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IDAHO FALLS CLINIC, P.A.

Company Details

Name: IDAHO FALLS CLINIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 28 Dec 1971 (53 years ago)
Financial Date End: 31 Dec 2024
Date dissolved: 20 Jul 2024
Entity Number: 146159
Place of Formation: IDAHO
File Number: 146159
Mailing Address: STEVEN J WRIGHT PO BOX 50578 IDAHO FALLS, ID 83405-0578

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2020 820299556 2021-10-15 IDAHO FALLS CLINIC, P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2019 820299556 2020-08-28 IDAHO FALLS CLINIC, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2020-08-28
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-28
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2018 820299556 2019-10-03 IDAHO FALLS CLINIC, P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-03
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2017 820299556 2018-07-30 IDAHO FALLS CLINIC, P.A. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-30
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2016 820299556 2017-05-16 IDAHO FALLS CLINIC, P.A. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-08
Name of individual signing CHRISTINE CLARK
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2015 820299556 2016-09-19 IDAHO FALLS CLINIC, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2016-09-19
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-19
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2014 820299556 2015-07-15 IDAHO FALLS CLINIC, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2013 820299556 2014-09-22 IDAHO FALLS CLINIC, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2014-09-19
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-19
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2012 820299556 2013-09-25 IDAHO FALLS CLINIC, P.A. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-12
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
IDAHO FALLS CLINIC, P.A. PROFIT SHARING PLAN 2011 820299556 2012-07-05 IDAHO FALLS CLINIC, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1989-04-01
Business code 621111
Sponsor’s telephone number 2085227310
Plan sponsor’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404

Plan administrator’s name and address
Administrator’s EIN 820299556
Plan administrator’s name IDAHO FALLS CLINIC, P.A.
Plan administrator’s address 2001 S. WOODRUFF, SUITE 15, IDAHO FALLS, ID, 83404
Administrator’s telephone number 2085227310

Signature of
Role Plan administrator
Date 2012-07-03
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-03
Name of individual signing LELAND K. KRANTZ II
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Steven J Wright Agent 477 SHOUP AVE STE 109, IDAHO FALLS, ID 83405

Director

Name Role Address Appointed On
Leland J Krantz Director 477 SHOUP AVE STE 109, IDAHO FALLS, ID 83405 2023-11-10
Alan J Avondet Director 477 SHOUP AVE STE 109, IDAHO FALLS, ID 83405 2022-05-18

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0005825268 2024-07-20
Annual Report 0005475811 2023-11-10
Annual Report 0005028488 2022-12-13
Application for Reinstatement 0004752163 2022-05-18
Dissolution/Revocation - Administrative 0004208369 2021-03-13
Annual Report 0003660405 2019-11-01
Annual Report 0003364324 2018-12-06
Annual Report 0001487445 2017-10-31
Annual Report 0001487443 2016-10-28
Annual Report 0001487440 2015-10-13

Related by officers

Steven J Wright

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Related by address

STEVEN J WRIGHT PO BOX 50578 IDAHO FALLS, ID 83405-0578

S.F. Sagewood, LLC

Date of last update: 16 Jan 2025

Sources: Idaho Secretary of State

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