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  5. PICU ASSOCIATES, LLC

PICU ASSOCIATES, LLC

Company Details

Name: PICU ASSOCIATES, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 18 Jun 2002 (23 years ago)
Financial Date End: 30 Jun 2023
Date dissolved: 02 Jun 2023
Entity Number: 72691
Place of Formation: IDAHO
File Number: 72691
ZIP code: 83712
County: Ada County
Principal Address: 190 E. BANNOCK ST BOISE, ID 83712
Mailing Address: PO BOX 678 NEW MEADOWS, ID 83654-0678

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2022 743052404 2023-02-17 PICU ASSOCIATES, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2088674941
Plan sponsor’s address PO BOX 459, NEW MEADOWS, ID, 83654

Signature of
Role Plan administrator
Date 2023-02-17
Name of individual signing PAUL W JANSEN MD
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2022 743052404 2023-02-05 PICU ASSOCIATES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 678, NEW MEADOWS, ID, 83654

Signature of
Role Plan administrator
Date 2023-02-05
Name of individual signing PAUL W JANSEN MD
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2021 743052404 2022-07-25 PICU ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 678, NEW MEADOWS, ID, 83654

Signature of
Role Plan administrator
Date 2022-07-25
Name of individual signing PAUL W JANSEN MD
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2020 743052404 2021-04-12 PICU ASSOCIATES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 170320, BOISE, ID, 83717

Signature of
Role Plan administrator
Date 2021-04-12
Name of individual signing DAVID CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2019 743052404 2020-07-09 PICU ASSOCIATES, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 170320, BOISE, ID, 83717

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing DAVID CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2018 743052404 2019-07-16 PICU ASSOCIATES, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 170320, BOISE, ID, 83717

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing DAVID CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2017 743052404 2018-09-11 PICU ASSOCIATES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 170320, BOISE, ID, 83717

Signature of
Role Plan administrator
Date 2018-09-11
Name of individual signing DAVID CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2016 743052404 2017-09-22 PICU ASSOCIATES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 170320, BOISE, ID, 83717

Signature of
Role Plan administrator
Date 2017-09-22
Name of individual signing DAVID CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2015 743052404 2016-10-14 PICU ASSOCIATES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 170320, BOISE, ID, 83717

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DAVID CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature
PICU ASSOCIATES, LLC PROFIT SHARING PLAN 2014 743052404 2015-09-09 PICU ASSOCIATES, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2084296693
Plan sponsor’s address PO BOX 170320, BOISE, ID, 83717

Signature of
Role Plan administrator
Date 2015-09-09
Name of individual signing DAVID CHRISTENSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Paul Jansen Agent 190 E BANNOCK ST, BOISE, ID 83712

Manager

Name Role Address Appointed On
Paul W Jansen Manager PO BOX 678, NEW MEADOWS, ID 83654 2022-05-03

Member

Name Role Address Appointed On
David W Christensen Member PO BOX 170320, BOISE, ID 83717 2021-05-03

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005248542 2023-06-02
Annual Report 0004727535 2022-05-03
Annual Report 0004268006 2021-05-04
Amendment to Certificate 0004264816 2021-05-03
Change of Registered Office/Agent/Both (by Entity) 0004247163 2021-04-15
Statement of Change of Business Mailing Address 0004247168 2021-04-14
Annual Report 0003864413 2020-05-04
Annual Report 0003531493 2019-06-04
Annual Report 0001190911 2018-06-08
Annual Report 0001190910 2017-05-15

Related by officers

Paul Jansen

PEDIATRIC CRITICAL CARE, P.C.

David W Christensen

CHILDREN'S CRITICAL CARE OF IDAHO, P.C.

Related by address

No related companies by address

Date of last update: 29 Nov 2024

Sources: Idaho Secretary of State

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