PACIFICSOURCE HEALTH PLANS, INC.
| Name: | PACIFICSOURCE HEALTH PLANS, INC. |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Nonprofit Corporation |
| Status: | Active-Good Standing |
| Date of registration: | 20 Mar 2006 (19 years ago) |
| Financial Date End: | 31 Mar 2026 |
| Entity Number: | 502803 |
| Place of Formation: | OREGON |
| File Number: | 502803 |
| Principal Address: | PO BOX 7068 SPRINGFIELD, OR 97475 |
| Mailing Address: | PO BOX 7068 SPRINGFIELD, OR 97475-0068 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Kenneth Provencher | President | PO BOX 7068, SPRINGFIELD, OR 97475 | 2021-02-03 | 2023-04-03 |
| John Espinola MD | President | PO BOX 7068, SPRINGFIELD, OR 97475 | 2024-01-31 | 2024-01-31 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Kristin Kernutt | Secretary | PO BOX 7068, SPRINGFIELD, OR 97475 | 2023-04-03 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Peter Davidson | Treasurer | PO BOX 7068, SPRINGFIELD, OR 97475 | 2024-01-31 | 2024-01-31 |
| Name | Role | Address |
|---|---|---|
| Patricia Moeller | Agent | 408 E PARKCENTER BLVD SUITE 100, BOISE, ID 83706 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006085730 | 2025-01-31 |
| Annual Report | 0005575846 | 2024-01-31 |
| Annual Report Amendment | 0005176421 | 2023-04-03 |
| Annual Report | 0005087503 | 2023-02-01 |
| Annual Report | 0004586871 | 2022-02-01 |
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Date of last update: 06 Jun 2025
Sources: Idaho Secretary of State