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POST FALLS FAMILY MEDICINE, P.A.

Company Details

Name: POST FALLS FAMILY MEDICINE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 23 Dec 1996 (28 years ago)
Financial Date End: 31 Dec 2024
Entity Number: 361232
Place of Formation: IDAHO
File Number: 361232
ZIP code: 83854
County: Kootenai County
Mailing Address: OFFICE MANAGER 1220 E POLSTON AVE POST FALLS, ID 83854-6056

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2022 820496462 2024-02-26 POST FALLS FAMILY MEDICINE, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2021 820496462 2022-12-14 POST FALLS FAMILY MEDICINE, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2020 820496462 2022-02-11 POST FALLS FAMILY MEDICINE, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2019 820496462 2021-06-22 POST FALLS FAMILY MEDICINE, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2018 820496462 2020-02-28 POST FALLS FAMILY MEDICINE, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2017 820496462 2019-03-26 POST FALLS FAMILY MEDICINE, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2016 820496462 2018-06-08 POST FALLS FAMILY MEDICINE, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2015 820496462 2017-04-10 POST FALLS FAMILY MEDICINE, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2014 820496462 2016-04-01 POST FALLS FAMILY MEDICINE, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854
POST FALLS FAMILY MEDICINE, P.A. RETIREMENT PLAN 2013 820496462 2015-03-17 POST FALLS FAMILY MEDICINE, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2087731577
Plan sponsor’s address 1220 E POLSTON, POST FALLS, ID, 83854

Signature of

Role Plan administrator
Date 2015-03-17
Name of individual signing A. PETERS, C. BILLINGSLEA, M. FORD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Patrick Marvil Agent 1220 E POLSTON AVE, POST FALLS, ID 83854

Secretary

Name Role Address Appointed On
Morgan Ford Secretary 1220 E POLSTON AVE, POST FALLS, ID 83854 2020-11-03

President

Name Role Address Appointed On Resigned On
Christopher Billingslea President 1220 E POLSTON AVE, POST FALLS, ID 83854 2020-11-12 2022-12-07
Patrick Marvil President 1224 EAST GARDEN AVENUE, COEUR D ALENE, ID 83814 2023-11-03 No data

Vice President

Name Role Address Appointed On
Michael Monohan Vice President 1220 E POLSTON AVE, POST FALLS, ID 83854 2022-12-07

Treasurer

Name Role Address Appointed On
Anthony Peters Treasurer 1220 E POLSTON AVE, POST FALLS, ID 83854 2023-11-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005457927 2023-11-03
Change of Registered Office/Agent/Both (by Entity) 0005035094 2022-12-28
Annual Report 0005018350 2022-12-07
Annual Report 0004479157 2021-11-03
Annual Report Amendment 0004066011 2020-11-12
Annual Report 0004049782 2020-11-03
Annual Report 0003669924 2019-11-06
Annual Report 0003398010 2019-01-16
Annual Report 0002544804 2017-12-29
Annual Report 0002544803 2016-12-14

Date of last update: 14 Dec 2024

Sources: Idaho Secretary of State