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AXIS SPINE PLLC

Company Details

Name: AXIS SPINE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Oct 2016 (8 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 524841
Place of Formation: IDAHO
File Number: 524841
ZIP code: 83835
County: Kootenai County
Principal Address: PO BOX 1119 HAYDEN, ID 83835
Mailing Address: AMY REYNOLDS PO BOX 1119 HAYDEN, ID 83835-1119

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AXIS SPINE CENTER 401(K) RETIREMENT PLAN 2021 814378927 2022-02-15 AXIS SPINE, PLLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621510
Sponsor’s telephone number 2084574208
Plan sponsor’s address P.O. BOX 1119, POST FALLS, ID, 83854
AXIS SPINE CENTER 401(K) RETIREMENT PLAN 2020 814378927 2021-08-12 AXIS SPINE, PLLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621510
Sponsor’s telephone number 2084574208
Plan sponsor’s address P.O. BOX 1119, HAYDEN, ID, 83835
AXIS SPINE CENTER 401(K) RETIREMENT PLAN 2019 814378927 2020-10-07 AXIS SPINE, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621510
Sponsor’s telephone number 2084574208
Plan sponsor’s address 7600 N MINERAL DRIVE 700, COEURD ALENE, ID, 83815
AXIS SPINE CENTER 401(K) RETIREMENT PLAN 2018 814378927 2019-05-03 AXIS SPINE, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621510
Sponsor’s telephone number 2084574208
Plan sponsor’s address 1641 E POLSTON AVE, #101, P.O. BOX 1119, POST FALLS, ID, 83854

Agent

Name Role Address
JESSICA JAMESON Agent 1641 E POLSTON AVE, STE 101, AMY REYNOLDS, POST FALLS, ID 83854

Member

Name Role Address Appointed On Resigned On
Roland S Kent Member PO BOX 1119, HAYDEN, ID 83835 2020-09-03 2023-02-09
RSKMD P.C., AN IDAHO PROFESSIONAL CORPORATION Member 6415 E EVERNADE RD, HAYDEN LAKE, ID 83835 2023-09-08 2023-09-08
Snowstorm Spine PLLC Member 2600 E SELTICE WAY, POST FALLS, ID 83854-7991 2023-09-08 2023-09-08
DOUBLE J ENTERPRISES P.C. Member 6648 N DAVENPORT ST, DALTON GARDENS, ID 83815-9566 2023-02-09 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0005943973 2024-10-17
Annual Report 0005391272 2023-09-08
Annual Report Amendment 0005105228 2023-02-09
Annual Report 0004889280 2022-09-07
Annual Report 0004400773 2021-09-03
Annual Report 0003993484 2020-09-03
Annual Report 0003614305 2019-09-04
Annual Report 0003369409 2018-12-11
Annual Report 0003126014 2017-08-29
Initial Filing 0000524841 2016-10-19

Date of last update: 23 Dec 2024

Sources: Idaho Secretary of State