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  5. PRIMARY CARE SPECIALISTS, P.A.

PRIMARY CARE SPECIALISTS, P.A.

Company Details

Name: PRIMARY CARE SPECIALISTS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 16 Feb 1999 (26 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 390638
Place of Formation: IDAHO
File Number: 390638
ZIP code: 83204
County: Power County
Mailing Address: 2760 STONE RIVER CIR POCATELLO, ID 83204-5080

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMARY CARE SPECIALISTS 401(K) PLAN 2023 820510113 2024-10-02 PRIMARY CARE SPECIALISTS, P.A. 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DR., POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing KARIN MCCULLOCH
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE SPECIALISTS 401(K) PLAN 2022 820510113 2023-10-10 PRIMARY CARE SPECIALISTS, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DR., POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing JAMIE CAMPION
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE SPECIALISTS 401(K) PLAN 2021 820510113 2022-10-11 PRIMARY CARE SPECIALISTS, P.A. 3
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DR., POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing JENNIFER GUSTAVES
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE SPECIALISTS 401(K) PLAN 2021 820510113 2024-09-03 PRIMARY CARE SPECIALISTS, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DR., POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2024-09-03
Name of individual signing KARIN MCCULLOCH
Valid signature Filed with authorized/valid electronic signature
PRIMARY CARE SPECIALISTS, P.A. RETIREMENT PLAN 2016 820510113 2017-05-09 PRIMARY CARE SPECIALISTS, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DRIVE, POCATELLO, ID, 83201
PRIMARY CARE SPECIALISTS, P.A. RETIREMENT PLAN 2016 820510113 2017-12-26 PRIMARY CARE SPECIALISTS, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DRIVE, POCATELLO, ID, 83201
PRIMARY CARE SPECIALISTS, P.A. RETIREMENT PLAN 2015 820510113 2016-09-20 PRIMARY CARE SPECIALISTS, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DRIVE, POCATELLO, ID, 83201
PRIMARY CARE SPECIALISTS, P.A. RETIREMENT PLAN 2014 820510113 2015-09-17 PRIMARY CARE SPECIALISTS, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DRIVE, POCATELLO, ID, 83201
PRIMARY CARE SPECIALISTS, P.A. RETIREMENT PLAN 2013 820510113 2014-08-07 PRIMARY CARE SPECIALISTS, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DRIVE, POCATELLO, ID, 83201
PRIMARY CARE SPECIALISTS, P.A. RETIREMENT PLAN 2012 820510113 2013-06-13 PRIMARY CARE SPECIALISTS, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2082342300
Plan sponsor’s address 110 VISTA DRIVE, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2013-06-13
Name of individual signing RICHARD MAYNARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-13
Name of individual signing RICHARD MAYNARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICHARD M MAYNARD Agent 2760 STONE RIVER CIRCLE, STACY MAYNARD, POCATELLO, ID 83204

President

Name Role Address Appointed On Resigned On
Richard M Maynard DO President 2760 STONE RIVER CIRCLE, POCATELLO, ID 83204 2021-01-11 2022-05-17
Rich Maynard President 2760 STONE RIVER CIRCLE, POCATELLO, ID 83204 2023-05-10 No data
Richard M Maynard DO President 2760 STONE RIVER CIRCLE, POCATELLO, ID 83204 2022-05-17 2023-05-10

Filing

Filing Name Filing Number Filing date
Annual Report 0005583028 2024-02-04
Application for Reinstatement 0005237958 2023-05-10
Dissolution/Revocation - Administrative 0005237398 2023-05-10
Application for Reinstatement 0004749957 2022-05-17
Dissolution/Revocation - Administrative 0004749477 2022-05-17
Application for Reinstatement 0004116140 2021-01-11
Dissolution/Revocation - Administrative 0003544080 2019-06-18
Annual Report 0002676100 2018-01-05
Annual Report 0002676098 2016-12-28
Annual Report 0002676096 2015-12-22

Related by officers

RICHARD M MAYNARD

RMMDOCPCS, LLC

Richard M Maynard DO

PCS Medical Management, PLLC

Related by address

2760 STONE RIVER CIR POCATELLO, ID 83204-5080

RMMDOCPCS, LLC PCS Medical Management, PLLC

Date of last update: 16 Dec 2024

Sources: Idaho Secretary of State

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