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  5. FAMILY HEALTH ASSOCIATES, P.A.

FAMILY HEALTH ASSOCIATES, P.A.

Company Details

Name: FAMILY HEALTH ASSOCIATES, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 18 Dec 1996 (28 years ago)
Financial Date End: 31 Dec 2022
Date dissolved: 21 Mar 2023
Entity Number: 360959
Place of Formation: IDAHO
File Number: 360959
ZIP code: 83814
County: Kootenai County
Mailing Address: STE 101 914 W IRONWOOD DR COEUR D ALENE, ID 83814-4927

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2019 841381858 2020-07-29 FAMILY HEALTH ASSOCIATES, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2019 841381858 2020-07-29 FAMILY HEALTH ASSOCIATES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2018 841381858 2019-07-30 FAMILY HEALTH ASSOCIATES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2017 841381858 2018-07-24 FAMILY HEALTH ASSOCIATES, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2016 841381858 2017-06-08 FAMILY HEALTH ASSOCIATES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2015 841381858 2016-03-21 FAMILY HEALTH ASSOCIATES, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2014 841381858 2015-03-25 FAMILY HEALTH ASSOCIATES, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2013 841381858 2014-03-19 FAMILY HEALTH ASSOCIATES, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2012 841381858 2013-03-26 FAMILY HEALTH ASSOCIATES, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2013-03-26
Name of individual signing RICHARD BELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-26
Name of individual signing RICHARD BELL
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH ASSOCIATES PROFIT SHARING PLAN 2011 841381858 2012-07-25 FAMILY HEALTH ASSOCIATES, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-02-01
Business code 621111
Sponsor’s telephone number 2087655922
Plan sponsor’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814

Plan administrator’s name and address
Administrator’s EIN 841381858
Plan administrator’s name FAMILY HEALTH ASSOCIATES, P.A.
Plan administrator’s address 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID, 83814
Administrator’s telephone number 2087655922

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing RICHARD BELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing RICHARD BELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Bradley C Drury Agent 914 IRONWOOD DRIVE SUITE 101, COEUR D ALENE, ID 83814

Vice President

Name Role Address Appointed On
Alyssa L Shaw MD Vice President 914 IRONWOOD DRIVE, COEUR D'ALENE, ID 83814 2020-12-15
Alyssa L Shaw Vice President 914 IRONWOOD DRIVE, COEUR D'ALENE, ID 83814 2022-01-17

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005162859 2023-03-21
Annual Report 0004573533 2022-01-17
Annual Report 0004101024 2020-12-15
Annual Report 0003709518 2019-12-14
Annual Report 0003372793 2018-12-16
Annual Report 0002543421 2017-11-12
Annual Report 0002543420 2016-11-20
Annual Report 0002543419 2015-10-30
Annual Report 0002543418 2014-10-30
Annual Report 0002543417 2013-10-22

Related by officers

No related officers

Related by address

STE 101 914 W IRONWOOD DR COEUR D ALENE, ID 83814-4927

MEDICAL ENTERPRISES, P.L.L.C.

Date of last update: 14 Dec 2024

Sources: Idaho Secretary of State

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