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  5. BOISE ANESTHESIA, P.A.

BOISE ANESTHESIA, P.A.

Company Details

Name: BOISE ANESTHESIA, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Dec 1988 (36 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 274616
Place of Formation: IDAHO
File Number: 274616
ZIP code: 83706
County: Ada County
Mailing Address: 1055 N CURTIS ROAD BOISE, ID 83706

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOISE ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2019 820425454 2020-10-12 BOISE ANESTHESIA, P.A. 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2018 820425454 2019-10-10 BOISE ANESTHESIA, P.A. 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2017 820425454 2018-10-12 BOISE ANESTHESIA, P.A. 85
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2016 820425454 2017-10-13 BOISE ANESTHESIA, P.A. 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. MONEY PURCHASE PLAN 2015 820425454 2016-10-14 BOISE ANESTHESIA, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2015 820425454 2016-10-14 BOISE ANESTHESIA, P.A. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. MONEY PURCHASE PLAN 2014 820425454 2015-10-15 BOISE ANESTHESIA, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2014 820425454 2015-10-15 BOISE ANESTHESIA, P.A. 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2013 820425454 2014-10-14 BOISE ANESTHESIA, P.A. 86
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature
BOISE ANESTHESIA, P.A. MONEY PURCHASE PLAN 2013 820425454 2014-10-14 BOISE ANESTHESIA, P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-10-01
Business code 621111
Sponsor’s telephone number 2083672798
Plan sponsor’s address 1055 N CURTIS RD, BOISE, ID, 83707

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing DONALD FOX
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOSEPH H UBERUAGA II Agent 1111 W JEFFERSON SUITE 530, BOISE, ID 83702

President

Name Role Address Appointed On Resigned On
JOHN MARTIN President 1055 N CURTIS RD, BOISE, ID 83706 2021-03-22 2022-12-21
John Martin President 150 W CIVIC CENTER DR, SANDY, UT 84070-4284 2024-11-21 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0005991014 2024-11-21
Application for Reinstatement 0005751047 2024-05-30
Dissolution/Revocation - Administrative 0005649939 2024-03-15
Annual Report 0005035911 2022-12-21
Annual Report 0004571994 2022-01-14
Application for Reinstatement 0004215208 2021-03-22
Dissolution/Revocation - Administrative 0004208402 2021-03-13
Application for Reinstatement 0003843593 2020-04-13
Dissolution/Revocation - Administrative 0003809136 2020-03-10
Annual Report 0003387309 2019-01-03

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JOSEPH H UBERUAGA II

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JOHN MARTIN

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John Martin

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1055 N CURTIS ROAD BOISE, ID 83706

EAGLE ED REAL ESTATE LLC

Date of last update: 08 Dec 2024

Sources: Idaho Secretary of State

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