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INTEGRITY PSYCHIATRIC SERVICES, LLC

Company Details

Name: INTEGRITY PSYCHIATRIC SERVICES, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Sep 2018 (7 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 626453
Place of Formation: IDAHO
File Number: 626453
ZIP code: 83705
County: Ada County
Principal Address: SUITE 107 5440 W FRANKLIN ROAD BOISE, ID 83705
Mailing Address: CAREY CRILL STE 202 1000 N CURTIS RD BOISE, ID 83706-1346

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTEGRITY PSYCHIATRIC SERVICES, LLC 401(K) P/S PLAN 2023 831959658 2024-09-09 INTEGRITY PSYCHIATRIC SERVICES, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621330
Sponsor’s telephone number 2082837314
Plan sponsor’s address 1000 N CURTIS RD STE 202, BOISE, ID, 83706

Signature of

Role Plan administrator
Date 2024-09-09
Name of individual signing CAREY CRILL
Valid signature Filed with authorized/valid electronic signature
INTEGRITY PSYCHIATRIC SERVICES, LLC 401(K) P/S PLAN 2022 831959658 2023-05-21 INTEGRITY PSYCHIATRIC SERVICES, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621330
Sponsor’s telephone number 2082837314
Plan sponsor’s address 1000 N CURTIS RD STE 202, BOISE, ID, 83706

Plan administrator’s name and address

Administrator’s EIN 831959658
Plan administrator’s name INTEGRITY PSYCHIATRIC SERVICES, LLC
Plan administrator’s address 1000 N CURTIS RD STE 202, BOISE, ID, 83706
Administrator’s telephone number 2082837314

Signature of

Role Plan administrator
Date 2023-05-21
Name of individual signing TARYN NICELY
Valid signature Filed with authorized/valid electronic signature
INTEGRITY PSYCHIATRIC SERVICES, LLC 401(K) P/S PLAN 2021 831959658 2022-08-11 INTEGRITY PSYCHIATRIC SERVICES, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621330
Sponsor’s telephone number 2083199818
Plan sponsor’s address 1000 N CURTIS RD STE 202, BOISE, ID, 83706

Plan administrator’s name and address

Administrator’s EIN 831959658
Plan administrator’s name INTEGRITY PSYCHIATRIC SERVICES, LLC
Plan administrator’s address 1000 N CURTIS RD STE 202, BOISE, ID, 83706
Administrator’s telephone number 2083199818

Signature of

Role Plan administrator
Date 2022-08-11
Name of individual signing STACY HUMPHERYS
Valid signature Filed with authorized/valid electronic signature
INTEGRITY PSYCHIATRIC SERVICES, LLC 401(K) P/S PLAN 2020 831959658 2021-07-23 INTEGRITY PSYCHIATRIC SERVICES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621330
Sponsor’s telephone number 2082837314
Plan sponsor’s address 5440 W FRANKLIN RD STE 108, BOISE, ID, 83705

Plan administrator’s name and address

Administrator’s EIN 831959658
Plan administrator’s name INTEGRITY PSYCHIATRIC SERVICES, LLC
Plan administrator’s address 5440 W FRANKLIN RD STE 108, BOISE, ID, 83705
Administrator’s telephone number 2082837314

Signature of

Role Plan administrator
Date 2021-07-23
Name of individual signing STACY HUMPHERYS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Carey Crill Agent 1000 N CURTIS ROAD, STE 202, BOISE, ID 83706

Manager

Name Role Address Appointed On
Carey Crill Manager 1000 N CURTIS ROAD, BOISE, ID 83706 2020-08-12

Member

Name Role Address Appointed On Resigned On
Cody Haas Member 5440 W FRANKLIN ROAD, BOISE, ID 83705 2021-02-03 2021-10-13

Filing

Filing Name Filing Number Filing date
Annual Report 0005841307 2024-08-05
Annual Report 0005353030 2023-08-04
Annual Report 0004912079 2022-09-13
Annual Report 0004444928 2021-10-13
Statement of Change of Business Mailing Address 0004425853 2021-09-23
Amendment to Certificate 0004155964 2021-02-03
Annual Report 0003970693 2020-08-12
Amendment to Certificate 0003878336 2020-05-16
Annual Report 0003585469 2019-08-01
Statement of Change of Business Mailing Address 0003538672 2019-06-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9912627007 2020-04-09 1087 PPP 5440 W FRANKLIN RD STE 108, BOISE, ID, 83705-1046
Loan Status Date 2021-04-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45000
Loan Approval Amount (current) 45000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 96211
Servicing Lender Name Idaho Central CU
Servicing Lender Address 4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address BOISE, ADA, ID, 83705-1046
Project Congressional District ID-02
Number of Employees 10
NAICS code 621420
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 96211
Originating Lender Name Idaho Central CU
Originating Lender Address CHUBBUCK, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 45431.51
Forgiveness Paid Date 2021-04-01

Date of last update: 13 Apr 2025

Sources: Idaho Secretary of State