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  5. B.R. BOEHMER M.D., P.A.

B.R. BOEHMER M.D., P.A.

Company Details

Name: B.R. BOEHMER M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Dec 1999 (25 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 402113
Place of Formation: IDAHO
File Number: 402113
ZIP code: 83318
County: Cassia County
Mailing Address: 1335 ALBION AVE BURLEY, ID 83318-1817

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
B.R. BOEHMER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2023 820516695 2024-07-25 B. R. BOEHMER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2088782271
Plan sponsor’s address 1335 ALBION AVE., BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing BERNARD BOEHMER
Valid signature Filed with authorized/valid electronic signature
B.R. BOEHMER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2022 820516695 2023-05-03 B. R. BOEHMER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2088782271
Plan sponsor’s address 1335 ALBION AVE., BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing BERNARD BOEHMER
Valid signature Filed with authorized/valid electronic signature
B.R. BOEHMER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2021 820516695 2022-05-18 B. R. BOEHMER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2088782271
Plan sponsor’s address 1335 ALBION AVE., BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2022-05-18
Name of individual signing BERNARD BOEHMER
Valid signature Filed with authorized/valid electronic signature
B.R. BOEHMER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2020 820516695 2021-08-30 B. R. BOEHMER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2088782271
Plan sponsor’s address 1335 ALBION AVE., BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2021-08-30
Name of individual signing BERNARD BOEHMER
Valid signature Filed with authorized/valid electronic signature
B.R. BOEHMER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2019 820516695 2020-03-24 B. R. BOEHMER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2088782271
Plan sponsor’s address 1335 ALBION AVE., BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2020-03-24
Name of individual signing BERNARD BOEHMER
Valid signature Filed with authorized/valid electronic signature
B.R. BOEHMER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2018 820516695 2019-03-04 B. R. BOEHMER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2088782271
Plan sponsor’s address 1335 ALBION AVE., BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2019-03-04
Name of individual signing BERNARD BOEHMER
Valid signature Filed with authorized/valid electronic signature
B.R. BOEHMER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2017 820516695 2018-08-22 B. R. BOEHMER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2088782271
Plan sponsor’s address 1335 ALBION AVE., BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2018-08-22
Name of individual signing BERNARD BOEHMER
Valid signature Filed with authorized/valid electronic signature
B.R. BOEHMER, M.D., P.A. 401(K) PROFIT SHARING PLAN 2016 820516695 2017-07-03 B. R. BOEHMER, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2088782271
Plan sponsor’s address 1335 ALBION AVE., BURLEY, ID, 83318

Signature of
Role Plan administrator
Date 2017-07-03
Name of individual signing BERNARD BOEHMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
B R BOEHMER MD Agent 1335 ALBION AVE, BURLEY, ID 83318

President

Name Role Address Appointed On
Bernie Boehmer President 1335 ALBION AVE, BURLEY, ID 83318-1895 2020-11-09

Secretary

Name Role Address Appointed On Resigned On
Bernie Boehmer Secretary 1225 SYLVAN CIRCLE, BURLEY, ID 83318-1895 2023-11-06 2023-11-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005960369 2024-11-04
Annual Report 0005465472 2023-11-06
Annual Report 0004986041 2022-11-08
Annual Report 0004486542 2021-11-04
Annual Report 0004062941 2020-11-09
Annual Report 0003679791 2019-11-18
Annual Report 0003373869 2018-12-17
Annual Report 0002722789 2017-11-01
Annual Report 0002722786 2016-11-11
Annual Report 0002722784 2015-10-27

Related by officers

Bernie Boehmer

BERNARD R. BOEHMER AND HILDA BOEHMER L.P.

Related by address

1335 ALBION AVE BURLEY, ID 83318-1817

BERNARD R. BOEHMER AND HILDA BOEHMER L.P.

Date of last update: 17 Dec 2024

Sources: Idaho Secretary of State

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