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BRIAN W. CHRISTENSEN M.D., P.A.

Company Details

Name: BRIAN W. CHRISTENSEN M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 25 Feb 2002 (23 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 434850
Place of Formation: IDAHO
File Number: 434850
ZIP code: 83440
County: Madison County
Mailing Address: BRIAN CHRISTENSEN 20 MADISON PROFESSIONAL PARK REXBURG, ID 83440-2058

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2018 450468119 2019-10-14 BRIAN W. CHRISTENSEN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Number of participants as of the end of the plan year

Active participants 2
Number of participants with account balances as of the end of the plan year 2
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2017 450468119 2018-10-08 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Number of participants as of the end of the plan year

Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2016 450468119 2017-10-09 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Number of participants as of the end of the plan year

Active participants 2
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 3
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2015 450468119 2016-10-12 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2014 450468119 2015-10-15 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2013 450468119 2014-07-31 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Number of participants as of the end of the plan year

Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2012 450468119 2013-10-15 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing BRIAN W. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing BRIAN W. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2011 450468119 2012-10-15 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Plan administrator’s name and address

Administrator’s EIN 450468119
Plan administrator’s name BRIAN W. CHRISTENSEN, M.D., P.A.
Plan administrator’s address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Administrator’s telephone number 2086569008

Number of participants as of the end of the plan year

Active participants 3
Retired or separated participants receiving benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing BRIAN W. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing BRIAN W. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2010 450468119 2011-10-12 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Plan administrator’s name and address

Administrator’s EIN 450468119
Plan administrator’s name BRIAN W. CHRISTENSEN, M.D., P.A.
Plan administrator’s address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Administrator’s telephone number 2086569008

Number of participants as of the end of the plan year

Active participants 2
Number of participants with account balances as of the end of the plan year 2

Signature of

Role Plan administrator
Date 2011-10-12
Name of individual signing BRIAN W. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-12
Name of individual signing BRIAN W. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
BRIAN W. CHRISTENSEN, M.D., P.A., PROFIT SHARING PLAN 2009 450468119 2010-10-14 BRIAN W. CHRISTENSEN, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2086569008
Plan sponsor’s mailing address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Plan sponsor’s address BRIAN W. CHRISTENSEN, M.D., P.A., 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440

Plan administrator’s name and address

Administrator’s EIN 450468119
Plan administrator’s name BRIAN W. CHRISTENSEN, M.D., P.A.
Plan administrator’s address 20 MADISON PROFESSIONAL PARK, REXBURG, ID, 83440
Administrator’s telephone number 2086569008

Number of participants as of the end of the plan year

Active participants 1
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 2

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing BRIAN W. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing BRIAN W. CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRIAN W CHRISTENSEN Agent 20 MADISON PROF PARK, REXBURG, ID 83440

President

Name Role Address Appointed On
Brian Christensen President 20 MADISON PROFESSIONAL PARK, REXBURG, ID 83440 2021-01-17

Secretary

Name Role Address Appointed On
Karie Christensen Secretary 20 MADISON PROFESSIONAL PARK, REXBURG, ID 83440 2024-01-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005534241 2024-01-03
Annual Report 0005048327 2023-01-03
Annual Report 0004547606 2022-01-03
Annual Report 0004137022 2021-01-17
Annual Report 0003744874 2020-01-13
Annual Report 0003407981 2019-01-23
Annual Report 0002849249 2017-12-27
Annual Report 0002849248 2016-12-28
Annual Report 0002849247 2015-12-28
Annual Report 0002849245 2014-12-15

Date of last update: 19 Dec 2024

Sources: Idaho Secretary of State