| Name: | PacificSource Administrators, Inc. |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Business Corporation |
| Status: | Active-Good Standing |
| Date of registration: | 05 Feb 2020 (5 years ago) |
| Financial Date End: | 28 Feb 2025 |
| Entity Number: | 3767351 |
| Place of Formation: | OREGON |
| File Number: | 697922 |
| ZIP code: | 83706 |
| County: | Ada County |
| Principal Address: | 408 E. PARKCENTER BLVD., SUITE 100 BOISE, ID 83706 |
| Mailing Address: | LEGAL DEPT PO BOX 7068 SPRINGFIELD, OR 97475-0068 |
| Name | Role | Address |
|---|---|---|
| MERRI HELMS | Agent | 408 E PARKCENTER BLVD STE 100, BOISE, ID 83706 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Kenneth Provencher | President | PO BOX 7068, SPRINGFIELD, OR 97477 | 2021-01-04 | 2023-04-03 |
| John Espinola MD | President | PO BOX 7068, SPRINGFIELD, OR 97475 | 2024-01-03 | No data |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Peter Davidson | Treasurer | PO BOX 7068, SPRINGFIELD, OR 97477 | 2023-04-03 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Kristin Kernutt | Secretary | PO BOX 7068, SPRINGFIELD, OR 97477 | 2024-01-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005534909 | 2024-01-03 |
| Annual Report Amendment | 0005176366 | 2023-04-03 |
| Annual Report | 0005044768 | 2023-01-03 |
| Annual Report | 0004547187 | 2022-01-03 |
| Annual Report | 0004114631 | 2021-01-04 |
| Initial Filing | 0003767351 | 2020-02-05 |
Date of last update: 01 Jan 2025
Sources: Idaho Secretary of State
