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BEACON HEALTH SERVICES, INC.

Company Details

Name: BEACON HEALTH SERVICES, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved
Date of registration: 06 Nov 2003 (21 years ago)
Financial Date End: 30 Nov 2015
Date dissolved: 12 Nov 2014
Entity Number: 461188
Place of Formation: IDAHO
File Number: 0000461188
ZIP code: 83201
County: Bannock County
Mailing Address: 2891 SHELLY PLACE POCATELLO, ID 83201

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEACON HEALTH SERVICES, INC. 401(K) PLAN 2011 542131720 2012-03-02 BEACON HEALTH SERVICES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 623000
Sponsor’s telephone number 2082322570
Plan sponsor’s address P.O. BOX 4925, POCATELLO, ID, 83205

Plan administrator’s name and address

Administrator’s EIN 542131720
Plan administrator’s name BEACON HEALTH SERVICES, INC.
Plan administrator’s address P.O. BOX 4925, POCATELLO, ID, 83205
Administrator’s telephone number 2082322570

Signature of

Role Plan administrator
Date 2012-03-02
Name of individual signing CRAE BERRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-02
Name of individual signing CRAE BERRETT
Valid signature Filed with authorized/valid electronic signature
BEACON HEALTH SERVICES, INC. 401(K) PLAN 2011 542131720 2012-11-12 BEACON HEALTH SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-04-01
Business code 623000
Sponsor’s telephone number 2082322570
Plan sponsor’s address P.O. BOX 4925, POCATELLO, ID, 83205

Plan administrator’s name and address

Administrator’s EIN 542131720
Plan administrator’s name BEACON HEALTH SERVICES, INC.
Plan administrator’s address P.O. BOX 4925, POCATELLO, ID, 83205
Administrator’s telephone number 2082322570

Signature of

Role Plan administrator
Date 2012-11-12
Name of individual signing CRAE BERRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-11-12
Name of individual signing CRAE BERRETT
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000905316 2014-11-12
Annual Report 0002942250 2014-09-17
Annual Report 0002942249 2013-09-23
Annual Report 0002942248 2012-09-13
Annual Report 0002942247 2011-09-12
Annual Report 0002942246 2010-09-08
Annual Report 0002942245 2009-10-16
Annual Report 0002942244 2008-11-10
Annual Report 0002942243 2007-12-12
Annual Report 0002942242 2006-10-30

Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State