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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 2026
Entity Number: 390638
Place of Formation: IDAHO
File Number: 390638
ZIP code: 83204
County: Power County
Mailing Address: KARIN MCCULLOCH 110 VISTA DR 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 2022 820510113 2025-03-05 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 2025-03-05
Name of individual signing KARIN MCCULLOCH
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 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, 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

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 0006097895 2025-02-05
Annual Report 0005583028 2024-02-04
Dissolution/Revocation - Administrative 0005237398 2023-05-10
Application for Reinstatement 0005237958 2023-05-10
Dissolution/Revocation - Administrative 0004749477 2022-05-17
Application for Reinstatement 0004749957 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

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
4726025005 Small Business Administration 59.041 - 504 CERTIFIED DEVELOPMENT LOANS No data No data TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Recipient PRIMARY CARE SPECIALISTS, P.A.
Recipient Name Raw PRIMARY CARE SPECIALISTS, P.A.
Recipient Address VISTA DRIVE., POCATELLO, BANNOCK, IDAHO, 83201-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 1096000.00
Link View Page

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Related by address

No related companies by address

Date of last update: 06 Apr 2025

Sources: Idaho Secretary of State

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