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JOHN S. KUNDRAT, M.D., P.A.

Company Details

Name: JOHN S. KUNDRAT, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 11 Mar 1977 (48 years ago)
Financial Date End: 31 Mar 2018
Date dissolved: 29 Jun 2018
Entity Number: 177178
Place of Formation: IDAHO
File Number: 0000177178
Mailing Address: 6291 W. LINDA LN CHANDLER, AZ 85226

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN S. KUNDRAT, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2016 820331776 2017-09-20 JOHN S. KUNDRAT, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-04-01
Business code 621111
Sponsor’s telephone number 2087460458
Plan sponsor’s address 1421 24TH AVE, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2017-09-20
Name of individual signing DOMONIQUE PERETTI
Valid signature Filed with authorized/valid electronic signature
JOHN S. KUNDRAT, M. D. , P. A. 401(K) PROFIT SHARING PLAN 2015 820331776 2016-05-26 JOHN S. KUNDRAT, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-04-01
Business code 621111
Sponsor’s telephone number 2087460458
Plan sponsor’s address 1421 24TH AVE, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing BETH ELFERING
Valid signature Filed with authorized/valid electronic signature
JOHN S. KUNDRAT, M.D., P.A. 401(K) PROFIT SHARING PLAN 2014 820331776 2015-09-03 JOHN S. KUNDRAT, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-04-01
Business code 621111
Sponsor’s telephone number 2087460458
Plan sponsor’s address 1421 24TH AVENUE, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2015-09-03
Name of individual signing JOHN S. KUNDRAT
Valid signature Filed with authorized/valid electronic signature
JOHN S. KUNDRAT, M.D., P.A. 401(K) PROFIT SHARING PLAN 2013 820331776 2014-12-10 JOHN S. KUNDRAT, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-04-01
Business code 621111
Sponsor’s telephone number 2087460458
Plan sponsor’s address 1421 24TH AVENUE, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2014-12-10
Name of individual signing JOHN S. KUNDRAT
Valid signature Filed with authorized/valid electronic signature
JOHN S. KUNDRAT, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 820331776 2013-11-22 JOHN S. KUNDRAT, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-04-01
Business code 621111
Sponsor’s telephone number 2087460458
Plan sponsor’s address 1421 24TH AVENUE, LEWISTON, ID, 83501

Signature of
Role Plan administrator
Date 2013-11-22
Name of individual signing JOHN S. KUNDRAT
Valid signature Filed with authorized/valid electronic signature
JOHN S. KUNDRAT, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 820331776 2012-11-30 JOHN S. KUNDRAT, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-04-01
Business code 621111
Sponsor’s telephone number 2087460458
Plan sponsor’s address 1421 24TH AVENUE, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820331776
Plan administrator’s name JOHN S. KUNDRAT, M.D., P.A.
Plan administrator’s address 1421 24TH AVENUE, LEWISTON, ID, 83501
Administrator’s telephone number 2087460458

Signature of
Role Plan administrator
Date 2012-11-30
Name of individual signing JOHN S. KUNDRAT
Valid signature Filed with authorized/valid electronic signature
JOHN S. KUNDRAT, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 820331776 2011-09-09 JOHN S. KUNDRAT, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-04-01
Business code 621111
Sponsor’s telephone number 2087460458
Plan sponsor’s address 1421 24TH AVENUE, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820331776
Plan administrator’s name JOHN S. KUNDRAT, M.D., P.A.
Plan administrator’s address 1421 24TH AVENUE, LEWISTON, ID, 83501
Administrator’s telephone number 2087460458

Signature of
Role Plan administrator
Date 2011-09-09
Name of individual signing JOHN S. KUNDRAT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-09
Name of individual signing JOHN S. KUNDRAT
Valid signature Filed with authorized/valid electronic signature
JOHN S. KUNDRAT, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 820331776 2010-10-30 JOHN S. KUNDRAT, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-04-01
Business code 621111
Sponsor’s telephone number 2087460458
Plan sponsor’s address 1421 24TH AVENUE, LEWISTON, ID, 83501

Plan administrator’s name and address
Administrator’s EIN 820331776
Plan administrator’s name JOHN S. KUNDRAT, M.D., P.A.
Plan administrator’s address 1421 24TH AVENUE, LEWISTON, ID, 83501
Administrator’s telephone number 2087460458

Signature of
Role Plan administrator
Date 2010-10-30
Name of individual signing JOHN S. KUNDRAT
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0001622595 2017-02-03
Annual Report 0001622594 2016-01-17
Annual Report 0001622593 2015-01-21
Annual Report 0001622592 2014-02-01
Annual Report 0001622591 2013-01-18
Annual Report 0001622586 2012-01-21
Annual Report 0001622585 2011-01-16
Annual Report 0001622584 2010-01-13
Annual Report 0001622583 2009-01-17
Annual Report 0001622588 2008-01-24

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State

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