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  5. FAMILY CARE PHYSICIANS, P.A.

FAMILY CARE PHYSICIANS, P.A.

Company Details

Name: FAMILY CARE PHYSICIANS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 20 Nov 1989 (35 years ago)
Financial Date End: 30 Nov 2014
Date dissolved: 10 Feb 2015
Entity Number: 281943
Place of Formation: IDAHO
File Number: 0000281943
ZIP code: 83338
County: Jerome County
Mailing Address: 112 FIFTH AVE WEST JEROME, ID 83338

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY CARE PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 820432465 2013-08-01 FAMILY CARE PHYSICIANS, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083241157
Plan sponsor’s address 112 WEST FIFTH, JEROME, ID, 83338

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2012 820432465 2013-12-19 FAMILY CARE PHYSICIANS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083241157
Plan sponsor’s address 112 WEST FIFTH, JEROME, ID, 83338

Signature of
Role Plan administrator
Date 2013-12-15
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-15
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2011 820432465 2012-07-31 FAMILY CARE PHYSICIANS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083241157
Plan sponsor’s address 112 WEST FIFTH, JEROME, ID, 83338

Plan administrator’s name and address
Administrator’s EIN 820432465
Plan administrator’s name FAMILY CARE PHYSICIANS, P.A.
Plan administrator’s address 112 WEST FIFTH, JEROME, ID, 83338
Administrator’s telephone number 2083241157

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-31
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2010 820432465 2011-10-11 FAMILY CARE PHYSICIANS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083241157
Plan sponsor’s address 112 WEST FIFTH, JEROME, ID, 83338

Plan administrator’s name and address
Administrator’s EIN 820432465
Plan administrator’s name FAMILY CARE PHYSICIANS, P.A.
Plan administrator’s address 112 WEST FIFTH, JEROME, ID, 83338
Administrator’s telephone number 2083241157

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-11
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
FAMILY CARE PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2010 820432465 2011-10-07 FAMILY CARE PHYSICIANS, P.A. 19
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083241157
Plan sponsor’s address 112 WEST FIFTH, JEROME, ID, 83338

Plan administrator’s name and address
Administrator’s EIN 820432465
Plan administrator’s name FAMILY CARE PHYSICIANS, P.A.
Plan administrator’s address 112 WEST FIFTH, JEROME, ID, 83338
Administrator’s telephone number 2083241157

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing BRIAN JOHNSON
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-07
Name of individual signing BRIAN JOHNSON
Valid signature Filed with incorrect/unrecognized electronic signature
FAMILY CARE PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN AND TRUST 2009 820432465 2010-10-15 FAMILY CARE PHYSICIANS, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2083241157
Plan sponsor’s address 112 WEST FIFTH, JEROME, ID, 83338

Plan administrator’s name and address
Administrator’s EIN 820432465
Plan administrator’s name FAMILY CARE PHYSICIANS, P.A.
Plan administrator’s address 112 WEST FIFTH, JEROME, ID, 83338
Administrator’s telephone number 2083241157

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing BRIAN JOHNSON
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0002126923 2013-12-02
Annual Report 0002126922 2012-12-17
Annual Report 0002126917 2011-09-28
Annual Report 0002126915 2010-09-17
Annual Report 0002126914 2009-12-15
Annual Report 0002126919 2008-10-30
Annual Report 0002126918 2007-11-19
Annual Report 0002126904 2006-11-15
Annual Report 0002126903 2005-10-19
Annual Report 0002126902 2004-11-16

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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