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  5. PATRICK J. MULLEN, M.D., PLLC

PATRICK J. MULLEN, M.D., PLLC

Company Details

Name: PATRICK J. MULLEN, M.D., PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 19 Nov 2010 (14 years ago)
Financial Date End: 30 Nov 2014
Date dissolved: 10 Feb 2015
Entity Number: 303689
Place of Formation: IDAHO
File Number: 0000303689
ZIP code: 83854
County: Kootenai County
Principal Address: 750 N SYRINGA STREET POST FALLS, ID 83854

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PATRICK J. MULLEN M.D. 401(K) PROFIT SHARING PLAN 2013 470862399 2014-04-02 PATRICK J. MULLEN, M.D. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087777830
Plan sponsor’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854

Plan administrator’s name and address
Administrator’s EIN 470862399
Plan administrator’s name PATRICK J. MULLEN, M.D.
Plan administrator’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854
Administrator’s telephone number 2087777830

Signature of
Role Plan administrator
Date 2014-04-02
Name of individual signing DR. PATRICK J. MULLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
DR. PATRICK J. MULLEN M.D. 401(K) PROFIT SHARING PLAN 2012 470862399 2013-04-01 PATRICK J. MULLEN, M.D. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087777830
Plan sponsor’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854

Plan administrator’s name and address
Administrator’s EIN 470862399
Plan administrator’s name PATRICK J. MULLEN, M.D.
Plan administrator’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854
Administrator’s telephone number 2087777830

Signature of
Role Plan administrator
Date 2013-04-01
Name of individual signing DR. PATRICK J. MULLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
DR. PATRICK J. MULLEN M.D. 401(K) PROFIT SHARING PLAN 2011 470862399 2012-05-25 PATRICK J. MULLEN, M.D. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Plan sponsor’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854

Plan administrator’s name and address
Administrator’s EIN 470862399
Plan administrator’s name PATRICK J. MULLEN, M.D.
Plan administrator’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854
Administrator’s telephone number 2087777830

Signature of
Role Plan administrator
Date 2012-05-25
Name of individual signing DR. PATRICK J. MULLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
DR. PATRICK J. MULLEN M.D. 401(K) PROFIT SHARING PLAN 2010 470862399 2011-05-06 PATRICK J. MULLEN, M.D. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087777830
Plan sponsor’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854

Plan administrator’s name and address
Administrator’s EIN 470862399
Plan administrator’s name PATRICK J. MULLEN, M.D.
Plan administrator’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854
Administrator’s telephone number 2087777830

Signature of
Role Plan administrator
Date 2011-05-06
Name of individual signing DR. PATRICK J. MULLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
DR. PATRICK J. MULLEN M.D. 401(K) PROFIT SHARING PLAN 2009 470862399 2010-09-14 PATRICK J. MULLEN, M.D. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087777830
Plan sponsor’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854

Plan administrator’s name and address
Administrator’s EIN 470862399
Plan administrator’s name PATRICK J. MULLEN, M.D.
Plan administrator’s address 750 N. SYRINGA STREET, SUITE 204, POST FALLS, ID, 83854
Administrator’s telephone number 2087777830

Signature of
Role Plan administrator
Date 2010-09-13
Name of individual signing DR. PATRICK J. MULLEN, M.D.
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0002249795 2013-09-26
Annual Report 0002249794 2012-11-06
Annual Report 0002249784 2011-11-09
Initial Filing 0000303689 2010-11-19

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State

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