| Name: | ELLIS PHYSICAL THERAPY, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 30 Jul 1993 (31 years ago) |
| Financial Date End: | 31 Jul 2025 |
| Entity Number: | 317881 |
| Place of Formation: | IDAHO |
| File Number: | 317881 |
| ZIP code: | 83406 |
| County: | Bonneville County |
| Mailing Address: | JAY T ELLIS 2195 MIDWAY AVE AMMON, ID 83406-6766 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELLIS PHYSICAL THERAPY, P.A., 401(K) PLAN | 2011 | 820463153 | 2012-09-11 | ELLIS PHYSICAL THERAPY, P.A. | 10 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 820463153 |
| Plan administrator’s name | ELLIS PHYSICAL THERAPY, P.A. |
| Plan administrator’s address | P.O. BOX 1463, IDAHO FALLS, ID, 834031463 |
| Administrator’s telephone number | 2085238879 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-11 |
| Name of individual signing | JAY T. ELLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-09-11 |
| Name of individual signing | JAY T. ELLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 2085238879 |
| Plan sponsor’s address | P.O. BOX 1463, IDAHO FALL, ID, 834031463 |
Plan administrator’s name and address
| Administrator’s EIN | 820463153 |
| Plan administrator’s name | ELLIS PHYSICAL THERAPY, P.A. |
| Plan administrator’s address | P.O. BOX 1463, IDAHO FALL, ID, 834031463 |
| Administrator’s telephone number | 2085238879 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-18 |
| Name of individual signing | JAY T. ELLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-07-18 |
| Name of individual signing | JAY T. ELLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 2085238879 |
| Plan sponsor’s address | 2030 JENNIE LEE DRIVE, P.O. BOX 1463, IDAHO FALLS, ID, 834031463 |
Plan administrator’s name and address
| Administrator’s EIN | 820463153 |
| Plan administrator’s name | ELLIS PHYSICAL THERAPY, P.A. |
| Plan administrator’s address | 2030 JENNIE LEE DRIVE, P.O. BOX 1463, IDAHO FALLS, ID, 834031463 |
| Administrator’s telephone number | 2085238879 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-09 |
| Name of individual signing | JAY T. ELLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-09 |
| Name of individual signing | JAY T. ELLIS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JAY T ELLIS | Agent | 2195 MIDWAY DRIVE, JAY T ELLIS, AMMON, ID 83406-7666 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| JAY T ELLIS | President | 2195 MIDWAY DR, , | 2021-06-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005759655 | 2024-06-04 |
| Annual Report | 0005292561 | 2023-06-25 |
| Annual Report | 0004768221 | 2022-06-03 |
| Annual Report | 0004302912 | 2021-06-03 |
| Annual Report | 0003889264 | 2020-06-03 |
| Statement of Change of Business Mailing Address | 0003845133 | 2020-04-14 |
| Annual Report | 0003561587 | 2019-07-09 |
| Change of Registered Office/Agent/Both (by Entity) | 0002327656 | 2018-06-20 |
| Annual Report | 0002327655 | 2018-06-15 |
| Annual Report | 0002327654 | 2017-05-23 |
Date of last update: 11 Dec 2024
Sources: Idaho Secretary of State
