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ANESTHESIA ASSOCIATES OF POCATELLO, P.A.

Company Details

Name: ANESTHESIA ASSOCIATES OF POCATELLO, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 20 Jun 1996 (29 years ago)
Financial Date End: 30 Jun 2016
Date dissolved: 04 Oct 2016
Entity Number: 355031
Place of Formation: IDAHO
File Number: 0000355031
Mailing Address: PO BOX 4107 POCATELLO, ID 83205

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 401K PROFIT SHARING PLAN 2015 820491197 2016-06-23 ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 23
File View Page
Three-digit plan number (PN) 012
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2082327760
Plan sponsor’s address P.O. BOX 4107, POCATELLO, ID, 832054107
ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 401K PROFIT SHARING PLAN 2014 820491197 2015-07-13 ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 24
File View Page
Three-digit plan number (PN) 012
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2082327760
Plan sponsor’s address P.O. BOX 4107, POCATELLO, ID, 832054107

Signature of

Role Plan administrator
Date 2015-07-13
Name of individual signing ANTHONY DAVIS
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 401K PROFIT SHARING PLAN 2013 820491197 2014-05-20 ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 21
File View Page
Three-digit plan number (PN) 012
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2082327760
Plan sponsor’s address P.O. BOX 4107, POCATELLO, ID, 832054107

Signature of

Role Plan administrator
Date 2014-05-20
Name of individual signing ANTHONY DAVIS
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 401K PROFIT SHARING PLAN 2012 820491197 2013-10-15 ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 16
File View Page
Three-digit plan number (PN) 012
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2082327760
Plan sponsor’s address P.O. BOX 4107, POCATELLO, ID, 832054107

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing ANTHONY DAVIS
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 401K PROFIT SHARING PLAN 2011 820491197 2012-08-29 ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 14
File View Page
Three-digit plan number (PN) 012
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2082327760
Plan sponsor’s address P.O. BOX 4107, POCATELLO, ID, 832054107

Plan administrator’s name and address

Administrator’s EIN 820491197
Plan administrator’s name ANESTHESIA ASSOCIATES OF POCATELLO, P.A.
Plan administrator’s address P.O. BOX 4107, POCATELLO, ID, 832054107
Administrator’s telephone number 2082327760

Signature of

Role Plan administrator
Date 2012-08-29
Name of individual signing DANIEL HUFF
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 401K PROFIT SHARING PLAN 2010 820491197 2011-07-12 ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 14
File View Page
Three-digit plan number (PN) 012
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2082327760
Plan sponsor’s address P.O. BOX 4107, POCATELLO, ID, 832054107

Plan administrator’s name and address

Administrator’s EIN 820491197
Plan administrator’s name ANESTHESIA ASSOCIATES OF POCATELLO, P.A.
Plan administrator’s address P.O. BOX 4107, POCATELLO, ID, 832054107
Administrator’s telephone number 2082327760

Signature of

Role Plan administrator
Date 2011-07-12
Name of individual signing TERRY ELQUIST
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 401K PROFIT SHARING PLAN 2009 820491197 2010-10-07 ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 14
File View Page
Three-digit plan number (PN) 012
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2082327760
Plan sponsor’s address P.O. BOX 4107, POCATELLO, ID, 832054107

Plan administrator’s name and address

Administrator’s EIN 820491197
Plan administrator’s name ANESTHESIA ASSOCIATES OF POCATELLO, P.A.
Plan administrator’s address P.O. BOX 4107, POCATELLO, ID, 832054107
Administrator’s telephone number 2082327760

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing TERRY ELQUIST
Valid signature Filed with authorized/valid electronic signature
ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 401K PROFIT SHARING PLAN 2009 820491197 2010-10-07 ANESTHESIA ASSOCIATES OF POCATELLO, P.A. 14
Three-digit plan number (PN) 012
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2082327760
Plan sponsor’s address P.O. BOX 4107, POCATELLO, ID, 832054107

Plan administrator’s name and address

Administrator’s EIN 820491197
Plan administrator’s name ANESTHESIA ASSOCIATES OF POCATELLO, P.A.
Plan administrator’s address P.O. BOX 4107, POCATELLO, ID, 832054107
Administrator’s telephone number 2082327760

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing TERRY ELQUIST
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-07
Name of individual signing TERRY ELQUIST
Valid signature Filed with incorrect/unrecognized electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0002516005 2015-04-29
Annual Report 0002516003 2014-06-11
Annual Report 0002516001 2013-07-16
Change of Registered Office/Agent/Both (by Entity) 0002516010 2013-04-15
Annual Report 0002516009 2012-05-02
Change of Registered Office/Agent/Both (by Entity) 0002515999 2011-05-02
Annual Report 0002515998 2011-04-25
Annual Report 0002515997 2010-04-09
Annual Report 0002515996 2009-04-17
Annual Report 0002516007 2008-04-23

Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State