IDAHO ENDOCRINOLOGY, PLLC

Company Details

Name:	IDAHO ENDOCRINOLOGY, PLLC
Jurisdiction:	Idaho
Legal type:	Limited Liability Company (D)
Status:	Inactive-Dissolved (Administrative)
Date of registration:	28 Jun 2007 (18 years ago)
Financial Date End:	30 Jun 2015
Date dissolved:	22 Sep 2015
Entity Number:	203722
Place of Formation:	IDAHO
File Number:	0000203722
ZIP code:	83702
County:	Ada County
Principal Address:	403 S 11TH ST STE 100 BOISE, ID 83702

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

IDAHO ENDOCRINOLOGY, PLLC PROFIT SHARING PLAN

2010

260455803

2011-01-17

IDAHO ENDOCRINOLOGY, PLLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2084290300
Plan sponsor’s address	403 SOUTH 11TH STREET SUITE 100, BOISE, ID, 83702

Plan administrator’s name and address

Administrator’s EIN	260455803
Plan administrator’s name	IDAHO ENDOCRINOLOGY, PLLC
Plan administrator’s address	403 SOUTH 11TH STREET SUITE 100, BOISE, ID, 83702
Administrator’s telephone number	2084290300

Signature of

Role	Plan administrator
Date	2011-01-17
Name of individual signing	RICHARD CHRISTENSEN
Valid signature	Filed with authorized/valid electronic signature

IDAHO ENDOCRINOLOGY, PLLC PROFIT SHARING PLAN

2009

260455803

2010-07-19

IDAHO ENDOCRINOLOGY, PLLC

Plan administrator’s name and address

Administrator’s EIN	260455803
Plan administrator’s name	IDAHO ENDOCRINOLOGY, PLLC
Plan administrator’s address	403 S. 11TH ST., STE. 100, BOISE, ID, 83702
Administrator’s telephone number	2084290300

Signature of

Role	Plan administrator
Date	2010-07-19
Name of individual signing	RICHARD B. CHRISTENSEN, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-07-19
Name of individual signing	RICHARD B. CHRISTENSEN, M.D.
Valid signature	Filed with authorized/valid electronic signature

Date of last update: 24 Sep 2024