| Name: | MOUNTAIN STATES PROVISIONS INC. |
| Jurisdiction: | Idaho |
| Legal type: | General Business Corporation (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 12 Jul 2004 (21 years ago) |
| Financial Date End: | 31 Jul 2023 |
| Date dissolved: | 04 Oct 2023 |
| Entity Number: | 472544 |
| Place of Formation: | IDAHO |
| File Number: | 472544 |
| ZIP code: | 83642 |
| County: | Ada County |
| Mailing Address: | JASON JOKIPII 104 E FAIRVIEW AVE # 287 MERIDIAN, ID 83642-1733 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MOUNTAIN STATES 401(K) PROFIT SHARING PLAN | 2020 | 201347899 | 2021-09-13 | MOUNTAIN STATES PROVISIONS | 14 | |||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2021-09-13 |
| Name of individual signing | AMELIA JENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-09-13 |
| Name of individual signing | AMELIA JENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 722300 |
| Sponsor’s telephone number | 2083313354 |
| Plan sponsor’s address | 104 E. FAIRVIEW AVE BOX 287, MERIDIAN, ID, 83642 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-03 |
| Name of individual signing | AMELIA JENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-10-03 |
| Name of individual signing | AMELIA JENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 722300 |
| Sponsor’s telephone number | 2083313354 |
| Plan sponsor’s address | 104 E. FAIRVIEW AVE BOX 287, MERIDIAN, ID, 83642 |
Signature of
| Role | Plan administrator |
| Date | 2019-07-17 |
| Name of individual signing | AMELIA JENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-07-17 |
| Name of individual signing | AMELIA JENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 722300 |
| Sponsor’s telephone number | 2083313354 |
| Plan sponsor’s address | 104 E. FAIRVIEW AVE BOX 287, BOISE, ID, 83642 |
Signature of
| Role | Plan administrator |
| Date | 2018-09-25 |
| Name of individual signing | AMELIA JENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-09-25 |
| Name of individual signing | AMELIAJENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 722300 |
| Sponsor’s telephone number | 2083313354 |
| Plan sponsor’s address | 104 E. FAIRVIEW AVE BOX 287, BOISE, ID, 83642 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-16 |
| Name of individual signing | AMELIA JENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2017-10-16 |
| Name of individual signing | AMELIAJENSEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JASON JOKIPII | Agent | 379 EAST GANNETT, MERIDIAN, ID 83642 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Jason Jokipii | President | 379 E. GANNETT ST., MERIDIAN, ID 83642 | 2021-06-01 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Dissolution/Revocation - Administrative | 0005428558 | 2023-10-04 |
| Annual Report | 0004864176 | 2022-08-17 |
| Application for Reinstatement | 0004295152 | 2021-06-01 |
| Dissolution/Revocation - Administrative | 0004034339 | 2020-10-15 |
| Annual Report | 0003571234 | 2019-07-16 |
| Annual Report | 0002979682 | 2018-05-24 |
| Annual Report | 0002979680 | 2017-05-30 |
| Change of Registered Office/Agent/Both (by Entity) | 0002979677 | 2016-07-19 |
| Annual Report | 0002979676 | 2016-06-16 |
| Annual Report | 0002979675 | 2015-05-26 |
Date of last update: 21 Dec 2024
Sources: Idaho Secretary of State
