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  5. POCATELLO CARDIOLOGY ASSOCIATES, P.A.

POCATELLO CARDIOLOGY ASSOCIATES, P.A.

Company Details

Name: POCATELLO CARDIOLOGY ASSOCIATES, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 03 Oct 1979 (45 years ago)
Financial Date End: 31 Oct 2017
Date dissolved: 22 Jan 2018
Entity Number: 197731
Place of Formation: IDAHO
File Number: 0000197731
ZIP code: 83201
County: Bannock County
Mailing Address: 38 COLUMBIA POCATELLO, ID 83201

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POCATELLO CARDIOLOGY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN 2013 820356335 2014-07-31 POCATELLO CARDIOLOGY ASSOCIATES, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-31
Business code 621111
Sponsor’s telephone number 2084782857
Plan sponsor’s address PO BOX O, POCATELLO, ID, 83205

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing ANGIE SMITH
Valid signature Filed with authorized/valid electronic signature
POCATELLO CARDIOLOGY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN 2012 820356335 2013-06-13 POCATELLO CARDIOLOGY ASSOCIATES, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-31
Business code 621111
Sponsor’s telephone number 2084782857
Plan sponsor’s address 777 HOSPITAL WAY, BUILDING A, SUITE 101, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2013-06-13
Name of individual signing ANGIE SMITH
Valid signature Filed with authorized/valid electronic signature
POCATELLO CARDIOLOGY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN 2011 820356335 2012-05-14 POCATELLO CARDIOLOGY ASSOCIATES, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-31
Business code 621111
Plan sponsor’s address PO BOX O, POCATELLO, ID, 83205

Plan administrator’s name and address
Administrator’s EIN 820356335
Plan administrator’s name POCATELLO CARDIOLOGY ASSOCIATES, P.A.
Plan administrator’s address PO BOX O, POCATELLO, ID, 83205
Administrator’s telephone number 2084782857

Signature of
Role Plan administrator
Date 2012-05-14
Name of individual signing ANGIE SMITH
Valid signature Filed with authorized/valid electronic signature
POCATELLO CARDIOLOGY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN 2010 820356335 2011-10-06 POCATELLO CARDIOLOGY ASSOCIATES, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-31
Business code 621111
Sponsor’s telephone number 2084782857
Plan sponsor’s address PO BOX O, POCATELLO, ID, 83205

Plan administrator’s name and address
Administrator’s EIN 820356335
Plan administrator’s name POCATELLO CARDIOLOGY ASSOCIATES, P.A.
Plan administrator’s address PO BOX O, POCATELLO, ID, 83205
Administrator’s telephone number 2084782857

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing ANGIE SMITH
Valid signature Filed with authorized/valid electronic signature
POCATELLO CARDIOLOGY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN 2009 820356335 2010-10-14 POCATELLO CARDIOLOGY ASSOCIATES, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-31
Business code 621111
Sponsor’s telephone number 2084782857
Plan sponsor’s address 777 HOSPITAL WAY, BLDG A SUITE 101, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 820356335
Plan administrator’s name POCATELLO CARDIOLOGY ASSOCIATES, P.A.
Plan administrator’s address 777 HOSPITAL WAY, BLDG A SUITE 101, POCATELLO, ID, 83201
Administrator’s telephone number 6207938473

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing ANGIE SMITH
Valid signature Filed with authorized/valid electronic signature
POCATELLO CARDIOLOGY ASSOCIATES, P. A. 401(K) PROFIT SHARING PLAN 2009 820356335 2010-10-13 POCATELLO CARDIOLOGY ASSOCIATES, P.A. 33
Three-digit plan number (PN) 001
Effective date of plan 1979-12-31
Business code 621111
Sponsor’s telephone number 2084782857
Plan sponsor’s address 777 HOSPITAL WAY, BLDG A SUITE 101, POCATELLO, ID, 83201

Plan administrator’s name and address
Administrator’s EIN 820356335
Plan administrator’s name POCATELLO CARDIOLOGY ASSOCIATES, P.A.
Plan administrator’s address 777 HOSPITAL WAY, BLDG A SUITE 101, POCATELLO, ID, 83201
Administrator’s telephone number 6207938473

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing ANGIE SMITH
Valid signature Filed with incorrect/unrecognized electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0001708802 2016-12-16
Legacy Amendment 0001708801 2016-11-28
Annual Report 0001708799 2015-09-12
Annual Report 0001708782 2014-11-10
Annual Report 0001708780 2013-09-02
Annual Report 0001708778 2012-08-19
Annual Report 0001708791 2011-11-09
Annual Report 0001708789 2010-08-26
Annual Report 0001708787 2009-08-31
Annual Report 0001708794 2008-08-20

Related by officers

No related officers

Related by address

38 COLUMBIA POCATELLO, ID 83201

CALDWELL PARK ORGAN DEVELOPMENT ASSOCIATION

Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State

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