Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Twin Falls County
    4. ›
  4. 83301
    5. ›
  5. SOUTHERN IDAHO OPHTHALMOLOGY

SOUTHERN IDAHO OPHTHALMOLOGY

Company Details

Name: SOUTHERN IDAHO OPHTHALMOLOGY
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 21 Oct 1999 (25 years ago)
Entity Number: 103520
Place of Formation: IDAHO
File Number: 0000103520
ZIP code: 83301
County: Twin Falls County
Mailing Address: 589 SHOUP AVE. WEST TWIN FALLS, ID 83301

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2023 475357509 2024-10-10 SOUTHERN IDAHO OPHTHALMOLOGY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing KALEN WRIGHT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2022 475357509 2023-10-05 SOUTHERN IDAHO OPHTHALMOLOGY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing KALEN WRIGHT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2021 475357509 2022-10-06 SOUTHERN IDAHO OPHTHALMOLOGY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2022-10-06
Name of individual signing KALEN WRIGHT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2020 475357509 2021-10-08 SOUTHERN IDAHO OPHTHALMOLOGY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing JAMES COOMBS, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2019 475357509 2020-09-16 SOUTHERN IDAHO OPHTHALMOLOGY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2020-09-16
Name of individual signing JAMES COOMBS, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2018 475357509 2019-05-07 SOUTHERN IDAHO OPHTHALMOLOGY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2019-05-07
Name of individual signing JAMES COOMBS, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2017 475357509 2018-03-12 SOUTHERN IDAHO OPHTHALMOLOGY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2018-03-12
Name of individual signing JAMES COOMBS, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2016 475357509 2017-02-23 SOUTHERN IDAHO OPHTHALMOLOGY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2017-02-23
Name of individual signing JAMES COOMBS, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2015 820369780 2016-07-21 SOUTHERN IDAHO OPHTHALMOLOGY 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing JAMES COOMBS, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY RETIREMENT PLAN 2014 820369780 2015-07-23 SOUTHERN IDAHO OPHTHALMOLOGY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-02-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing JAMES COOMBS, MD
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Legacy Amendment 0000708601 2013-04-05
Initial Filing 0000103520 1999-10-21

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 idorgs.com, Part of Big Data Integrated