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  5. PHYSICIAN CENTER PLLC

PHYSICIAN CENTER PLLC

Company Details

Name: PHYSICIAN CENTER PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Sep 1994 (30 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 3305
Place of Formation: IDAHO
File Number: 3305
ZIP code: 83301
County: Twin Falls County
Principal Address: 2550 ADDISON AVE E TWIN FALLS, ID 83301
Mailing Address: HATCH & COMPANY PLLC STE 100 225 CANYON CREST DR TWIN FALLS, ID 83301-4888

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2017 820474070 2018-06-19 PHYSICIAN CENTER 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing JACK TROTTER
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2016 820474070 2017-10-12 PHYSICIAN CENTER 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing JACK TROTTER
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2015 820474070 2016-10-17 PHYSICIAN CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing STEVEN KOHTZ
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2014 820474070 2015-10-13 PHYSICIAN CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing STEVEN KOHTZ
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2013 820474070 2014-10-15 PHYSICIAN CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing STEVEN KOHTZ
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2012 820474070 2013-10-11 PHYSICIAN CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 820474070
Plan administrator’s name PHYSICIAN CENTER
Plan administrator’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087331665

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing STEVEN KOHTZ
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2011 820474070 2012-10-12 PHYSICIAN CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 820474070
Plan administrator’s name PHYSICIAN CENTER
Plan administrator’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087331665

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing STEVEN KOHTZ
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2010 820474070 2011-10-14 PHYSICIAN CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 820474070
Plan administrator’s name PHYSICIAN CENTER
Plan administrator’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087331665

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing STEVEN KOHTZ
Valid signature Filed with authorized/valid electronic signature
PHYSICIAN CENTER 401(K) PROFIT SHARING PLAN 2009 820474070 2010-10-14 PHYSICIAN CENTER 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-03-01
Business code 621111
Sponsor’s telephone number 2087331665
Plan sponsor’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 820474070
Plan administrator’s name PHYSICIAN CENTER
Plan administrator’s address 630 ADDISON AVE. WEST, SUITE 100, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087331665

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing STEVEN KOHTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing STEVEN KOHTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TREVOR SATTERFIELD Agent 2550 ADDISON AVE E, TWIN FALLS, ID 83301

Member

Name Role Address Appointed On
BRYAN MASON Member 980 BURLEY AVENUE, BUHL, ID 83316 2023-09-07
KATHRYN REESE Member 2550 ADDISON AVE E, TWIN FALLS, ID 83301 2023-09-07
TREVOR SATTERFIELD Member 2550 ADDISON AVE E, TWIN FALLS, ID 83301 2021-10-21

Filing

Filing Name Filing Number Filing date
Annual Report 0005882819 2024-09-04
Annual Report 0005389920 2023-09-07
Annual Report 0004882484 2022-09-03
Application for Reinstatement 0004457507 2021-10-21
Dissolution/Revocation - Administrative 0003392061 2019-01-10
Application for Reinstatement 0000951009 2017-01-18
Application for Reinstatement 0000639176 2017-01-05
Annual Report 0000951007 2015-10-16
Annual Report 0000951006 2015-10-16
Change of Registered Office/Agent/Both (by Entity) 0000951004 2014-12-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 26 Nov 2024

Sources: Idaho Secretary of State

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