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ELEVATE HEALTH GROUP PLLC

Company Details

Name: ELEVATE HEALTH GROUP PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Feb 2015 (10 years ago)
Financial Date End: 28 Feb 2025
Entity Number: 449952
Place of Formation: IDAHO
File Number: 449952
ZIP code: 83646
County: Ada County
Principal Address: 2122 W EVEREST LN MERIDIAN, ID 83646-7033
Mailing Address: PO BOX 2193 BOISE, ID 83701-2193

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
2016 5500 SF 2016 473225995 2017-10-12 ELEVATE HEALTH GROUP PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2089491893
Plan sponsor’s DBA name KEYSTONEPHYSICALMEDICINE
Plan sponsor’s address 420 W MAIN ST, BOISE, ID, 837027284

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing CORY SARTIN
Valid signature Filed with authorized/valid electronic signature
ELEVATE HEALTH GROUP PLLC 401K PLAN 2016 473225995 2017-10-13 ELEVATE HEALTH GROUP PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2089491893
Plan sponsor’s address P.O. BOX 2193, BOISE, ID, 83701

Signature of

Role Plan administrator
Date 2017-10-13
Name of individual signing CORY SARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Dana E Clark Agent 5899 PULASKI ST, EAGLE, ID 83616

Manager

Name Role Address Appointed On
cory sartin Manager 705 W RUSH CT, EAGLE, ID 83616 2021-01-03

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005861193 2024-08-14
Dissolution/Revocation - Administrative 0005714819 2024-05-03
Change of Registered Office/Agent/Both (by Entity) 0005092114 2023-02-09
Annual Report 0005044582 2023-01-03
Annual Report 0004546763 2022-01-03
Annual Report 0004113209 2021-01-03
Annual Report 0003800700 2020-03-04
Annual Report 0003407986 2019-01-23
Annual Report 0002903878 2018-03-21
Annual Report 0002903877 2017-01-02

Date of last update: 20 Dec 2024

Sources: Idaho Secretary of State