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Thrive Pediatrics PLLC

Company Details

Name: Thrive Pediatrics PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Feb 2019 (6 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 3431111
Place of Formation: IDAHO
File Number: 654913
ZIP code: 83646
County: Ada County
Principal Address: BRANDON M TAYLOR, DO 150 W BRODERICK DR. MERIDIAN, ID 83646
Mailing Address: BRANDON M TAYLOR, DO STE 210 4740 N PENNGROVE WAY MERIDIAN, ID 83646-7447

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
W354MM7GT1R7 2022-10-13 4740 N PENNGROVE WAY STE 210, MERIDIAN, ID, 83646, 7447, USA 4740 N PENNGROVE WAY STE 210, MERIDIAN, ID, 83646, 7447, USA

Business Information

URL www.thrive-pediatrics.com
Division Name THRIVE PEDIATRICS
Congressional District 01
State/Country of Incorporation ID, USA
Activation Date 2021-09-15
Initial Registration Date 2021-09-13
Entity Start Date 2019-09-09
Fiscal Year End Close Date Sep 01

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MAKENNA LITTLE
Role ADMINISTRATOR
Address 4740 N PENNGROVE WAY ST. 210, MERIDIAN, ID, 83646, USA
Government Business
Title PRIMARY POC
Name MAKENNA LITTLE
Role ADMINISTRATOR
Address 4740 N PENNGROVE WAY ST 210, MERIDIAN, ID, 83646, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THRIVE PEDIATRICS, PLLC 401(K) PLAN 2023 833642513 2024-06-15 THRIVE PEDIATRICS, PLLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-03-01
Business code 621111
Sponsor’s telephone number 2086807271
Plan sponsor’s address 4740 N PENNGROVE WAY SUITE 210, MERIDIAN, ID, 83646

Plan administrator’s name and address

Administrator’s EIN 842925395
Plan administrator’s name 401GO, INC.
Plan administrator’s address 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088
Administrator’s telephone number 8012142125

Signature of

Role Plan administrator
Date 2024-06-15
Name of individual signing FIDUCIARY ASSISTANCE
Valid signature Filed with authorized/valid electronic signature
THRIVE PEDIATRICS, PLLC 401(K) PLAN 2022 833642513 2023-07-28 THRIVE PEDIATRICS, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-03-01
Business code 621111
Sponsor’s telephone number 2086807271
Plan sponsor’s address 4740 N PENNGROVE WAY SUITE 210, MERIDIAN, ID, 83646

Plan administrator’s name and address

Administrator’s EIN 842925395
Plan administrator’s name 401GO, INC.
Plan administrator’s address 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088
Administrator’s telephone number 8012142125

Signature of

Role Plan administrator
Date 2023-07-17
Name of individual signing FIDUCIARY ASSISTANCE
Valid signature Filed with authorized/valid electronic signature
THRIVE PEDIATRICS, PLLC 401(K) PLAN 2021 833642513 2022-07-31 THRIVE PEDIATRICS, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-03-01
Business code 621111
Sponsor’s telephone number 2086807271
Plan sponsor’s address 4740 N PENNGROVE WAY SUITE 210, MERIDIAN, ID, 83646

Plan administrator’s name and address

Administrator’s EIN 842925395
Plan administrator’s name 401GO, INC.
Plan administrator’s address 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088
Administrator’s telephone number 8012142125

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing FIDUCIARY ASSISTANCE
Valid signature Filed with authorized/valid electronic signature
THRIVE PEDIATRICS, PLLC 401(K) PLAN 2020 833642513 2021-07-30 THRIVE PEDIATRICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-03-01
Business code 621111
Sponsor’s telephone number 2086807271
Plan sponsor’s address 4740 N PENNGROVE WAY SUITE 210, MERIDIAN, ID, 83646

Plan administrator’s name and address

Administrator’s EIN 842925395
Plan administrator’s name 401GO, INC.
Plan administrator’s address 8427 OLD BINGHAM HIGHWAY, SUITE A, WEST JORDAN, UT, 84088
Administrator’s telephone number 8012142125

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing FIDUCIARY ASSISTANCE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Michaelina Murphy Agent 847 E FAIRVIEW AVENUE, MERIDIAN, ID 86642

Member

Name Role Address Appointed On
BRANDON M TAYLOR Member 3990 W WAPOOT ST, MERIDIAN, ID 83646 2021-01-03
STEVEN A SMITH Member 1938 W SALERNO ST, MERIDIAN, ID 83646 2024-01-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005546018 2024-01-06
Change of Registered Office/Agent/Both (by Entity) 0005241868 2023-05-15
Annual Report 0005057676 2023-01-08
Annual Report 0004594728 2022-02-03
Annual Report 0004113194 2021-01-03
Annual Report 0003724912 2020-01-01
Statement of Change of Business Mailing Address 0003687514 2019-11-27
Initial Filing 0003431111 2019-02-15

Date of last update: 30 Dec 2024

Sources: Idaho Secretary of State