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  5. ADA ORTHOPAEDIC CLINIC, LLC

ADA ORTHOPAEDIC CLINIC, LLC

Company Details

Name: ADA ORTHOPAEDIC CLINIC, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 22 Jul 2008 (16 years ago)
Financial Date End: 31 Jul 2015
Date dissolved: 21 Oct 2015
Entity Number: 239009
Place of Formation: IDAHO
File Number: 0000239009
ZIP code: 83704
County: Ada County
Principal Address: 6500 WEST EMERALD BOISE, ID 83704

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADA ORTHOPAEDIC CLINIC, LLC 401K PLAN 2014 203717348 2015-10-13 ADA ORTHOPAEDIC CLINIC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2083770777
Plan sponsor’s address 6500 W. EMERALD STREET, BOISE, ID, 83704

Plan administrator’s name and address
Administrator’s EIN 203717348
Plan administrator’s name ADA ORTHOPAEDIC CLINIC
Plan administrator’s address 6500 W. EMERALD STREET, BOISE, ID, 83704
Administrator’s telephone number 2083770777

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing WILLIAM LINDNER
Valid signature Filed with authorized/valid electronic signature
ADA ORTHOPAEDIC CLINIC, LLC 401K PLAN 2014 203717348 2015-10-13 ADA ORTHOPAEDIC CLINIC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-10-24
Business code 621111
Sponsor’s telephone number 2083770777
Plan sponsor’s address 6500 W. EMERALD STREET, BOISE, ID, 83704

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing WILLIAM LINDNER
Valid signature Filed with authorized/valid electronic signature
ADA ORTHOPAEDIC CLINIC, LLC 401K PLAN 2013 203717348 2014-05-23 ADA ORTHOPAEDIC CLINIC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2083770777
Plan sponsor’s address 6500 W. EMERALD STREET, BOISE, ID, 83704

Plan administrator’s name and address
Administrator’s EIN 203717348
Plan administrator’s name ADA ORTHOPAEDIC CLINIC
Plan administrator’s address 6500 W. EMERALD STREET, BOISE, ID, 83704
Administrator’s telephone number 2083770777

Signature of
Role Plan administrator
Date 2014-05-23
Name of individual signing WILLIAM LINDNER
Valid signature Filed with authorized/valid electronic signature
ADA ORTHOPAEDIC CLINIC, LLC 401K PLAN 2012 203717348 2013-03-14 ADA ORTHOPAEDIC CLINIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2083770777
Plan sponsor’s address 6500 W. EMERALD STREET, BOISE, ID, 83704

Plan administrator’s name and address
Administrator’s EIN 203717348
Plan administrator’s name ADA ORTHOPAEDIC CLINIC
Plan administrator’s address 6500 W. EMERALD STREET, BOISE, ID, 83704
Administrator’s telephone number 2083770777

Signature of
Role Plan administrator
Date 2013-03-14
Name of individual signing WILLIAM LINDNER
Valid signature Filed with authorized/valid electronic signature
ADA ORTHOPAEDIC CLINIC, LLC 401K PLAN 2011 203717348 2012-06-19 ADA ORTHOPAEDIC CLINIC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2083770777
Plan sponsor’s address 6500 W. EMERALD STREET, BOISE, ID, 83704

Plan administrator’s name and address
Administrator’s EIN 203717348
Plan administrator’s name ADA ORTHOPAEDIC CLINIC
Plan administrator’s address 6500 W. EMERALD STREET, BOISE, ID, 83704
Administrator’s telephone number 2083770777

Signature of
Role Plan administrator
Date 2012-06-19
Name of individual signing WILLIAM LINDNER
Valid signature Filed with authorized/valid electronic signature
ADA ORTHOPAEDIC CLINIC, LLC 401K PLAN 2010 203717348 2011-08-23 ADA ORTHOPAEDIC CLINIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2083770777
Plan sponsor’s address 6500 W. EMERALD STREET, BOISE, ID, 83704

Plan administrator’s name and address
Administrator’s EIN 203717348
Plan administrator’s name ADA ORTHOPAEDIC CLINIC
Plan administrator’s address 6500 W. EMERALD STREET, BOISE, ID, 83704
Administrator’s telephone number 2083770777

Signature of
Role Plan administrator
Date 2011-08-23
Name of individual signing WILLIAM LINDNER
Valid signature Filed with authorized/valid electronic signature
ADA ORTHOPAEDIC CLINIC, LLC 401K PLAN 2009 203717348 2010-07-18 ADA ORTHOPAEDIC CLINIC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2083770777
Plan sponsor’s address 6500 W. EMERALD STREET, BOISE, ID, 83704

Plan administrator’s name and address
Administrator’s EIN 203717348
Plan administrator’s name ADA ORTHOPAEDIC CLINIC
Plan administrator’s address 6500 W. EMERALD STREET, BOISE, ID, 83704
Administrator’s telephone number 2083770777

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing WILLIAM LINDNER
Valid signature Filed with authorized/valid electronic signature
ADA ORTHOPAEDIC CLINIC, LLC 401K PLAN 2009 203717348 2010-06-29 ADA ORTHOPAEDIC CLINIC 15
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2083770777
Plan sponsor’s address 6500 W. EMERALD STREET, BOISE, ID, 83704

Plan administrator’s name and address
Administrator’s EIN 203717348
Plan administrator’s name ADA ORTHOPAEDIC CLINIC
Plan administrator’s address 6500 W. EMERALD STREET, BOISE, ID, 83704
Administrator’s telephone number 2083770777

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing WILLIAM LINDNER
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0001888081 2014-05-27
Application for Reinstatement 0001888080 2013-11-12
Application for Reinstatement 0000815022 2013-11-07
Annual Report 0001888079 2011-07-29
Annual Report 0001888078 2010-06-02
Annual Report 0001888077 2009-05-26
Initial Filing 0000239009 2008-07-22

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State

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