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JLR GENERATIONS HEALTH MANAGEMENT, INC.

Company Details

Name: JLR GENERATIONS HEALTH MANAGEMENT, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved
Date of registration: 21 Dec 2009 (15 years ago)
Financial Date End: 31 Dec 2022
Date dissolved: 02 Jun 2022
Entity Number: 560748
Place of Formation: IDAHO
File Number: 560748
Mailing Address: JIM EVERTON 733 SE 11TH ST NORTH BEND, WA 98045-5004

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JLR GENERATIONS 401(K) PLAN 2019 271562284 2020-10-07 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing JAMES EVERTON
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS 401(K) PLAN 2018 271562284 2019-09-25 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing JAMES EVERTON
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS 401(K) PLAN 2017 271562284 2018-09-04 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing JAMES EVERTON
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS 401(K) PLAN 2016 271562284 2017-04-20 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 271562284
Plan administrator’s name JLR GENERATIONS HEALTH MANAGEMENT
Plan administrator’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201
Administrator’s telephone number 2082334673

Signature of
Role Plan administrator
Date 2017-04-20
Name of individual signing JAMES EVERTON
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS 401(K) PLAN 2015 271562284 2016-10-06 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 271562284
Plan administrator’s name JLR GENERATIONS HEALTH MANAGEMENT
Plan administrator’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201
Administrator’s telephone number 2082334673

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing JAMES EVERTON
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS 401(K) PLAN 2014 271562284 2015-10-15 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 271562284
Plan administrator’s name JLR GENERATIONS HEALTH MANAGEMENT
Plan administrator’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201
Administrator’s telephone number 2082334673

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JAMES EVERTON
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS 401(K) PLAN 2013 271562284 2014-10-09 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 271562284
Plan administrator’s name JLR GENERATIONS HEALTH MANAGEMENT
Plan administrator’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201
Administrator’s telephone number 2082334673

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing ROB DELOACH
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS HEALTH 401 (K) PLAN 2012 271562284 2013-06-05 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 271562284
Plan administrator’s name JLR GENERATIONS HEALTH MANAGEMENT
Plan administrator’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201
Administrator’s telephone number 2082334673

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing ROB DELOACH
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS 401(K) PLAN 2012 271562284 2013-09-30 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 271562284
Plan administrator’s name JLR GENERATIONS HEALTH MANAGEMENT
Plan administrator’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201
Administrator’s telephone number 2082334673

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing ROB DELOACH
Valid signature Filed with authorized/valid electronic signature
JLR GENERATIONS HEALTH 401 K PLAN 2011 271562284 2012-10-15 JLR GENERATIONS HEALTH MANAGEMENT 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621498
Sponsor’s telephone number 2082334673
Plan sponsor’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 271562284
Plan administrator’s name JLR GENERATIONS HEALTH MANAGEMENT
Plan administrator’s address 275 S 5TH AVE LOWER LEVEL, POCATELLO, ID, 83201
Administrator’s telephone number 2082334673

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing ROB DELOACH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES B EVERTON Agent 733 SE 11TH ST., JIM EVERTON, NORTH BEND, WA 98045

President

Name Role Address Appointed On
Jim Everton President 733 SE 11TH ST., NORTH BEND, WA 98045 2020-07-22

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0004763571 2022-06-02
Annual Report 0004480111 2021-11-03
Annual Report 0004050602 2020-11-03
Articles of Amendment 0003945196 2020-07-22
Annual Report 0003668874 2019-11-05
Annual Report 0003361150 2018-12-04
Annual Report 0003205579 2017-11-06
Annual Report 0003205577 2016-11-01
Annual Report 0003205576 2016-01-19
Change of Registered Office/Agent/Both (by Entity) 0003205575 2015-06-05

Related by officers

JAMES B EVERTON

JLR HOLDINGS, LLC GENERATIONS CARE VI, INC.

Related by address

JIM EVERTON 733 SE 11TH ST NORTH BEND, WA 98045-5004

GENERATIONS CARE VI, INC.

Date of last update: 25 Dec 2024

Sources: Idaho Secretary of State

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