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  5. MADISON ANESTHESIA SERVICES, P.A.

MADISON ANESTHESIA SERVICES, P.A.

Company Details

Name: MADISON ANESTHESIA SERVICES, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Aug 1985 (40 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 247619
Place of Formation: IDAHO
File Number: 247619
ZIP code: 83440
County: Madison County
Mailing Address: PO BOX 866 REXBURG, ID 83440-0866

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN 2013 820399298 2014-05-13 MADISON ANESTHESIA SERVICES, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621399
Sponsor’s telephone number 2083566141
Plan sponsor’s address P.O. BOX 866, REXBURG, ID, 834400866
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN 2012 820399298 2013-01-31 MADISON ANESTHESIA SERVICES, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621399
Sponsor’s telephone number 2083566141
Plan sponsor’s address P.O. BOX 866, REXBURG, ID, 834400866

Signature of
Role Plan administrator
Date 2013-01-31
Name of individual signing TODD GEHMLICH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-31
Name of individual signing TODD GEHMLICH
Valid signature Filed with authorized/valid electronic signature
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN 2011 820399298 2012-02-10 MADISON ANESTHESIA SERVICES, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621399
Sponsor’s telephone number 2083566141
Plan sponsor’s address P.O. BOX 866, REXBURG, ID, 834400866

Plan administrator’s name and address
Administrator’s EIN 820399298
Plan administrator’s name MADISON ANESTHESIA SERVICES, P.A.
Plan administrator’s address P.O. BOX 866, REXBURG, ID, 834400866
Administrator’s telephone number 2083566141

Signature of
Role Plan administrator
Date 2012-02-10
Name of individual signing TODD GEHMLICH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-10
Name of individual signing TODD GEHMLICH
Valid signature Filed with authorized/valid electronic signature
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN 2010 820399298 2011-02-04 MADISON ANESTHESIA SERVICES, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621399
Sponsor’s telephone number 2083566141
Plan sponsor’s address P.O. BOX 866, REXBURG, ID, 834400866

Plan administrator’s name and address
Administrator’s EIN 820399298
Plan administrator’s name MADISON ANESTHESIA SERVICES, P.A.
Plan administrator’s address P.O. BOX 866, REXBURG, ID, 834400866
Administrator’s telephone number 2083566141

Signature of
Role Plan administrator
Date 2011-02-04
Name of individual signing THOMAS E. SCRUGGS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-04
Name of individual signing THOMAS E. SCRUGGS
Valid signature Filed with authorized/valid electronic signature
MADISON ANESTHESIA SERVICES, P.A. PROFIT SHARING PLAN 2009 820399298 2010-06-25 MADISON ANESTHESIA SERVICES, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-06-01
Business code 621399
Sponsor’s telephone number 2083566141
Plan sponsor’s address 450 E. MAIN, P.O. BOX 866, REXBURG, ID, 834400866

Plan administrator’s name and address
Administrator’s EIN 820399298
Plan administrator’s name MADISON ANESTHESIA SERVICES, P.A.
Plan administrator’s address 450 E. MAIN, P.O. BOX 866, REXBURG, ID, 834400866
Administrator’s telephone number 2083566141

Signature of
Role Plan administrator
Date 2010-06-25
Name of individual signing THOMAS E. SCRUGGS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-25
Name of individual signing THOMAS E. SCRUGGS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GREGORY C CALDER Agent 2105 CORONADO ST, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On Resigned On
Michael B Karren President 656 DELL DRIVE, REXBURG, ID 83440 2020-07-06 2022-07-05
Jeff Grover President 4099 E 534 N, RIGBY, ID 83442 2024-07-08 No data
Barton Hunt President PO BOX 866, REXBURG, ID 83440-0866 2022-07-05 No data

Secretary

Name Role Address Appointed On
Michael B Karren Secretary 3372 HENRY'S FORK WAY, REXBURG, ID 83440 2024-07-08
Jared Ollerton Secretary PO BOX 866, REXBURG, ID 83440-0866 2023-07-11

Filing

Filing Name Filing Number Filing date
Annual Report 0005812151 2024-07-08
Annual Report 0005315734 2023-07-11
Annual Report 0004801977 2022-07-05
Annual Report 0004334368 2021-07-06
Annual Report 0003930950 2020-07-06
Annual Report 0003578247 2019-07-24
Annual Report 0001931272 2018-06-18
Annual Report 0001931271 2017-06-29
Restated Articles 0000819390 2016-09-28
Annual Report 0001931270 2016-06-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4148447100 2020-04-12 1087 PPP P.O. Box 866, REXBURG, ID, 83440
Loan Status Date 2020-12-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 257700
Loan Approval Amount (current) 257700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address REXBURG, MADISON, ID, 83440-0001
Project Congressional District ID-02
Number of Employees 11
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 259203.84
Forgiveness Paid Date 2020-11-23

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Related by address

No related companies by address

Date of last update: 02 Apr 2025

Sources: Idaho Secretary of State

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