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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 (6 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

Date of last update: 29 Dec 2024

Sources: Idaho Secretary of State