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  5. INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC.

INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC.

Company Details

Name: INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Jun 2015 (10 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 621300
Place of Formation: IDAHO
File Number: 621300
ZIP code: 83704
County: Ada County
Mailing Address: NANCY POWELL SUITE 156 8950 W EMERALD ST. BOISE, ID 83704

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INDEPENDENT PRACTICE ASSOCIATION OF IDAHO INC RETIREMENT PLAN 2023 474421526 2024-10-11 INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-04-01
Business code 621111
Sponsor’s telephone number 2083753201
Plan sponsor’s address 8950 W. EMERALD ST #156, BOISE, ID, 83704
INDEPENDENT PRACTICE ASSOCIATION OF IDAHO INC RETIREMENT PLAN 2022 474421526 2023-10-06 INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-04-01
Business code 621111
Sponsor’s telephone number 2083753201
Plan sponsor’s address 8854 W. EMERALD ST., SUITE 180, BOISE, ID, 83704
INDEPENDENT PRACTICE ASSOCIATION OF IDAHO INC RETIREMENT PLAN 2021 474421526 2022-04-20 INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-04-01
Business code 621111
Sponsor’s telephone number 2083753201
Plan sponsor’s address 8854 W. EMERALD ST., SUITE 180, BOISE, ID, 83704
INDEPENDENT PRACTICE ASSOCIATION OF IDAHO INC RETIREMENT PLAN 2020 474421526 2021-07-19 INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-04-01
Business code 621111
Sponsor’s telephone number 2083753201
Plan sponsor’s address 8854 W. EMERALD ST., SUITE 180, BOISE, ID, 83704
INDEPENDENT PRACTICE ASSOCIATION OF IDAHO INC RETIREMENT PLAN 2019 474421526 2020-10-05 INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-04-01
Business code 621111
Sponsor’s telephone number 2083753201
Plan sponsor’s address 8854 W. EMERALD ST., SUITE 180, BOISE, ID, 83704

Agent

Name Role Address
Nancy D Powell Agent 8950 W EMERALD ST., SUITE 156, NANCY POWELL, BOISE, ID 83704

Director

Name Role Address Appointed On Resigned On
RYAN S OWSLEY Director 16111 N BRINSON ST., NAMPA, ID 83687 2023-05-19 No data
John Eck Director 300 E BANNOCK ST, BOISE, ID 83712 2021-05-03 2022-05-03
Earl Sullivan Director 5514 W SCHOOL RIDGE RD, HIDDEN SPRINGS, ID 83714 2024-05-03 No data
BRANDON TAYLOR DO Director 4740 N PENNGROVE WAY, MERIDIAN, ID 83646 2024-05-03 No data
Elizabeth Swanson MD Director 1618 S MILLENNIUM WAY, MERIDIAN, ID 83642 2024-05-03 No data
Tyler Hudon MD Director 3280 E LANARK DR, MERIDIAN, ID 83642 2024-05-03 No data
Jason Ludwig DO Director 4740 N PENNGROVE WAY, MERIDIAN, ID 83642 2024-05-03 No data
Russell Griffiths MD Director 100 E IDAHO ST, BOISE, ID 83712 2024-05-03 No data
Jared Scott MD Director 1906 S VISTA AVE, BOISE, ID 83705 2024-05-03 No data
Melissa McClenahan Director 2855 E MAGIC VIEW DR, MERIDIAN, ID 83642 2024-05-03 No data

President

Name Role Address Appointed On Resigned On
RYAN S OWSLEY President 16111 N BRINSON ST., NAMPA, ID 83687 2022-05-03 2023-05-19
JOSEPH H WILLIAMS President 2855 E MAGIC VIEW DR, MERIDIAN, ID 83642 2024-05-03 No data

Secretary

Name Role Address Appointed On
MARK S GRAJCAR DO Secretary 2640 S EAGLE RD, MERIDIAN, ID 83642 2024-05-03

Vice President

Name Role Address Appointed On
Keri Erland MD Vice President 3667 N LOCUST GROVE RD, MERIDIAN, ID 83646 2024-05-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005719524 2024-05-03
Annual Report 0005246628 2023-05-19
Annual Report 0004727270 2022-05-03
Annual Report 0004263393 2021-05-03
Annual Report 0003864649 2020-05-04
Annual Report 0003515665 2019-05-17
Annual Report 0003290772 2018-04-23
Annual Report 0003290771 2017-05-03
Annual Report 0003290770 2016-04-29
Restated Articles 0000939267 2015-09-21

Related by officers

Nancy D Powell

POWELL INVESTMENTS, LLC INDEPENDENT DOCTORS OF IDAHO, INC.

John Eck

SLEEP TRAIN, INC. (THE) MATTRESS FIRM, INC. Inter-Industry Conference on Auto Collision Repair Corp.

Earl Sullivan

Idaho Independent Food, Agriculture, Restaurant and Beverage Establishments Alliance, Inc.

MARK S GRAJCAR DO

INITIAL POINT FAMILY MEDICINE, PLLC

Related by address

NANCY POWELL SUITE 156 8950 W EMERALD ST. BOISE, ID 83704

INDEPENDENT DOCTORS OF IDAHO, INC.

Date of last update: 28 Dec 2024

Sources: Idaho Secretary of State

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