| Name: | BOISE FAMILY MEDICINE, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 20 Sep 2016 (8 years ago) |
| Financial Date End: | 30 Sep 2025 |
| Entity Number: | 520378 |
| Place of Formation: | IDAHO |
| File Number: | 520378 |
| ZIP code: | 83709 |
| County: | Ada County |
| Principal Address: | 10798 W OVERLAND RD BOISE, ID 83709 |
| Mailing Address: | BRIAN BRUMPTON 10798 W OVERLAND RD BOISE, ID 83709-1329 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KMTCULGJQC35 | 2024-08-15 | 10798 W OVERLAND RD, BOISE, ID, 83709, 1329, USA | 10798 W OVERLAND RD, BOISE, ID, 83709, USA | |||||||||||||||||||||||||||||||||||||||||||
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| URL | https://www.boisefamilymedicine.com |
| Congressional District | 02 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2023-08-28 |
| Initial Registration Date | 2018-12-20 |
| Entity Start Date | 2016-10-06 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BRIAN BRUMPTON |
| Role | CEO |
| Address | 10798 W OVERLAND RD, BOISE, ID, 83709, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BRIAN BRUMPTON |
| Role | CEO |
| Address | 10798 W OVERLAND RD, BOISE, ID, 83709, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BOISE FAMILY MEDICINE LLC 401(K) PLAN | 2023 | 814028963 | 2024-05-09 | BOISE FAMILY MEDICINE LLC | 7 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-09 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2083773368 |
| Plan sponsor’s address | 10798 W. OVERLAND RD., BOISE, ID, 83709 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-30 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Brian Brumpton | Agent | 10798 W OVERLAND RD, BOISE, ID 83709 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Tara Brumpton | Member | 10798 W OVERLAND RD, BOISE, ID 83709 | 2023-08-03 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Brian Brumpton | Manager | 10798 W OVERLAND RD, BOISE, ID 83709 | 2020-09-03 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005837257 | 2024-08-03 |
| Annual Report | 0005343974 | 2023-08-03 |
| Annual Report | 0004946354 | 2022-10-07 |
| Annual Report | 0004371157 | 2021-08-05 |
| Annual Report | 0003993403 | 2020-09-03 |
| Annual Report | 0003605622 | 2019-08-26 |
| Annual Report | 0003115381 | 2018-08-01 |
| Annual Report | 0003115380 | 2017-07-27 |
| Legacy Amendment | 0000922075 | 2016-11-30 |
| Initial Filing | 0000520378 | 2016-09-20 |
Date of last update: 23 Dec 2024
Sources: Idaho Secretary of State
