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  5. KOOTENAI SURGERY ASSOCIATES, PLLC

KOOTENAI SURGERY ASSOCIATES, PLLC

Company Details

Name: KOOTENAI SURGERY ASSOCIATES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Sep 2008 (16 years ago)
Financial Date End: 30 Sep 2015
Date dissolved: 16 Dec 2015
Entity Number: 244110
Place of Formation: IDAHO
File Number: 0000244110
ZIP code: 83814
County: Kootenai County
Principal Address: 700 IRONWOOD DR STE 341 COEUR D ALENE, ID 83814

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KOOTENAI SURGERY ASSOCIATES, PLLC 401(K) PLAN 2012 263429831 2013-08-22 KOOTENAI SURGERY ASSOCIATES, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2086671588
Plan sponsor’s address 700 IRONWOOD DRIVE, SUITE 304, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2013-08-22
Name of individual signing TIMOTHY QUINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-22
Name of individual signing TIMOTHY QUINN
Valid signature Filed with authorized/valid electronic signature
KOOTENAI SURGERY ASSOCIATES, PLLC 401(K) PLAN 2011 263429831 2012-09-21 KOOTENAI SURGERY ASSOCIATES, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2086671588
Plan sponsor’s address 700 IRONWOOD DRIVE, SUITE 304, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 263429831
Plan administrator’s name KOOTENAI SURGERY ASSOCIATES, PLLC
Plan administrator’s address 700 IRONWOOD DRIVE, SUITE 304, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086671588

Signature of
Role Plan administrator
Date 2012-09-21
Name of individual signing TIMOTHY QUINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-21
Name of individual signing TIMOTHY QUINN
Valid signature Filed with authorized/valid electronic signature
KOOTENAI SURGERY ASSOCIATES, PLLC 401(K) PLAN 2010 263429831 2011-10-10 KOOTENAI SURGERY ASSOCIATES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2086671588
Plan sponsor’s address 700 IRONWOOD DRIVE, SUITE 304, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 263429831
Plan administrator’s name KOOTENAI SURGERY ASSOCIATES, PLLC
Plan administrator’s address 700 IRONWOOD DRIVE, SUITE 304, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086671588

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing TIMOTHY QUINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-10
Name of individual signing TIMOTHY QUINN
Valid signature Filed with authorized/valid electronic signature
KOOTENAI SURGERY ASSOCIATES, PLLC 401(K) PLAN 2009 263429831 2010-10-11 KOOTENAI SURGERY ASSOCIATES, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2086671588
Plan sponsor’s address 700 IRONWOOD DRIVE, SUITE 304, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 263429831
Plan administrator’s name KOOTENAI SURGERY ASSOCIATES, PLLC
Plan administrator’s address 700 IRONWOOD DRIVE, SUITE 304, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2086671588

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing TIMOTHY QUINN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing TIMOTHY QUINN
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0001913394 2014-10-14
Annual Report 0001913393 2013-08-29
Annual Report 0001913392 2012-07-23
Annual Report 0001913391 2011-07-20
Annual Report 0001913390 2010-07-30
Annual Report 0001913389 2009-09-21
Initial Filing 0000244110 2008-09-29

Related by officers

No related officers

Related by address

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State

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