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  5. INITIAL POINT FAMILY MEDICINE, PLLC

INITIAL POINT FAMILY MEDICINE, PLLC

Company Details

Name: INITIAL POINT FAMILY MEDICINE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Oct 2006 (18 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 178917
Place of Formation: IDAHO
File Number: 178917
ZIP code: 83642
County: Ada County
Principal Address: 2640 SOUTH EAGLE ROAD MERIDIAN, ID 83642
Mailing Address: 2640 S EAGLE RD MERIDIAN, ID 83642-6704

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INITIAL POINT FAMILY MEDICINE 401K PLAN 2023 205898813 2024-08-19 INITIAL POINT FAMILY MEDICINE PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2024-08-19
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2023 205898813 2024-10-08 INITIAL POINT FAMILY MEDICINE PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2022 205898813 2024-08-19 INITIAL POINT FAMILY MEDICINE PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2024-08-19
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2022 205898813 2023-10-13 INITIAL POINT FAMILY MEDICINE PLLC 8
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2021 205898813 2022-10-17 INITIAL POINT FAMILY MEDICINE PLLC 9
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2021 205898813 2023-10-13 INITIAL POINT FAMILY MEDICINE PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2020 205898813 2021-09-24 INITIAL POINT FAMILY MEDICINE PLLC 8
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2021-09-24
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2020 205898813 2023-06-05 INITIAL POINT FAMILY MEDICINE PLLC 8
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2019 205898813 2020-09-24 INITIAL POINT FAMILY MEDICINE PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2020-09-24
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature
INITIAL POINT FAMILY MEDICINE 401K PLAN 2018 205898813 2019-10-09 INITIAL POINT FAMILY MEDICINE PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2088980124
Plan sponsor’s address 2640 S. EAGLE ROAD, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing MARK GRAJCAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARK S GRAJCAR DO Agent 2640 S EAGLE RD, MERIDIAN, ID 83642

Member

Name Role Address Appointed On
Mark Grajcar Member 2640 SOUTH EAGLE ROAD, MERIDIAN, ID 83642 2020-09-13

Filing

Filing Name Filing Number Filing date
Annual Report 0005880541 2024-09-03
Annual Report 0005468608 2023-11-07
Annual Report 0004973994 2022-11-03
Annual Report 0004433275 2021-10-03
Annual Report 0004002682 2020-09-13
Annual Report 0003631654 2019-09-30
Annual Report 0001630074 2018-09-24
Annual Report 0001630073 2017-09-26
Annual Report 0001630072 2016-09-29
Legacy Amendment 0000776694 2016-07-12

Related by officers

MARK S GRAJCAR DO

INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC.

Mark Grajcar

ASSURED DIRECT CARE, LLC

Related by address

2640 S EAGLE RD MERIDIAN, ID 83642-6704

HEY NINETEEN LLC ASSURED DIRECT CARE, LLC Edge Medical PLLC

Date of last update: 03 Dec 2024

Sources: Idaho Secretary of State

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