| Name: | IDAHO FAMILY PHYSICIANS, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 25 May 1995 (30 years ago) |
| Financial Date End: | 31 May 2025 |
| Entity Number: | 341175 |
| Place of Formation: | IDAHO |
| File Number: | 341175 |
| Mailing Address: | PO BOX 2720 BOISE, ID 83701-2720 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IDAHO FAMILY PHYSICIANS, P.A. PROFIT SHARING PLAN | 2011 | 820481676 | 2012-01-26 | IDAHO FAMILY PHYSICIANS, P.A. | 14 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 820481676 |
| Plan administrator’s name | IDAHO FAMILY PHYSICIANS, P.A. |
| Plan administrator’s address | 130 EAST BOISE AVENUE, BOISE, ID, 83706 |
| Administrator’s telephone number | 2083454066 |
Signature of
| Role | Plan administrator |
| Date | 2012-01-26 |
| Name of individual signing | MARK RUTHERFORD, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-01-26 |
| Name of individual signing | MARK RUTHERFORD, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2083454066 |
| Plan sponsor’s address | 130 EAST BOISE AVENUE, BOISE, ID, 83706 |
Plan administrator’s name and address
| Administrator’s EIN | 820481676 |
| Plan administrator’s name | IDAHO FAMILY PHYSICIANS, P.A. |
| Plan administrator’s address | 130 EAST BOISE AVENUE, BOISE, ID, 83706 |
| Administrator’s telephone number | 2083454066 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-14 |
| Name of individual signing | MARK RUTHERFORD, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-03-14 |
| Name of individual signing | MARK RUTHERFORD, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2083454066 |
| Plan sponsor’s address | 130 EAST BOISE AVENUE, BOISE, ID, 83706 |
Plan administrator’s name and address
| Administrator’s EIN | 820481676 |
| Plan administrator’s name | IDAHO FAMILY PHYSICIANS, P.A. |
| Plan administrator’s address | 130 EAST BOISE AVENUE, BOISE, ID, 83706 |
| Administrator’s telephone number | 2083454066 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-28 |
| Name of individual signing | MARK RUTHERFORD, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-09-28 |
| Name of individual signing | MARK RUTHERFORD, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Mark A Rutherford | Agent | 130 E BOISE AVE, BOISE, ID 83706 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| GREGORY W JOHNSON MD | Secretary | 130 E. BOISE AVE., BOISE, ID 83706 | 2021-05-17 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Annamarie Hofstetter | Vice President | 130 E. BOISE AVE., BOISE, ID 83706 | 2024-05-14 |
| ELIZABETH A RULON MD | Vice President | 130 E. BOISE AVE., BOISE, ID 83706 | 2024-05-14 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| MARK R RUTHERFORD MD | President | 130 E. BOISE AVE., BOISE, ID 83706 | 2024-05-14 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| ANN E ERWIN MD | Treasurer | 130 E. BOISE AVE., BOISE, ID 83706 | 2024-05-14 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005736776 | 2024-05-14 |
| Annual Report | 0005200842 | 2023-04-13 |
| Annual Report | 0004747417 | 2022-05-16 |
| Annual Report | 0004284346 | 2021-05-17 |
| Annual Report | 0003844597 | 2020-04-14 |
| Change of Registered Office/Agent/Both (by Entity) | 0003645906 | 2019-10-10 |
| Annual Report | 0003500407 | 2019-05-01 |
| Annual Report | 0002448098 | 2018-04-03 |
| Annual Report | 0002448097 | 2017-04-06 |
| Annual Report | 0002448096 | 2016-06-21 |
Date of last update: 12 Dec 2024
Sources: Idaho Secretary of State
