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KIDNEY & HYPERTENSION CLINIC PLLC

Company Details

Name: KIDNEY & HYPERTENSION CLINIC PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Jan 2014 (11 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 407318
Place of Formation: IDAHO
File Number: 407318
ZIP code: 83501
County: Nez Perce County
Principal Address: 2124 12TH AVE LEWISTON, ID 83501
Mailing Address: 2124 12TH AVE LEWISTON, ID 83501-3502

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIDNEY & HYPERTENSION CLINIC 401(K) PLAN 2023 263120062 2024-09-17 KIDNEY & HYPERTENSION CLINIC, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVENUE, LEWISTON, ID, 835013502

Signature of

Role Plan administrator
Date 2024-09-17
Name of individual signing AJITH KUMAR
Valid signature Filed with authorized/valid electronic signature
KIDNEY AND HYPERTENSION CLINIC CASH BALANCE PLAN 2023 263120062 2024-09-23 KIDNEY & HYPERTENSION CLINIC, PLLC 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVENUE, LEWISTON, ID, 835013502

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing AJITH KUMAR
Valid signature Filed with authorized/valid electronic signature
KIDNEY AND HYPERTENSION CLINIC CASH BALANCE PLAN 2022 263120062 2023-10-04 KIDNEY & HYPERTENSION CLINIC, PLLC 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVENUE, LEWISTON, ID, 835013502

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing AJITH KUMAR
Valid signature Filed with authorized/valid electronic signature
KIDNEY & HYPERTENSION CLINIC 401(K) PLAN 2022 263120062 2023-10-05 KIDNEY & HYPERTENSION CLINIC, PLLC 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVENUE, LEWISTON, ID, 835013502

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing AJITH KUMAR
Valid signature Filed with authorized/valid electronic signature
KIDNEY & HYPERTENSION CLINIC 401(K) PLAN 2021 263120062 2022-10-12 KIDNEY & HYPERTENSION CLINIC, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVENUE, LEWISTON, ID, 835013502

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing AJITH KUMAR
Valid signature Filed with authorized/valid electronic signature
KIDNEY & HYPERTENSION CLINIC CASH BALANCE PLAN 2021 263120062 2022-07-06 KIDNEY & HYPERTENSION CLINIC, PLLC 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVE., LEWISTON, ID, 835013502

Signature of

Role Plan administrator
Date 2022-07-06
Name of individual signing AJITH KUMAR
Valid signature Filed with authorized/valid electronic signature
KIDNEY & HYPERTENSION CLINIC CASH BALANCE PLAN 2020 263120062 2021-09-24 KIDNEY & HYPERTENSION CLINIC, PLLC 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVE., LEWISTON, ID, 835013502

Signature of

Role Plan administrator
Date 2021-09-24
Name of individual signing AJITH KUMAR
Valid signature Filed with authorized/valid electronic signature
KIDNEY & HYPERTENSION CLINIC 401(K) PLAN 2020 263120062 2021-10-01 KIDNEY & HYPERTENSION CLINIC, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVENUE, LEWISTON, ID, 835013502

Signature of

Role Plan administrator
Date 2021-10-01
Name of individual signing AJITH KUMAR
Valid signature Filed with authorized/valid electronic signature
KIDNEY & HYPERTENSION CLINIC 401(K) PLAN 2019 263120062 2020-10-08 KIDNEY & HYPERTENSION CLINIC, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVENUE, LEWISTON, ID, 835013502
KIDNEY & HYPERTENSION CLINIC 401(K) PLAN 2018 263120062 2019-10-14 KIDNEY & HYPERTENSION CLINIC, PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2087439986
Plan sponsor’s address 2124 12TH AVENUE, LEWISTON, ID, 835013502

Agent

Name Role Address
AJITH KUMAR MD Agent 2124 12TH AVE, LEWISTON, ID 83501

Manager

Name Role Address Appointed On
Ajith J Kumar Manager 2124 12TH AVE, LEWISTON, ID 83501 2021-07-06

Filing

Filing Name Filing Number Filing date
Annual Report 0006000842 2024-12-03
Annual Report 0005493099 2023-12-03
Annual Report 0005047120 2023-01-03
Annual Report 0004552779 2022-01-04
Application for Reinstatement 0004335694 2021-07-06
Dissolution/Revocation - Administrative 0004239907 2021-04-08
Annual Report 0003696485 2019-12-03
Annual Report 0003456275 2019-03-18
Annual Report 0002743632 2017-12-05
Annual Report 0002743631 2016-12-14

Date of last update: 18 Dec 2024

Sources: Idaho Secretary of State