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SNAKE RIVER CANCER SPECIALISTS, PLLC

Company Details

Name: SNAKE RIVER CANCER SPECIALISTS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Nov 2004 (20 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 116160
Place of Formation: IDAHO
File Number: 116160
ZIP code: 83406
County: Bonneville County
Principal Address: 2280 CABELLARO DR. AMMON, ID 83406
Mailing Address: 2280 CABELLARO DR AMMON, ID 83406-6790

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SNAKE RIVER CANCER SPECIALISTS 401(K) PLAN 2023 473004137 2024-10-07 SNAKE RIVER CANCER SPECIALISTS 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2085200754
Plan sponsor’s address 2280 CABELLERO, IDAHO FALLS, ID, 83406

Signature of

Role Plan administrator
Date 2024-10-07
Name of individual signing CHRISTIAN SHULL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-07
Name of individual signing CHRISTIAN SHULL
Valid signature Filed with authorized/valid electronic signature
SNAKE RIVER CANCER SPECIALISTS 2023 473004137 2024-09-22 SNAKE RIVER CANCER SPECIALISTS 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2085200754
Plan sponsor’s address 2280 CABELLERO, IDAHO FALLS, ID, 83406

Signature of

Role Plan administrator
Date 2024-09-22
Name of individual signing CHRISTIAN SHULL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHRISTIAN SHULL MD Agent 2280 CABELLARO DR., AMMON, ID 83406

Manager

Name Role Address Appointed On
Christian T Shull Manager 2280 CABELLARO DR, AMMON, ID 83406-6790 2021-11-16
Christian T Shull Dr. Manager 2280 CABELLARO DR, AMMON, ID 83406-6790 2020-10-05

Filing

Filing Name Filing Number Filing date
Annual Report 0005933607 2024-10-08
Annual Report 0005436894 2023-10-10
Annual Report 0004982830 2022-11-05
Annual Report 0004498574 2021-11-16
Annual Report 0004023306 2020-10-05
Annual Report 0003741373 2020-01-08
Annual Report 0003349194 2018-11-15
Annual Report 0001361531 2017-10-12
Annual Report 0001361530 2016-10-05
Annual Report 0001361529 2015-10-08

Date of last update: 30 Nov 2024

Sources: Idaho Secretary of State