| Name: | REXBURG PEDIATRIC CLINIC, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 01 Jul 1981 (44 years ago) |
| Financial Date End: | 31 Jul 2025 |
| Entity Number: | 212384 |
| Place of Formation: | IDAHO |
| File Number: | 212384 |
| ZIP code: | 83440 |
| County: | Madison County |
| Mailing Address: | 1299 MORNINGSIDE DR REXBURG, ID 83440-5082 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REXBURG PEDIATRIC CLINIC, P.A., PROFIT SHARING PLAN & TRUST | 2009 | 820365356 | 2010-10-14 | REXBURG PEDIATRIC CLINIC, P.A. | 1 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 820365356 |
| Plan administrator’s name | REXBURG PEDIATRIC CLINIC, P.A. |
| Plan administrator’s address | 36 PROFESSIONAL PLAZA, SUITE 202, REXBURG, ID, 834400377 |
| Administrator’s telephone number | 2083560234 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | ROBERT C. LOFGRAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-14 |
| Name of individual signing | ROBERT C. LOFGRAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROBERT C LOFGRAN, M.D. | Agent | 1299 MORNINGSIDE DRIVE, REXBURG, ID 83440 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Robert Lofgran | President | 1299 MORNINGSIDE DRIVE, REXBURG, ID 83440 | 2021-06-06 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005753242 | 2024-06-03 |
| Annual Report | 0005264393 | 2023-06-04 |
| Annual Report | 0004776922 | 2022-06-09 |
| Annual Report | 0004307473 | 2021-06-06 |
| Annual Report | 0003898610 | 2020-06-04 |
| Annual Report | 0003546470 | 2019-06-20 |
| Annual Report | 0001769595 | 2018-05-23 |
| Annual Report | 0001769594 | 2017-05-23 |
| Annual Report | 0001769593 | 2016-05-31 |
| Annual Report | 0001769592 | 2015-08-14 |
Date of last update: 05 Dec 2024
Sources: Idaho Secretary of State
