Boise Shoulder Clinic, P.A.

Registered In: Idaho
Incorporation Date: 09/19/2006
Registration Type: Domestic
Company Type: General Business Corporation (D)
Status: Active-Good Standing
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Carl S Humphrey Registered Agent	1805 W SPANISH BAY DR, EAGLE, ID 83616
Carl Scott Humphrey Director	3381 W BAVARIA ST, EAGLE, ID 83616
Carrie Humphrey Secretary	1805 W SPANISH BAY DR, EAGLE, ID 83616
Kris Ormseth Incorporator	101 S CAPITOL BLVD STE 1900, BOISE, ID 83702

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3381 W BAVARIA ST, EAGLE, ID 83616 (Mailing) View Map

Financial Information for Boise Shoulder Clinic, P.A.

Form 5500

BOISE SHOULDER CLINIC, PA

3381 W. Bavaria St., Eagle, Id 83616 (208) 639-4800 EIN:20-5570411 Plan Admin:Carrie Humphrey

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameHUMPHREY SHOULDER CLINIC 401(K) PLAN Plan #001 Participants BOY/EOY3 / 4 Assets BOY/EOY$488,931 / $676,547	2023	HUMPHREY SHOULDER CLINIC 401(K) PLAN - Plan #001	3 / 4	$488,931 / $676,547
2023	Plan NameHUMPHREY SHOULDER CLINIC CASH BALANCE PLAN Plan #002 Participants BOY/EOY6 / 4 Assets BOY/EOY$0 / $0	2023	HUMPHREY SHOULDER CLINIC CASH BALANCE PLAN - Plan #002	6 / 4	$0 / $0
2022	Plan NameHUMPHREY SHOULDER CLINIC 401(K) PLAN Plan #001 Participants BOY/EOY3 / 3 Assets BOY/EOY$284,604 / $488,931	2022	HUMPHREY SHOULDER CLINIC 401(K) PLAN - Plan #001	3 / 3	$284,604 / $488,931
2022	Plan NameHUMPHREY SHOULDER CLINIC CASH BALANCE PLAN Plan #002 Participants BOY/EOY4 / 5 Assets BOY/EOY$0 / $0	2022	HUMPHREY SHOULDER CLINIC CASH BALANCE PLAN - Plan #002	4 / 5	$0 / $0
2021	Plan NameHUMPHREY SHOULDER CLINIC 401(K) PLAN Plan #001 Participants BOY/EOY4 / 3 Assets BOY/EOY$0 / $0	2021	HUMPHREY SHOULDER CLINIC 401(K) PLAN - Plan #001	4 / 3	$0 / $0
2021	Plan NameHUMPHREY SHOULDER CLINIC CASH BALANCE PLAN Plan #002 Participants BOY/EOY4 / 3 Assets BOY/EOY$0 / $0	2021	HUMPHREY SHOULDER CLINIC CASH BALANCE PLAN - Plan #002	4 / 3	$0 / $0
2020	Plan NameHUMPHREY SHOULDER CLINIC CASH BALANCE PLAN Plan #002 Participants BOY/EOY3 / 4 Assets BOY/EOY$0 / $0	2020	HUMPHREY SHOULDER CLINIC CASH BALANCE PLAN - Plan #002	3 / 4	$0 / $0
2020	Plan NameHUMPHREY SHOULDER CLINIC 401(K) PLAN Plan #001 Participants BOY/EOY3 / 4 Assets BOY/EOY$0 / $0	2020	HUMPHREY SHOULDER CLINIC 401(K) PLAN - Plan #001	3 / 4	$0 / $0
2019	Plan NameHUMPHREY SHOULDER CLINIC CASH BALANCE PLAN Plan #002 Participants BOY/EOY4 / 3 Assets BOY/EOY$0 / $0	2019	HUMPHREY SHOULDER CLINIC CASH BALANCE PLAN - Plan #002	4 / 3	$0 / $0
2019	Plan NameHUMPHREY SHOULDER CLINIC 401(K) PLAN Plan #001 Participants BOY/EOY3 / 3 Assets BOY/EOY$0 / $0	2019	HUMPHREY SHOULDER CLINIC 401(K) PLAN - Plan #001	3 / 3	$0 / $0

Benefit & Retirement Plans based on Form 5500.

PPP Loans

BOISE SHOULDER CLINIC, P.A.

3381 W Bavaria St, Eagle, Id 83616-5341 Industry:Offices of Physicians (except Mental Health Specialists) Ethnicity:Not Hispanic or Latino Race:White Veteran:No

Loan Date	Approved	Forgiven	Lender	Jobs
04/11/2020	Approved$82,345 Forgiven$82,963 LenderFirst Interstate Bank Jobs4	04/11/2020	$82,345	$82,963	First Interstate Bank	4

PPP Loans based on Paycheck Protection Program.

Address Match:3381 W Bavaria St Eagle, ID

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Person/City Match:Carl S Humphrey - Eagle, ID

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Person/City Match:Carrie Humphrey - Eagle, ID

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The following government agencies have contributed data:

Idaho Secretary of State's Office U.S. Department of Labor U.S. Small Business Administration

Boise Shoulder Clinic, P.A.

Company Summary

Financial Information for Boise Shoulder Clinic, P.A.

BOISE SHOULDER CLINIC, PA

BOISE SHOULDER CLINIC, P.A.