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  5. PRIMARY THERAPY SOURCE, LLC

PRIMARY THERAPY SOURCE, LLC

Company Details

Name: PRIMARY THERAPY SOURCE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Jan 2007 (18 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 185369
Place of Formation: IDAHO
File Number: 185369
ZIP code: 83301
County: Twin Falls County
Principal Address: 254 RIVER VISTA PLACE TWIN FALLS, ID 83301
Mailing Address: JAN YINGST 254 RIVER VISTA PL TWIN FALLS, ID 83301-3006

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMARY THERAPY SOURCE 401(K) PROFIT SHARING PLAN 2017 208413998 2018-10-09 PRIMARY THERAPY SOURCE, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing IVAN HARDCASTLE
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE 401(K) PROFIT SHARING PLAN 2017 208413998 2018-10-09 PRIMARY THERAPY SOURCE, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing IVAN HARDCASTLE
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE 401(K) PROFIT SHARING PLAN 2016 208413998 2018-10-09 PRIMARY THERAPY SOURCE, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing IVAN HARDCASTLE
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE 401(K) PROFIT SHARING PLAN 2016 208413988 2017-10-12 PRIMARY THERAPY SOURCE, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing IVAN HARDCASTLE
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE, LLC 401(K) PROFIT SHARING PLAN 2015 208413998 2016-10-04 PRIMARY THERAPY SOURCE, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 208413998
Plan administrator’s name PRIMARY THERAPY SOURCE, LLC
Plan administrator’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087347333

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing JAN YINGST
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE, LLC 401(K) PROFIT SHARING PLAN 2014 208413998 2015-10-14 PRIMARY THERAPY SOURCE, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 208413998
Plan administrator’s name PRIMARY THERAPY SOURCE, LLC
Plan administrator’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087347333

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing JAN YINGST
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE, LLC 401(K) PROFIT SHARING PLAN 2013 208413998 2014-09-27 PRIMARY THERAPY SOURCE, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 208413998
Plan administrator’s name PRIMARY THERAPY SOURCE, LLC
Plan administrator’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087347333

Signature of
Role Plan administrator
Date 2014-09-27
Name of individual signing JAN YINGST
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE, LLC 401(K) PROFIT SHARING PLAN 2012 208413998 2013-07-15 PRIMARY THERAPY SOURCE, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 208413998
Plan administrator’s name PRIMARY THERAPY SOURCE, LLC
Plan administrator’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087347333

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing JAN YINGST
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE, LLC 401(K) PROFIT SHARING PLAN 2011 208413998 2012-07-26 PRIMARY THERAPY SOURCE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 208413998
Plan administrator’s name PRIMARY THERAPY SOURCE, LLC
Plan administrator’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087347333

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing JAN YINGST
Valid signature Filed with authorized/valid electronic signature
PRIMARY THERAPY SOURCE, LLC 401(K) PROFIT SHARING PLAN 2010 208413998 2011-06-27 PRIMARY THERAPY SOURCE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 2087347333
Plan sponsor’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 208413998
Plan administrator’s name PRIMARY THERAPY SOURCE, LLC
Plan administrator’s address 254 RIVER VISTA PLACE, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087347333

Signature of
Role Plan administrator
Date 2011-06-27
Name of individual signing JAN YINGST
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAN YINGST Agent 4135 N CREEKVIEW DR, TWIN FALLS, ID 83301

Manager

Name Role Address Appointed On
Jan Yingst Manager 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2021-12-15
Jan Yingst PT Manager 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2020-12-04

Member

Name Role Address Appointed On Resigned On
Mandy Ovitt-Lee Member 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2023-12-03 2023-12-03
Jackie Dux-Price Member 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2023-12-03 2023-12-03
Teresa Prine Member 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2023-12-03 2023-12-03
Trish Howard Member 254 RIVER VISTA PLACE, TWIN FALLS, ID 83301 2023-12-03 2023-12-03

Filing

Filing Name Filing Number Filing date
Annual Report 0006002841 2024-12-03
Annual Report 0005493163 2023-12-03
Annual Report 0005017912 2022-12-07
Annual Report 0004530963 2021-12-15
Annual Report 0004088785 2020-12-04
Annual Report 0003708112 2019-12-12
Annual Report 0003448458 2019-03-11
Annual Report 0001656211 2017-11-29
Annual Report 0001656210 2016-11-19
Annual Report 0001656209 2015-11-19

Related by officers

JAN YINGST

TREELINE PROPERTIES, LLC M J YINGST, INC. ADAPTIVE CYCLING OF SOUTHERN IDAHO CHAPTER OF NATIONAL AMBUCS, INC.

Jan Yingst

TREELINE PROPERTIES, LLC M J YINGST, INC. RISING STARS THERAPEUTIC RIDING CENTER, INC. ADAPTIVE CYCLING OF SOUTHERN IDAHO CHAPTER OF NATIONAL AMBUCS, INC.

Jan Yingst PT

ADAPTIVE CYCLING OF SOUTHERN IDAHO CHAPTER OF NATIONAL AMBUCS, INC.

Trish Howard

Southern Idaho Kids Therapy Support, Inc.

Related by address

JAN YINGST 254 RIVER VISTA PL TWIN FALLS, ID 83301-3006

Southern Idaho Kids Therapy Support, Inc.

Date of last update: 16 Jan 2025

Sources: Idaho Secretary of State

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