| Name: | Odyssey Pediatric Therapy Specialists, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 09 Aug 2021 (3 years ago) |
| Financial Date End: | 31 Aug 2024 |
| Date dissolved: | 15 Nov 2024 |
| Entity Number: | 4373924 |
| Place of Formation: | IDAHO |
| File Number: | 776521 |
| ZIP code: | 83646 |
| County: | Ada County |
| Principal Address: | DEREK BAWDEN 4440 N. MONTELINO AVE. MERIDIAN, ID 83646 |
| Mailing Address: | DEREK BAWDEN 1031 W SANETTA ST NAMPA, ID 83651-5047 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ODYSSEY PEDIATRIC THERAPY SPECIALISTS 401(K) PLAN | 2023 | 872103617 | 2024-05-17 | ODYSSEY PEDIATRIC THERAPY SPECIALISTS, LLC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-17 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Travis Crump | Manager | 31 S. GRANDEAN WAY, EAGLE, ID 83616 | 2023-08-11 |
| Jeramy McMillan | Manager | 5309 WORTH WAY, CALDWELL, ID 83607 | 2023-08-11 |
| Derek Bawden | Manager | 4440 N. MONTELINO AVE., MERIDIAN, ID 83646 | 2022-04-13 |
| Name | Role | Address |
|---|---|---|
| Derek Bawden | Agent | 4440 N MONTELINO AVE, MERIDIAN, ID 83646 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0005982433 | 2024-11-15 |
| Annual Report | 0005360968 | 2023-08-11 |
| Annual Report | 0004808245 | 2022-07-07 |
| Statement of Change of Business Mailing Address | 0004808220 | 2022-07-07 |
| Amendment to Certificate | 0004697337 | 2022-04-13 |
| Initial Filing | 0004373924 | 2021-08-09 |
Date of last update: 05 Jan 2025
Sources: Idaho Secretary of State
