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UROLOGIC CLINIC OF BOISE, P.A.

Company Details

Name: UROLOGIC CLINIC OF BOISE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 06 Sep 1983 (41 years ago)
Financial Date End: 30 Sep 2007
Date dissolved: 05 Dec 2007
Entity Number: 231718
Place of Formation: IDAHO
File Number: 0000231718
ZIP code: 83714
County: Ada County
Mailing Address: 125 E IDAHO BOISE, ID 83714

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN 2010 820381103 2011-08-11 UROLOGIC CLINIC OF BOISE, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Plan sponsor’s mailing address 1140 S. ALLANTE AVE., BOISE, ID, 83709
Plan sponsor’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Plan administrator’s name and address

Administrator’s EIN 820381103
Plan administrator’s name UROLOGIC CLINIC OF BOISE, P.A.
Plan administrator’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Number of participants as of the end of the plan year

Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of

Role Plan administrator
Date 2011-08-11
Name of individual signing DAVID RICE
Valid signature Filed with authorized/valid electronic signature
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN 2010 820381103 2011-08-11 UROLOGIC CLINIC OF BOISE, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Plan sponsor’s mailing address 1140 S. ALLANTE AVE., BOISE, ID, 83709
Plan sponsor’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Plan administrator’s name and address

Administrator’s EIN 820381103
Plan administrator’s name UROLOGIC CLINIC OF BOISE, P.A.
Plan administrator’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Number of participants as of the end of the plan year

Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of

Role Plan administrator
Date 2011-08-11
Name of individual signing DAVID RICE
Valid signature Filed with authorized/valid electronic signature
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN 2010 820381103 2011-08-11 UROLOGIC CLINIC OF BOISE, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Plan sponsor’s mailing address 1140 S. ALLANTE AVE., BOISE, ID, 83709
Plan sponsor’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Plan administrator’s name and address

Administrator’s EIN 820381103
Plan administrator’s name UROLOGIC CLINIC OF BOISE, P.A.
Plan administrator’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Number of participants as of the end of the plan year

Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of

Role Plan administrator
Date 2011-08-11
Name of individual signing DAVID RICE
Valid signature Filed with authorized/valid electronic signature
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN 2010 820381103 2011-08-11 UROLOGIC CLINIC OF BOISE, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Plan sponsor’s mailing address 1140 S. ALLANTE AVE., BOISE, ID, 83709
Plan sponsor’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Plan administrator’s name and address

Administrator’s EIN 820381103
Plan administrator’s name UROLOGIC CLINIC OF BOISE, P.A.
Plan administrator’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Number of participants as of the end of the plan year

Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of

Role Plan administrator
Date 2011-08-11
Name of individual signing DAVID RICE
Valid signature Filed with authorized/valid electronic signature
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN 2010 820381103 2011-08-11 UROLOGIC CLINIC OF BOISE, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Plan sponsor’s mailing address 1140 S. ALLANTE AVE., BOISE, ID, 83709
Plan sponsor’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Plan administrator’s name and address

Administrator’s EIN 820381103
Plan administrator’s name UROLOGIC CLINIC OF BOISE, P.A.
Plan administrator’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Number of participants as of the end of the plan year

Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of

Role Plan administrator
Date 2011-08-11
Name of individual signing DAVID RICE
Valid signature Filed with authorized/valid electronic signature
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN 2010 820381103 2011-08-11 UROLOGIC CLINIC OF BOISE, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Plan sponsor’s mailing address 1140 S. ALLANTE AVE., BOISE, ID, 83709
Plan sponsor’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Plan administrator’s name and address

Administrator’s EIN 820381103
Plan administrator’s name UROLOGIC CLINIC OF BOISE, P.A.
Plan administrator’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of

Role Plan administrator
Date 2011-08-11
Name of individual signing DAVID RICE
Valid signature Filed with authorized/valid electronic signature
UROLOGIC CLINIC OF BOISE, P.A. PROFIT SHARING PLAN 2009 820381103 2011-08-11 UROLOGIC CLINIC OF BOISE, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Plan sponsor’s mailing address 1140 S. ALLANTE AVE., BOISE, ID, 83709
Plan sponsor’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Plan administrator’s name and address

Administrator’s EIN 820381103
Plan administrator’s name UROLOGIC CLINIC OF BOISE, P.A.
Plan administrator’s address 1140 S. ALLANTE AVE., BOISE, ID, 83709

Number of participants as of the end of the plan year

Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of

Role Plan administrator
Date 2011-08-11
Name of individual signing DAVID RICE
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0001853286 2006-10-16
Annual Report 0001853285 2005-08-12
Annual Report 0001853284 2004-09-29
Annual Report 0001853283 2003-07-11
Annual Report 0001853279 2002-08-07
Annual Report 0001853303 2001-07-16
Annual Report 0001853302 2000-12-06
Legacy Amendment 0001853301 2000-07-21
Annual Report 0001853297 1999-07-30
Annual Report 0001853280 1998-10-13

Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State