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FAMILY PRACTICE GROUP, P.A.

Company Details

Name: FAMILY PRACTICE GROUP, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Feb 1989 (36 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 275609
Place of Formation: IDAHO
File Number: 275609
ZIP code: 83201
County: Bannock County
Mailing Address: SHELLY STRANSKI STE B 1951 BENCH RD POCATELLO, ID 83201-2073

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2023 820437409 2024-10-01 FAMILY PRACTICE GROUP, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 83201

Signature of

Role Plan administrator
Date 2024-10-01
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2022 820437409 2023-08-24 FAMILY PRACTICE GROUP, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 83201

Signature of

Role Plan administrator
Date 2023-08-24
Name of individual signing SHELLY R STRANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-24
Name of individual signing SHELLY R STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2021 820437409 2022-06-24 FAMILY PRACTICE GROUP, P.A. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 832012073

Signature of

Role Plan administrator
Date 2022-06-24
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-24
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2020 820437409 2021-08-09 FAMILY PRACTICE GROUP, P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 832012073

Signature of

Role Plan administrator
Date 2021-08-09
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-09
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2019 820437409 2020-09-16 FAMILY PRACTICE GROUP, P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 832012073

Signature of

Role Plan administrator
Date 2020-09-16
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-16
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2018 820437409 2019-07-18 FAMILY PRACTICE GROUP, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 832012073

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2017 820437409 2018-09-24 FAMILY PRACTICE GROUP, P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 832012073

Signature of

Role Plan administrator
Date 2018-09-24
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2016 820437409 2017-04-28 FAMILY PRACTICE GROUP, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 83201

Signature of

Role Plan administrator
Date 2017-04-28
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2015 820437409 2016-07-28 FAMILY PRACTICE GROUP, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 83201

Signature of

Role Plan administrator
Date 2016-07-28
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE GROUP, P.A. 401(K) SALARY REDUCTION PLAN AND TRUST 2014 820437409 2015-04-22 FAMILY PRACTICE GROUP, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 2082357218
Plan sponsor’s address 1951 BENCH ROAD, SUITE B, POCATELLO, ID, 83201

Signature of

Role Plan administrator
Date 2015-04-22
Name of individual signing SHELLY STRANSKI
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address Appointed On Resigned On
Blaine Olsen President 1951 BENCH RD., SUITE B, POCATELLO, ID 83201 2021-01-04 2023-03-09
Travis Nielsen President 1951 BENCH RD., POCATELLO, ID 83201 2023-03-09 No data

Agent

Name Role Address
Travis Nielsen Agent 1951 BENCH RD, STE B, POCATELLO, ID 83201-2073

Filing

Filing Name Filing Number Filing date
Annual Report 0005584977 2024-02-05
Annual Report 0005150621 2023-03-09
Annual Report 0004550558 2022-01-03
Annual Report 0004115053 2021-01-04
Annual Report 0003726866 2020-01-02
Annual Report 0003416043 2019-01-29
Annual Report 0002090346 2017-12-29
Annual Report 0002090345 2017-03-17
Annual Report 0002090344 2016-01-29
Annual Report 0002090342 2015-03-16

Date of last update: 08 Dec 2024

Sources: Idaho Secretary of State