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NORTHWEST PSYCHIATRIC ASSOCIATES, P.A.

Company Details

Name: NORTHWEST PSYCHIATRIC ASSOCIATES, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 17 Nov 1994 (30 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 333941
Place of Formation: IDAHO
File Number: 333941
ZIP code: 83814
County: Kootenai County
Mailing Address: 1107 W IRONWOOD DR COEUR D ALENE, ID 83814-2604

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEE SAVINGS TRUST 2023 820475628 2024-06-19 NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2024-06-19
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEE SAVINGS TRUST 2022 820475628 2023-07-18 NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. 65
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEE SAVINGS TRUST 2021 820475628 2022-10-13 NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEE SAVINGS TRUST 2020 820475628 2021-10-03 NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2021-10-03
Name of individual signing JAMI STURGES-ULLRICH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEE SAVINGS TRUST 2019 820475628 2020-06-24 NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. 101
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2020-06-23
Name of individual signing JAMI STURGES-ULLRICH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEE SAVINGS TRUST 2018 820475628 2019-09-16 NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. 99
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2019-09-16
Name of individual signing JAMI STURGES-ULLRICH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEE SAVINGS TRUST 2017 820475628 2018-10-15 NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing JAMI STURGES-ULLRICH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES SAVINGS TRUST 2016 820475628 2017-04-18 NORTHWEST PSYCHIATRIC ASSOCIATES, P. A. 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2017-04-18
Name of individual signing GEORGE ULLRICH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES SAVINGS TRUST 2015 820475628 2016-06-13 NORTHWEST PSYCHIATRIC ASSOCIATES, P. A. 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2016-06-13
Name of individual signing GEORGE ULLRICH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST PSYCHIATRIC ASSOCIATES, P.A. EMPLOYEES SAVINGS TRUST 2014 820475628 2015-03-31 NORTHWEST PSYCHIATRIC ASSOCIATES, P. A. 75
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621112
Sponsor’s telephone number 2087650955
Plan sponsor’s address 1115 IRONWOOD DRIVE, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2015-03-31
Name of individual signing GEORGE ULLRICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
George J Ullrich Agent 1107 W IRONWOOD DRIVE, COEUR D ALENE, ID 83814

Secretary

Name Role Address Appointed On Resigned On
Jami L. Sturges-Ullrich Secretary 1107 IRONWOOD DRIVE, COEUR D'ALENE, ID 83814 2023-10-03 2023-10-03

President

Name Role Address Appointed On
George J. Ullrich President 1107 IRONWOOD DRIVE, COEUR D'ALENE, ID 83814 2020-11-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005934149 2024-10-09
Annual Report 0005416978 2023-10-03
Annual Report 0004996026 2022-11-17
Annual Report 0004509060 2021-11-30
Annual Report 0004061890 2020-11-06
Annual Report 0003656212 2019-10-28
Annual Report 0003344323 2018-11-06
Change of Registered Office/Agent/Both (by Entity) 0002411266 2018-02-07
Statement of Change of Business Mailing Address 0002411267 2018-02-07
Annual Report 0002411263 2017-09-19

Date of last update: 12 Dec 2024

Sources: Idaho Secretary of State