| Name: | Frontier Pediatric Partners, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 26 Feb 2019 (6 years ago) |
| Financial Date End: | 28 Feb 2025 |
| Entity Number: | 3437038 |
| Place of Formation: | IDAHO |
| File Number: | 656235 |
| ZIP code: | 83301 |
| County: | Twin Falls County |
| Principal Address: | 1502 LOCUST STREET N #700 TWIN FALLS, ID 83301 |
| Mailing Address: | STE 700 1502 LOCUST ST N TWIN FALLS, ID 83301-4164 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FORUS 401(K) | 2023 | 833836744 | 2024-09-15 | FRONTIER PEDIATRIC PARTNERS, PLLC | 41 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 461803145 |
| Plan administrator’s name | FORUSALL, INC. |
| Plan administrator’s address | 809 LAUREL ST., #1328, SAN CARLOS, CA, 94070 |
| Administrator’s telephone number | 8444012253 |
Signature of
| Role | Plan administrator |
| Date | 2024-09-15 |
| Name of individual signing | JUSTIN RAMIREZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-11-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085955095 |
| Plan sponsor’s address | 1502 LOCUST ST. N, SUITE 700, TWIN FALLS, ID, 83301 |
Plan administrator’s name and address
| Administrator’s EIN | 461803145 |
| Plan administrator’s name | FORUSALL, INC. |
| Plan administrator’s address | 809 LAUREL ST., #1328, SAN CARLOS, CA, 94070 |
| Administrator’s telephone number | 8444012253 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-17 |
| Name of individual signing | ALEXANDER JACOBSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-11-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085955095 |
| Plan sponsor’s address | 1502 LOCUST ST. N, SUITE 700, TWIN FALLS, ID, 83301 |
Plan administrator’s name and address
| Administrator’s EIN | 461803145 |
| Plan administrator’s name | FORUSALL, INC. |
| Plan administrator’s address | 809 LAUREL ST., #1328, SAN CARLOS, CA, 94070 |
| Administrator’s telephone number | 8444012253 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-20 |
| Name of individual signing | ALEXANDER JACOBSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| C. Adam Eyre | Agent | 1502 LOCUST ST N, STE 700, TWIN FALLS, ID 83301 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Christopher A Eyre | Manager | 1502 LOCUST STREET N, TWIN FALLS, ID 83301 | 2021-01-03 |
| JENNIFER S JORGENSEN | Manager | 1502 LOCUST STREET N, TWIN FALLS, ID 83301 | 2024-02-26 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Ryan Turner | Member | 1502 LOCUST ST N, TWIN FALLS, ID 83301-4164 | 2024-02-26 |
| CORINNE BARTSCHI | Member | 1502 LOCUST STREET N, TWIN FALLS, ID 83301 | 2024-02-26 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005612683 | 2024-02-26 |
| Annual Report | 0005121473 | 2023-02-21 |
| Amendment to Certificate | 0004962172 | 2022-10-26 |
| Change of Registered Office/Agent/Both (by Entity) | 0004958789 | 2022-10-21 |
| Annual Report | 0004556100 | 2022-01-05 |
| Annual Report | 0004113490 | 2021-01-03 |
| Amendment to Certificate | 0003882435 | 2020-05-22 |
| Statement of Change of Business Mailing Address | 0003879409 | 2020-05-18 |
| Amendment to Certificate | 0003879367 | 2020-05-18 |
| Annual Report | 0003745866 | 2020-01-14 |
Date of last update: 30 Dec 2024
Sources: Idaho Secretary of State
