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  5. BLAINE COUNTY COMMUNITY DRUG COALITION, INCORPORATED

BLAINE COUNTY COMMUNITY DRUG COALITION, INCORPORATED

Company Details

Name: BLAINE COUNTY COMMUNITY DRUG COALITION, INCORPORATED
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 22 May 2008 (17 years ago)
Financial Date End: 31 May 2019
Date dissolved: 20 Aug 2019
Entity Number: 540596
Place of Formation: IDAHO
File Number: 540596
ZIP code: 83333
County: Blaine County
Mailing Address: 1050 FOX ACRES RD STE 106 HAILEY, ID 83333

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLAINE COUNTY COMMUNITY DRUG COALITION 401(K) PLAN 2021 611566372 2022-05-19 BLAINE COUNTY COMMUNITY DRUG COALITION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 541600
Sponsor’s telephone number 2087278765
Plan sponsor’s address 1050 FOX ACRES ROAD, SUITE 101, HAILEY, ID, 83333

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
BLAINE COUNTY COMMUNITY DRUG COALITION 401(K) PLAN 2020 611566372 2021-06-18 BLAINE COUNTY COMMUNITY DRUG COALITION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 541600
Sponsor’s telephone number 2087278765
Plan sponsor’s address 1050 FOX ACRES ROAD, SUITE 101, HAILEY, ID, 83333

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-06-18
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
BLAINE COUNTY COMMUNITY DRUG COALITION 401(K) PLAN 2019 611566372 2020-07-03 BLAINE COUNTY COMMUNITY DRUG COALITION 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 541600
Sponsor’s telephone number 2087278765
Plan sponsor’s address 1050 FOX ACRES ROAD, SUITE 101, HAILEY, ID, 83333

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
BLAINE COUNTY COMMUNITY DRUG COALITION 401(K) PLAN 2018 611566372 2019-10-10 BLAINE COUNTY COMMUNITY DRUG COALITION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 541600
Sponsor’s telephone number 2087278765
Plan sponsor’s address 1050 FOX ACRES ROAD, SUITE 101, HAILEY, ID, 83333

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
BLAINE COUNTY COMMUNITY DRUG COALITION 401(K) PLAN 2017 611566372 2018-10-12 BLAINE COUNTY COMMUNITY DRUG COALITION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 541600
Sponsor’s telephone number 2087278765
Plan sponsor’s address 1050 FOX ACRES ROAD, SUITE 101, HAILEY, ID, 83333

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
BLAINE COUNTY COMMUNITY DRUG COALITION RETIREMENT TRUST 2016 611566372 2017-10-09 BLAINE COUNTY COMMUNITY DRUG COALITION 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 541600
Sponsor’s telephone number 2085785466
Plan sponsor’s address 1450 AVIATION DR. STE 200, HAILEY, ID, 83333

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing LISA MCGRAW
Valid signature Filed with authorized/valid electronic signature
BLAINE COUNTY COMMUNITY DRUG COALITION RETIREMENT TRUST 2014 611566372 2015-10-07 BLAINE COUNTY COMMUNITY DRUG COALITION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 541600
Sponsor’s telephone number 2087278765
Plan sponsor’s address 1450 AVIATION DR. STE 200, HAILEY, ID, 83333

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing MARK RATLIFF
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing MARK RATLIFF
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHRISTOPHER P SIMMS Agent 191 SUN VALLEY RD STE 209, KETCHUM, ID 83340

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003600725 2019-08-20
Annual Report 0003162714 2018-03-20
Annual Report 0003162713 2017-03-21
Annual Report 0003162712 2016-03-22
Annual Report 0003162711 2015-08-04
Annual Report 0003162710 2014-03-26
Annual Report 0003162709 2013-05-24
Annual Report 0003162708 2012-03-14
Annual Report 0003162707 2011-03-15
Annual Report 0003162706 2010-04-12

Related by officers

CHRISTOPHER P SIMMS

REBECCA F BUNDY DESIGN FOR SUSTAINABLE LIVING, LLC REBECCA F. BUNDY, ARCHITECT, PLLC YOURS TRULY, L.L.C. ALTITUDE ELECTRIC, L.L.C. SIMMS LAW, P.L.L.C.

Related by address

No related companies by address

Date of last update: 24 Dec 2024

Sources: Idaho Secretary of State

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