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  5. RETINA SPECIALISTS OF IDAHO PLLC

RETINA SPECIALISTS OF IDAHO PLLC

Company Details

Name: RETINA SPECIALISTS OF IDAHO PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Feb 2008 (17 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 225685
Place of Formation: IDAHO
File Number: 225685
ZIP code: 83713
County: Ada County
Principal Address: 13923 W WAINWRIGHT SUITE 301 BOISE, ID 83713
Mailing Address: STE 301 13923 W WAINWRIGHT DR BOISE, ID 83713-2075

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2019 300811574 2021-12-21 RETINA SPECIALISTS OF IDAHO, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2019 300811574 2020-06-15 RETINA SPECIALISTS OF IDAHO, PLLC 23
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2018 262050357 2019-04-19 RETINA SPECIALISTS OF IDAHO, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2017 262050357 2018-03-07 RETINA SPECIALISTS OF IDAHO, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2016 262050357 2017-05-12 RETINA SPECIALISTS OF IDAHO, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2015 262050357 2016-09-13 RETINA SPECIALISTS OF IDAHO, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2014 262050357 2015-03-24 RETINA SPECIALISTS OF IDAHO, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2013 262050357 2014-02-10 RETINA SPECIALISTS OF IDAHO, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2012 262050357 2013-02-12 RETINA SPECIALISTS OF IDAHO, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713

Signature of
Role Plan administrator
Date 2013-02-12
Name of individual signing MARK PASKETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-12
Name of individual signing MARK PASKETT
Valid signature Filed with authorized/valid electronic signature
RETINA SPECIALISTS OF IDAHO, PLLC 401(K) PLAN 2011 262050357 2012-02-08 RETINA SPECIALISTS OF IDAHO, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2089385624
Plan sponsor’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713

Plan administrator’s name and address
Administrator’s EIN 262050357
Plan administrator’s name RETINA SPECIALISTS OF IDAHO, PLLC
Plan administrator’s address 13923 W. WAINWRIGHT DR., STE. 301, BOISE, ID, 83713
Administrator’s telephone number 2089385624

Signature of
Role Plan administrator
Date 2012-02-08
Name of individual signing MARK PASKETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-08
Name of individual signing MARK PASKETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DENTON R ROBERTS Agent 13923 W. WAINWRIGHT DR., SUITE 301, BOISE, ID 83713

Manager

Name Role Address Appointed On
Denton Roberts Manager 13923 W WAINWRIGHT DR STE 301, STE 301, BOISE, ID 83713 2021-02-03

Filing

Filing Name Filing Number Filing date
Annual Report 0006051461 2025-01-06
Annual Report 0005541499 2024-01-04
Annual Report 0005092158 2023-02-03
Annual Report 0004556564 2022-01-06
Annual Report 0004153827 2021-02-03
Annual Report 0003801708 2020-03-04
Annual Report 0003482888 2019-04-18
Annual Report 0001827156 2018-01-08
Annual Report 0001827155 2017-03-22
Annual Report 0001827154 2015-12-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7490247109 2020-04-14 1087 PPP 13923 W Wainwright Dr Ste 301,, BOISE, ID, 83713
Loan Status Date 2021-09-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 20800
Loan Approval Amount (current) 20800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BOISE, ADA, ID, 83713-0001
Project Congressional District ID-02
Number of Employees 1
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 21090.63
Forgiveness Paid Date 2021-09-09

Related by officers

DENTON R ROBERTS

RSI, LLC RSI FINANCE, LLC

Denton Roberts

RSI, LLC RSI FINANCE, LLC RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC

Related by address

STE 301 13923 W WAINWRIGHT DR BOISE, ID 83713-2075

RSI, LLC RSI FINANCE, LLC RSI ASC, LLC RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC EARL ASSOCIATED RETINA LTD, PLLC

Date of last update: 02 Apr 2025

Sources: Idaho Secretary of State

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