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URGENT CARE OF JEROME, LLC

Company Details

Name: URGENT CARE OF JEROME, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 06 Jun 2014 (11 years ago)
Financial Date End: 30 Jun 2022
Date dissolved: 12 Jan 2022
Entity Number: 423224
Place of Formation: IDAHO
File Number: 423224
ZIP code: 83338
County: Jerome County
Principal Address: PO BOX 773 JEROME, ID 83338
Mailing Address: PO BOX 773 JEROME, ID 83338-5483

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
URGENT CARE OF JEROME LLC 401K PLAN 2018 471026878 2019-06-20 URGENT CARE OF JEROME LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2083242004
Plan sponsor’s address PO BOX 773, JEROME, ID, 83338

Signature of

Role Plan administrator
Date 2019-06-20
Name of individual signing DEEANN JAMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-20
Name of individual signing DEE ANN JAMES
Valid signature Filed with authorized/valid electronic signature
URGENT CARE OF JEROME LLC 401K PLAN 2018 471026878 2019-05-15 URGENT CARE OF JEROME LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2083242004
Plan sponsor’s address PO BOX 773, JEROME, ID, 83338

Signature of

Role Plan administrator
Date 2019-05-15
Name of individual signing DEEANN JAMES
Valid signature Filed with authorized/valid electronic signature
URGENT CARE OF JEROME LLC 401K PLAN 2017 471026878 2018-05-29 URGENT CARE OF JEROME LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2083242004
Plan sponsor’s address PO BOX 773, JEROME, ID, 83338

Signature of

Role Plan administrator
Date 2018-05-29
Name of individual signing DEEANN JAMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-29
Name of individual signing DEE ANN JAMES
Valid signature Filed with authorized/valid electronic signature
URGENT CARE OF JEROME LLC 401K PLAN 2016 471026878 2017-07-07 URGENT CARE OF JEROME LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2083242004
Plan sponsor’s address PO BOX 773, JEROME, ID, 83338

Signature of

Role Plan administrator
Date 2017-07-07
Name of individual signing DEEANN JAMES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KYLE D JAMES Agent 133 W AVENUE A STE B, JEROME, ID 83338

Manager

Name Role Address Appointed On
Kyle D James Manager 932 EAST 00 SOUTH, DECLO, ID 83323 2021-05-10

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004565894 2022-01-12
Annual Report 0004279049 2021-05-10
Annual Report 0003875285 2020-05-12
Annual Report 0003519848 2019-05-21
Annual Report 0002804907 2018-05-10
Annual Report 0002804906 2017-05-02
Annual Report 0002804905 2016-04-26
Legacy Amendment 0000893028 2015-12-17
Change of Registered Office/Agent/Both (by Entity) 0002804904 2015-07-08
Annual Report 0002804903 2015-05-07

Date of last update: 19 Dec 2024

Sources: Idaho Secretary of State