid electronic signature
IDAHO EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2012 820312175 2013-10-12 IDAHO EMERGENCY PHYSICIANS, P.A. 52
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 621111
Sponsor’s telephone number 2083221730
Plan sponsor’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704

Plan administrator’s name and address

Administrator’s EIN 820312175
Plan administrator’s name IDAHO EMERGENCY PHYSICIANS, P.A.
Plan administrator’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704
Administrator’s telephone number 2083221730

Signature of

Role Plan administrator
Date 2013-10-12
Name of individual signing JOHN EPPERSON
Valid signature Filed with authorized/valid electronic signature
IDAHO EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2011 820312175 2012-10-04 IDAHO EMERGENCY PHYSICIANS, P.A. 54
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 621111
Sponsor’s telephone number 2083221730
Plan sponsor’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704

Plan administrator’s name and address

Administrator’s EIN 820312175
Plan administrator’s name IDAHO EMERGENCY PHYSICIANS, P.A.
Plan administrator’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704
Administrator’s telephone number 2083221730

Signature of

Role Plan administrator
Date 2012-10-04
Name of individual signing JOHN EPPERSON
Valid signature Filed with authorized/valid electronic signature
IDAHO EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2010 820312175 2011-09-30 IDAHO EMERGENCY PHYSICIANS, P.A. 47
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 621111
Sponsor’s telephone number 2083221730
Plan sponsor’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704

Plan administrator’s name and address

Administrator’s EIN 820312175
Plan administrator’s name IDAHO EMERGENCY PHYSICIANS, P.A.
Plan administrator’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704
Administrator’s telephone number 2083221730

Signature of

Role Plan administrator
Date 2011-09-30
Name of individual signing BRANDON WILDING
Valid signature Filed with authorized/valid electronic signature
IDAHO EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2009 820312175 2010-10-14 IDAHO EMERGENCY PHYSICIANS, P.A. 39
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 621111
Sponsor’s telephone number 2083221730
Plan sponsor’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704

Plan administrator’s name and address

Administrator’s EIN 820312175
Plan administrator’s name IDAHO EMERGENCY PHYSICIANS, P.A.
Plan administrator’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704
Administrator’s telephone number 2083221730

Signature of

Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing BRANDON WILDING
Valid signature Filed with authorized/valid electronic signature
IDAHO EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2009 820312175 2010-10-14 IDAHO EMERGENCY PHYSICIANS, P.A. 39
Three-digit plan number (PN) 001
Effective date of plan 1976-11-01
Business code 621111
Sponsor’s telephone number 2083221730
Plan sponsor’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704

Plan administrator’s name and address

Administrator’s EIN 820312175
Plan administrator’s name IDAHO EMERGENCY PHYSICIANS, P.A.
Plan administrator’s address 2312 NORTH COLE, SUITE B, BOISE, ID, 83704
Administrator’s telephone number 2083221730

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing BRANDON WILDING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing BRANDON WILDING
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOSEPH A. UBERUAGA, II Agent 1111 W JEFFERSON SUITE 530, BOISE, ID 83702

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0003719148 2019-12-27
Annual Report 0003677127 2019-11-14
Annual Report 0001558955 2018-08-27
Annual Report 0001558954 2017-08-22
Annual Report 0001558953 2016-09-06
Annual Report 0001558952 2015-08-17
Annual Report 0001558951 2014-08-18
Annual Report 0001558949 2013-08-12
Annual Report 0001558947 2012-08-27
Annual Report 0001558966 2011-09-07

Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State