Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Kootenai County
    4. ›
  4. 83814
    5. ›
  5. NORTH IDAHO FAMILY PHYSICIANS LLC

NORTH IDAHO FAMILY PHYSICIANS LLC

Company Details

Name: NORTH IDAHO FAMILY PHYSICIANS LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 15 May 1998 (27 years ago)
Financial Date End: 31 May 2024
Date dissolved: 04 Aug 2023
Entity Number: 33431
Place of Formation: IDAHO
File Number: 33431
ZIP code: 83814
County: Kootenai County
Principal Address: 700 IRONWOOD DR 220E COEUR D ALENE, ID 83814
Mailing Address: PO BOX 2861 HAYDEN, ID 83835-2861

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH IDAHO FAMILY PHYSICIANS 401(K) PLAN 2020 820504320 2021-09-17 NORTH IDAHO FAMILY PHYSICIANS, LLC 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2082920990
Plan sponsor’s address 7400 MINERAL DRIVE, SUITE 400, COEUR DALENE, ID, 83815

Signature of
Role Plan administrator
Date 2021-09-17
Name of individual signing BRYAN HANSEN
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS LLC HEALTH PLAN 2017 820504320 2019-03-25 NORTH IDAHO FAMILY PHYSICIANS LLC 121
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-09-01
Business code 621111
Sponsor’s telephone number 2082920990
Plan sponsor’s mailing address 7400 N MINERAL DR STE 400, COEUR D ALENE, ID, 838155332
Plan sponsor’s address 7400 N MINERAL DR STE 400, COEUR D ALENE, ID, 838155332

Number of participants as of the end of the plan year
Active participants 97
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-03-25
Name of individual signing CHERYL MIKKELSEN
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS LLC VISION PLAN 2017 820504320 2019-03-25 NORTH IDAHO FAMILY PHYSICIANS LLC 118
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2017-09-01
Business code 621111
Sponsor’s telephone number 2082920990
Plan sponsor’s mailing address 7400 N MINERAL DR STE 400, COEUR D ALENE, ID, 838155332
Plan sponsor’s address 7400 N MINERAL DR STE 400, COEUR D ALENE, ID, 838155332

Number of participants as of the end of the plan year
Active participants 92
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-03-25
Name of individual signing CHERYL MIKKELSEN
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS LLC LIFE & DISABILITY PLAN 2017 820504320 2019-03-25 NORTH IDAHO FAMILY PHYSICIANS LLC 135
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2017-09-01
Business code 621111
Sponsor’s telephone number 2082920990
Plan sponsor’s mailing address 7400 N MINERAL DR STE 400, COEUR D ALENE, ID, 838155332
Plan sponsor’s address 7400 N MINERAL DR STE 400, COEUR D ALENE, ID, 838155332

Number of participants as of the end of the plan year
Active participants 102
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-03-25
Name of individual signing CHERYL MIKKELSEN
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS, LLC LIFE & DISABILITY PLAN 2016 820504320 2018-04-02 NORTH IDAHO FAMILY PHYSICIANS, LLC 128
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2016-08-01
Business code 621111
Sponsor’s telephone number 2082922935
Plan sponsor’s mailing address 700 W. IRONWOOD DR. STE 220E, COEUR D ALENE, ID, 83814
Plan sponsor’s address 700 W. IRONWOOD DR. STE 220E, COEUR D ALENE, ID, 83814

Number of participants as of the end of the plan year
Active participants 135
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-04-02
Name of individual signing ADAM JONES
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS, LLC VISION PLAN 2016 820504320 2018-04-02 NORTH IDAHO FAMILY PHYSICIANS, LLC 118
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2016-08-01
Business code 621111
Sponsor’s telephone number 2082922935
Plan sponsor’s mailing address 700 W. IRONWOOD DR. STE. 220E, COEUR D ALENE, ID, 83814
Plan sponsor’s address 700 W. IRONWOOD DR. STE. 220E, COEUR D ALENE, ID, 83814

Number of participants as of the end of the plan year
Active participants 121
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-04-02
Name of individual signing ADAM JONES
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS, LLC HEALTH PLAN 2016 820504320 2018-04-02 NORTH IDAHO FAMILY PHYSICIANS, LLC 119
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-08-01
Business code 621111
Sponsor’s telephone number 2082922935
Plan sponsor’s DBA name NORTH IDAHO FAMILY PHYSICIANS
Plan sponsor’s mailing address 700 W. IRONWOOD DR. STE. 220E, COEUR D ALENE, ID, 83814
Plan sponsor’s address 700 W. IRONWOOD DR. STE. 220E, COEUR D ALENE, ID, 83814

Number of participants as of the end of the plan year
Active participants 125
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-04-02
Name of individual signing ADAM JONES
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS, LLC HEALTH PLAN 2015 820504320 2017-06-08 NORTH IDAHO FAMILY PHYSICIANS, LLC 103
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2086760145
Plan sponsor’s mailing address 700 W IRONWOOD DR STE 220E, COEUR D ALENE, ID, 838144484
Plan sponsor’s address 700 W IRONWOOD DR STE 220E, COEUR D ALENE, ID, 838144484

Number of participants as of the end of the plan year
Active participants 113
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing ERIC KOELSCH
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS, LLC VISION PLAN 2015 820504320 2017-06-08 NORTH IDAHO FAMILY PHYSICIANS, LLC 120
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2086760145
Plan sponsor’s mailing address 700 W IRONWOOD DR STE 220E, COEUR D ALENE, ID, 838144484
Plan sponsor’s address 700 W IRONWOOD DR STE 220E, COEUR D ALENE, ID, 838144484

Number of participants as of the end of the plan year
Active participants 120
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing ERIC KOELSCH
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO FAMILY PHYSICIANS, LLC LIFE AND DISABILITY PLAN 2015 820504320 2017-06-08 NORTH IDAHO FAMILY PHYSICIANS, LLC 128
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2015-08-01
Business code 621111
Sponsor’s telephone number 2086160145
Plan sponsor’s mailing address 700 W IRONWOOD DR STE 220E, COEUR D ALENE, ID, 838144484
Plan sponsor’s address 700 W IRONWOOD DR STE 220E, COEUR D ALENE, ID, 838144484

Number of participants as of the end of the plan year
Active participants 128
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing ERIC KOELSCH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
NEIL NEMEC Agent 206 N LAKEVIEW DRIVE, COEUR D'ALENE, ID 83814

Manager

Name Role Address Appointed On
NEIL NEMEC Manager 206 N LAKEVIEW DRIVE, COEUR D'ALENE, ID 83814 2021-04-05

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005353327 2023-08-04
Annual Report 0005177370 2023-04-03
Annual Report 0004686653 2022-04-04
Annual Report 0004230480 2021-04-05
Statement of Change of Business Mailing Address 0004027435 2020-10-07
Annual Report 0003831631 2020-04-03
Annual Report 0003506507 2019-05-08
Annual Report 0001052851 2018-03-20
Annual Report 0001052850 2017-03-17
Annual Report 0001052849 2016-03-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 28 Nov 2024

Sources: Idaho Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 idorgs.com, Part of Big Data Integrated