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  5. MEDISERV, INC.

MEDISERV, INC.

Company Details

Name: MEDISERV, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 23 Aug 1993 (31 years ago)
Financial Date End: 31 Aug 2014
Date dissolved: 01 Dec 2014
Entity Number: 318587
Place of Formation: IDAHO
File Number: 0000318587
ZIP code: 83835
County: Kootenai County
Mailing Address: PO BOX 2796 HAYDEN, ID 83835

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDISERV, INC. PROFIT SHARING PLAN 2014 820464120 2015-02-24 MEDISERV, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 561490
Sponsor’s telephone number 2086916966
Plan sponsor’s address P.O. BOX 2796, HAYDEN, ID, 83835
MEDISERV, INC. PROFIT SHARING PLAN 2013 820464120 2014-03-13 MEDISERV, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 561490
Sponsor’s telephone number 2086916966
Plan sponsor’s address P.O. BOX 2796, HAYDEN, ID, 83835
MEDISERV, INC. PROFIT SHARING PLAN 2012 820464120 2013-10-03 MEDISERV, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 561490
Sponsor’s telephone number 2087657666
Plan sponsor’s address P.O. BOX 1829, COEUR D ALENE, ID, 838161829

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing DONALD DUFFY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing DONALD DUFFY
Valid signature Filed with authorized/valid electronic signature
MEDISERV, INC. PROFIT SHARING PLAN 2011 820464120 2012-09-27 MEDISERV, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 561490
Sponsor’s telephone number 2087657666
Plan sponsor’s address P.O. BOX 1829, COEUR D ALENE, ID, 838161829

Plan administrator’s name and address
Administrator’s EIN 820464120
Plan administrator’s name MEDISERV, INC.
Plan administrator’s address P.O. BOX 1829, COEUR D ALENE, ID, 838161829
Administrator’s telephone number 2087657666

Signature of
Role Plan administrator
Date 2012-09-27
Name of individual signing DONALD DUFFY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-27
Name of individual signing DONALD DUFFY
Valid signature Filed with authorized/valid electronic signature
MEDISERV, INC. PROFIT SHARING PLAN 2010 820464120 2011-07-12 MEDISERV, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 561490
Sponsor’s telephone number 2087657666
Plan sponsor’s address P.O. BOX 1829, COEUR D ALENE, ID, 838161829

Plan administrator’s name and address
Administrator’s EIN 820464120
Plan administrator’s name MEDISERV, INC.
Plan administrator’s address P.O. BOX 1829, COEUR D ALENE, ID, 838161829
Administrator’s telephone number 2087657666

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing DONALD DUFFY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-12
Name of individual signing DONALD DUFFY
Valid signature Filed with authorized/valid electronic signature
MEDISERV, INC. PROFIT SHARING PLAN 2009 820464120 2010-09-23 MEDISERV, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 561490
Sponsor’s telephone number 2087657666
Plan sponsor’s address P.O. BOX 1829, COEUR D ALENE, ID, 838161829

Plan administrator’s name and address
Administrator’s EIN 820464120
Plan administrator’s name MEDISERV, INC.
Plan administrator’s address P.O. BOX 1829, COEUR D ALENE, ID, 838161829
Administrator’s telephone number 2087657666

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing DONALD DUFFY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-23
Name of individual signing DONALD DUFFY
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0002331391 2013-10-01
Annual Report 0002331390 2013-08-15
Annual Report 0002331389 2012-08-29
Annual Report 0002331402 2011-07-21
Annual Report 0002331401 2010-08-26
Annual Report 0002331400 2009-06-23
Annual Report 0002331404 2008-06-27
Annual Report 0002331403 2007-07-27
Annual Report 0002331387 2006-06-12
Annual Report 0002331399 2005-08-04

Related by officers

No related officers

Related by address

PO BOX 2796 HAYDEN, ID 83835

BURNS CONSTRUCTION SERVICES

Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State

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