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  5. ROGER H TALL MD PA

ROGER H TALL MD PA

Company Details

Name: ROGER H TALL MD PA
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: 212519
Place of Formation: IDAHO
File Number: 212519
ZIP code: 83404
County: Bonneville County
Mailing Address: 1655 CORONADO ST IDAHO FALLS, ID 83404-7467

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROGER H TALL MD PA PROFIT SHARING PLAN 2016 820365091 2017-07-21 ROGER H TALL MD PA 1
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 2085290633
Plan sponsor’s address 2001 SOUTH WOODRUFF 8, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing ROGER H TALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-21
Name of individual signing ROGER TALL
Valid signature Filed with authorized/valid electronic signature
ROGER H TALL MD PA PROFIT SHARING PLAN 2016 820365091 2017-07-27 ROGER H TALL MD PA 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 2085290633
Plan sponsor’s address 2001 SOUTH WOODRUFF 8, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing ROGER H TALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing ROGER TALL
Valid signature Filed with authorized/valid electronic signature
ROGER H TALL MD PA PROFIT SHARING PLAN 2016 820365091 2017-07-26 ROGER H TALL MD PA 1
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 2085290633
Plan sponsor’s address 2001 SOUTH WOODRUFF 8, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2017-06-01
Name of individual signing ROGER H TALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-26
Name of individual signing ROGER TALL
Valid signature Filed with authorized/valid electronic signature
ROGER H TALL MD PA PROFIT SHARING PLAN 2015 820365091 2016-08-02 ROGER H TALL MD PA 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 2085290633
Plan sponsor’s address 2001 SOUTH WOODRUFF 8, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing ROGER H TALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-02
Name of individual signing ROGER TALL
Valid signature Filed with authorized/valid electronic signature
ROGER H TALL MD PA PROFIT SHARING PLAN 2014 820365091 2015-08-26 ROGER H TALL MD PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 2085290633
Plan sponsor’s address 2001 SOUTH WOODRUFF 8, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2015-08-26
Name of individual signing ROGER H TALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-26
Name of individual signing ROGER TALL
Valid signature Filed with authorized/valid electronic signature
ROGER H TALL MD PA PROFIT SHARING PLAN 2013 820365091 2014-07-31 ROGER H TALL MD PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 2085290633
Plan sponsor’s address 2001 WOODRUFF SUITE 8, IDAHO FALLS, ID, 834046371

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing ROGER H TALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-31
Name of individual signing ROGER TALL
Valid signature Filed with authorized/valid electronic signature
ROGER H TALL MD PA PROFIT SHARING PLAN 2012 820365091 2013-08-26 ROGER H TALL MD PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Sponsor’s telephone number 2085290633
Plan sponsor’s address 2001 WOODRUFF SUITE 8, IDAHO FALLS, ID, 834046371

Signature of
Role Plan administrator
Date 2013-08-19
Name of individual signing ROGER H TALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-26
Name of individual signing ROGER TALL
Valid signature Filed with authorized/valid electronic signature
ROGER H TALL MD PA PROFIT SHARING PLAN 2011 820365091 2012-07-25 ROGER H TALL MD PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-07-01
Business code 621111
Plan sponsor’s address 2001 WOODRUFF SUITE 8, IDAHO FALLS, ID, 834046371

Plan administrator’s name and address
Administrator’s EIN 820365091
Plan administrator’s name ROGER H TALL MD PA
Plan administrator’s address 2001 WOODRUFF SUITE 8, IDAHO FALLS, ID, 834046371

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing ROGER H TALL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROGER H. TALL, M.D. Agent 1655 CORONADO ST, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On Resigned On
ROGER H TALL President 1655 CORONADO ST, IDAHO FALLS, ID 83404 2021-08-11 2022-06-03
ROGER TALL President 1655 CORONADO ST, IDAHO FALLS, ID 83404 2024-07-03 No data

Secretary

Name Role Address Appointed On
MARY TALL Secretary 1655 CORONADO ST, IDAHO FALLS, ID 83404 2024-07-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005796625 2024-07-03
Application for Reinstatement 0005605858 2024-02-16
Dissolution/Revocation - Administrative 0005428464 2023-10-04
Annual Report 0004767216 2022-06-03
Annual Report 0004379628 2021-08-11
Annual Report 0003890048 2020-06-03
Annual Report 0003561279 2019-07-09
Annual Report 0001770201 2018-05-22
Annual Report 0001770200 2017-05-19
Annual Report 0001770199 2016-05-24

Related by officers

ROGER TALL

ROGER AND MARY KAY TALL FAMILY LIMITED PARTNERSHIP

Related by address

1655 CORONADO ST IDAHO FALLS, ID 83404-7467

ROGER AND MARY KAY TALL FAMILY LIMITED PARTNERSHIP

Date of last update: 05 Dec 2024

Sources: Idaho Secretary of State

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