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  5. POCATELLO EYE CARE

POCATELLO EYE CARE

Company Details

Name: POCATELLO EYE CARE
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 28 Apr 2003 (22 years ago)
Entity Number: 205541
Place of Formation: IDAHO
File Number: 0000205541
ZIP code: 83201
County: Bannock County
Mailing Address: 500 S 11TH STE 502 POCATELLO, ID 83201

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POCATELLO EYE CARE 401(K) PLAN 2022 820500356 2023-10-13 POCATELLO EYE CARE 9
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH AVE, POCATELLO, ID, 83201
POCATELLO EYE CARE 401(K) PLAN 2022 820503564 2024-06-24 POCATELLO EYE CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH AVE, POCATELLO, ID, 83201
POCATELLO EYE CARE 401(K) PLAN 2022 820500356 2024-02-08 POCATELLO EYE CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH AVE, POCATELLO, ID, 83201
POCATELLO EYE CARE 401(K) PLAN 2021 820503564 2024-06-24 POCATELLO EYE CARE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH AVE, POCATELLO, ID, 83201
POCATELLO EYE CARE 401(K) PLAN 2021 820500356 2022-10-14 POCATELLO EYE CARE 9
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH AVE, POCATELLO, ID, 83201
POCATELLO EYE CARE 401(K) PLAN 2021 820500356 2024-02-08 POCATELLO EYE CARE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH AVE, POCATELLO, ID, 83201
POCATELLO EYE CARE 401(K) PLAN 2020 820503564 2021-10-06 POCATELLO EYE CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing JOHN FORNAROTTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-06
Name of individual signing JOHN FORNAROTTO
Valid signature Filed with authorized/valid electronic signature
POCATELLO EYE CARE 401(K) PLAN 2019 820503564 2020-10-05 POCATELLO EYE CARE 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing JOHN FORNAROTTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing JOHN FORNAROTTO
Valid signature Filed with authorized/valid electronic signature
POCATELLO EYE CARE 401(K) PLAN 2018 820503564 2020-02-12 POCATELLO EYE CARE 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2020-02-12
Name of individual signing JOHN FORNAROTTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-12
Name of individual signing JOHN FORNAROTTO
Valid signature Filed with authorized/valid electronic signature
POCATELLO EYE CARE 401(K) PLAN 2017 820503564 2018-10-11 POCATELLO EYE CARE 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 621111
Sponsor’s telephone number 2082344100
Plan sponsor’s address 246 N 18TH, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing JOHN FORNAROTTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing JOHN FORNAROTTO
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Initial Filing 0000205541 2003-04-28

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State

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