| Name: | CUSTOMEDICA PHARMACY, INC. |
| Jurisdiction: | Idaho |
| Legal type: | General Business Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 30 Dec 2004 (20 years ago) |
| Financial Date End: | 31 Dec 2025 |
| Entity Number: | 480131 |
| Place of Formation: | IDAHO |
| File Number: | 480131 |
| ZIP code: | 83616 |
| County: | Ada County |
| Mailing Address: | STE 101 149 W STATE ST EAGLE, ID 83616-4911 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CUSTOMEDICA PHARMACY INC 401(K) PLAN | 2023 | 870738080 | 2024-07-03 | CUSTOMEDICA PHARMACY, INC. | 27 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-03 |
| Name of individual signing | KRYSTAL GILMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 2089398008 |
| Plan sponsor’s address | 149 W. STATE STREET, SUITE 101, EAGLE, ID, 83616 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-14 |
| Name of individual signing | KRYSTAL GILMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-06-14 |
| Name of individual signing | SHAH AFSHAR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 2089398008 |
| Plan sponsor’s address | 149 W. STATE STREET, SUITE 101, EAGLE, ID, 83616 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-08 |
| Name of individual signing | KRYSTAL GILMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-07-08 |
| Name of individual signing | KRYSTAL GILMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 2089398008 |
| Plan sponsor’s address | 149 W. STATE STREET, SUITE 101, EAGLE, ID, 83616 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-29 |
| Name of individual signing | KRYSTAL GILMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SHAH AFSHAR | Agent | 149 W STATE ST STE 101, EAGLE, ID 83616 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| SHAH AFSHAR | President | 149 W STATE STREET, EAGLE, ID 83616 | 2020-11-03 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| SHAH AFSHAR | Treasurer | 149 W STATE ST, EAGLE, ID 83616 | 2023-11-09 | 2023-11-09 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| MARYAM AFSHAR | Secretary | 149 W STATE STREET, EAGLE, ID 83616 | 2023-11-09 | 2023-11-09 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006079409 | 2025-01-24 |
| Annual Report | 0005474911 | 2023-11-09 |
| Annual Report | 0004973191 | 2022-11-03 |
| Annual Report | 0004477266 | 2021-11-03 |
| Annual Report | 0004049695 | 2020-11-03 |
| Annual Report | 0003693897 | 2019-12-02 |
| Annual Report | 0003396546 | 2019-01-14 |
| Annual Report | 0003003908 | 2017-10-31 |
| Annual Report | 0003003907 | 2017-01-06 |
| Annual Report | 0003003905 | 2015-10-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7274017704 | 2020-05-01 | 1087 | PPP | 149 STATE ST W, EAGLE, ID, 83616 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Apr 2025
Sources: Idaho Secretary of State
