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BEACON CANCER CARE, PLLC

Company Details

Name: BEACON CANCER CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 25 Jul 2018 (6 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 619239
Place of Formation: IDAHO
File Number: 619239
ZIP code: 83814
County: Kootenai County
Principal Address: STE. 207 980 W IRONWOOD DR. COEUR D ALENE, ID 83814-2668
Mailing Address: STE 101 3815 N. SCHREIBER WAY COEUR D ALENE, ID 83815

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEACON CANCER CARE, PLLC 401(K) RETIREMENT PLAN 2023 831372781 2024-10-02 BEACON CANCER CARE, PLLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2087552804
Plan sponsor’s address 3815 N SCHREIBER WAY, SUITE 101, COEUR D ALENE, ID, 83815

Signature of

Role Plan administrator
Date 2024-10-02
Name of individual signing KRISTA BARTELS
Valid signature Filed with authorized/valid electronic signature
BEACON CANCER CARE, PLLC 401(K) RETIREMENT PLAN 2022 831372781 2023-09-28 BEACON CANCER CARE, PLLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2087552804
Plan sponsor’s address 980 W. IRONWOOD DR., SUITE 207, COEUR D ALENE, ID, 83814

Signature of

Role Plan administrator
Date 2023-09-28
Name of individual signing KRISTA BARTELS
Valid signature Filed with authorized/valid electronic signature
BEACON CANCER CARE, PLLC 401(K) RETIREMENT PLAN 2021 831372781 2022-08-05 BEACON CANCER CARE, PLLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2087552804
Plan sponsor’s address 980 W. IRONWOOD DR., SUITE 207, COEUR D ALENE, ID, 83814

Signature of

Role Plan administrator
Date 2022-08-05
Name of individual signing KRISTA BARTELS
Valid signature Filed with authorized/valid electronic signature
BEACON CANCER CARE, PLLC 401(K) RETIREMENT PLAN 2020 831372781 2021-10-14 BEACON CANCER CARE, PLLC 18
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2087552804
Plan sponsor’s address 980 W. IRONWOOD DR., SUITE 207, COEUR D ALENE, ID, 83814

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing KRISTA BARTELS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
LYONS O'DOWD, PLLC Agent 703 E LAKESIDE AVE, COEUR D ALENE, ID 83814

Member

Name Role Address Appointed On
David C Bartels Member 980 W IRONWOOD DR., COEUR D ALENE, ID 83814 2020-07-13

Filing

Filing Name Filing Number Filing date
Annual Report 0005788966 2024-06-26
Annual Report 0005343116 2023-08-03
Annual Report 0004798292 2022-06-30
Annual Report 0004355194 2021-07-21
Annual Report 0003938859 2020-07-13
Annual Report 0003576416 2019-07-23
Amendment to Certificate 0003337055 2018-10-25
Statement of Change of Business Mailing Address 0003337045 2018-10-25
Initial Filing 0000619239 2018-07-25

Date of last update: 28 Dec 2024

Sources: Idaho Secretary of State