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  5. North Idaho Dermatology, Inc.

North Idaho Dermatology, Inc.

Company Details

Name: North Idaho Dermatology, Inc.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 04 Nov 1999 (25 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 400631
Place of Formation: IDAHO
File Number: 400631
ZIP code: 83814
County: Kootenai County
Mailing Address: 2199 N MERRITT CREEK LOOP COEUR D ALENE, ID 83814-4949

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2023 820516332 2024-06-12 NORTH IDAHO DERMATOLOGY, P.A. 124
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2199 N MERRIT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing MELANIE ALEXANDER
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2022 820516332 2023-07-19 NORTH IDAHO DERMATOLOGY, P.A. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2085725438
Plan sponsor’s address 2199 N MERRIT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing NICOLE GOES
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2021 820516332 2022-08-31 NORTH IDAHO DERMATOLOGY, P.A. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2199 N. MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2022-08-31
Name of individual signing BENJAMIN RINGGER
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2020 820516332 2021-04-16 NORTH IDAHO DERMATOLOGY, P.A. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2199 N. MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2021-04-16
Name of individual signing STEPHEN CRAIG
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2019 820516332 2020-06-24 NORTH IDAHO DERMATOLOGY, P.A. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2199 N. MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing GRANT ELY
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2018 820516332 2019-09-26 NORTH IDAHO DERMATOLOGY, P.A. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2199 N. MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing GRANT ELY
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2017 820516332 2018-06-28 NORTH IDAHO DERMATOLOGY, P.A. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2288 N. MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing GRANT ELY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-28
Name of individual signing GRANT ELY
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2016 820516332 2017-04-18 NORTH IDAHO DERMATOLOGY, P.A. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2288 N. MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2017-04-18
Name of individual signing GRANT ELY
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2015 820516332 2016-07-20 NORTH IDAHO DERMATOLOGY, P.A. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2288 N. MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2016-07-20
Name of individual signing GRANT ELY
Valid signature Filed with authorized/valid electronic signature
NORTH IDAHO DERMATOLOGY 401(K) PLAN 2014 820516332 2015-04-06 NORTH IDAHO DERMATOLOGY, P.A. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2086657546
Plan sponsor’s address 2288 N. MERRITT CREEK LOOP, COEUR D ALENE, ID, 83814

Signature of
Role Plan administrator
Date 2015-04-06
Name of individual signing GRANT ELY
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address Appointed On Resigned On
Stephen Craig President 24606 E SINTO LN, LIBERTY LAKE, WA 99019 2020-10-22 2021-10-04
BENJAMIN RINGGER President 1330 BRUIN LOOP, HAYDEN, ID 83835 2021-10-04 No data

Secretary

Name Role Address Appointed On Resigned On
Kate Khorsand Secretary 11559 WEST COYOTE LANE, POST FALLS, ID 83854 2023-10-03 2024-06-06

Vice President

Name Role Address Appointed On Resigned On
HILARY HILL Vice President 8044 N WESTVIEW DRIVE, COEUR D ALENE, ID 83815 2023-10-03 2024-06-06

Agent

Name Role Address
MELANIE ALEXANDER Agent 2199 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814

Filing

Filing Name Filing Number Filing date
Restated Articles 0005989408 2024-11-19
Annual Report 0005920439 2024-10-03
Annual Report Amendment 0005763532 2024-06-06
Annual Report 0005419454 2023-10-03
Annual Report 0004934043 2022-10-03
Annual Report 0004435288 2021-10-04
Annual Report 0004039778 2020-10-22
Annual Report 0003633831 2019-10-01
Annual Report 0003349717 2018-11-16
Annual Report 0002716936 2017-10-30

Related by officers

Stephen Craig

CRAIG PROPERTY MANAGEMENT, LLC MERRITT OFFICE PARK ASSOCIATION, INC.

Kate Khorsand

NID Moscow, LLC NID LLC FAMILY PROMISE OF NORTH IDAHO, INC. NID Post Falls LLC

Related by address

2199 N MERRITT CREEK LOOP COEUR D ALENE, ID 83814-4949

NID Moscow, LLC NID LLC NID Post Falls LLC Two and Eight Enterprises, LLC

Date of last update: 17 Dec 2024

Sources: Idaho Secretary of State

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