| Name: | IDAHO ALLERGY, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 02 May 2008 (17 years ago) |
| Financial Date End: | 31 May 2024 |
| Date dissolved: | 13 Aug 2024 |
| Entity Number: | 232218 |
| Place of Formation: | IDAHO |
| File Number: | 232218 |
| ZIP code: | 83616 |
| County: | Ada County |
| Principal Address: | 379 E SHORE DR 100 EAGLE, ID 83616 |
| Mailing Address: | APT 401D 10599 WILSHIRE BLVD LOS ANGELES, CA 90024-7624 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IDAHO ALLERGY 401(K) PLAN | 2009 | 611566873 | 2010-09-24 | IDAHO ALLERGY, LLC. | 0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 611566873 |
| Plan administrator’s name | IDAHO ALLERGY, INC. |
| Plan administrator’s address | 379 E. SHORE DR., STE. 100, EAGLE, ID, 83616 |
| Administrator’s telephone number | 2089383443 |
Number of participants as of the end of the plan year
| Active participants | 8 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 8 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-24 |
| Name of individual signing | STEPHEN FRITZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-24 |
| Name of individual signing | STEPHEN FRITZ |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Sanjeev Jain | Agent | 379 E SHORE DR 100 , EAGLE, ID 83616 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Sanjeev Jain | Member | 14603 NE 20TH AVE, A202, VANCOUVER, WA 98686 | 2020-10-09 | 2023-02-06 |
| Pacifica Medical Group, LLC | Member | 43575 MISSION BLVD, FREMONT, CA 94539 | 2023-02-06 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0005856474 | 2024-08-13 |
| Annual Report | 0005263504 | 2023-06-03 |
| Statement of Change of Business Mailing Address | 0005172165 | 2023-03-30 |
| Amendment to Certificate | 0005084280 | 2023-02-06 |
| Application for Reinstatement | 0004844033 | 2022-08-04 |
| Dissolution/Revocation - Administrative | 0004843658 | 2022-08-04 |
| Annual Report | 0004312591 | 2021-06-11 |
| Application for Reinstatement | 0004029482 | 2020-10-09 |
| Dissolution/Revocation - Administrative | 0003957753 | 2020-08-05 |
| Application for Reinstatement | 0003608906 | 2019-08-28 |
Date of last update: 06 Dec 2024
Sources: Idaho Secretary of State
