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PEARL HEALTH CLINIC PLLC

Company Details

Name: PEARL HEALTH CLINIC PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Apr 2008 (17 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 231952
Place of Formation: IDAHO
File Number: 231952
ZIP code: 83406
County: Bonneville County
Principal Address: 2705 E 17TH ST AMMON, ID 83406
Mailing Address: 2705 E 17TH ST AMMON, ID 83406-6601

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
WZ25ALAAEEL7 2024-11-06 2705 E 17TH ST, AMMON, ID, 83406, 6601, USA 2705 E 17TH ST, AMMON, ID, 83406, 6601, USA

Business Information

URL https://pearlhealth.org/
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2023-11-14
Initial Registration Date 2023-09-01
Entity Start Date 2008-04-30
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621112, 621330
Product and Service Codes Q519

Points of Contacts

Electronic Business
Title PRIMARY POC
Name AUSTIN PAGE
Role ADMINISTRATORS
Address 2705 E 17TH ST, AMMON, ID, 83406, USA
Government Business
Title PRIMARY POC
Name MEGAN SLUSHER
Role DISCHARGE COORDINATOR
Address 2705 E 17TH ST, AMMON, ID, 83406, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEARL HEALTH CLINIC, PLLC 401(K) PLAN 2023 262512237 2024-10-02 PEARL HEALTH CLINIC, PLLC 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621420
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 E. 17TH STREET, IDAHO FALLS, ID, 83406
PEARL HEALTH CLINIC, PLLC 401(K) PLAN 2022 262512237 2023-09-05 PEARL HEALTH CLINIC, PLLC 105
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621420
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 E. 17TH STREET, IDAHO FALLS, ID, 83406
PEARL HEALTH CLINIC, PLLC 401(K) PLAN 2021 262512237 2023-01-26 PEARL HEALTH CLINIC, PLLC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621420
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 E. 17TH STREET, IDAHO FALLS, ID, 83406
PEARL HEALTH CLINIC, PLLC 401(K) PLAN 2021 262512237 2022-10-17 PEARL HEALTH CLINIC, PLLC 88
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621420
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 E. 17TH STREET, IDAHO FALLS, ID, 83406
PEARL HEALTH CLINIC, PLLC 401(K) PLAN 2020 262512237 2022-10-12 PEARL HEALTH CLINIC, PLLC 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621420
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 E. 17TH STREET, IDAHO FALLS, ID, 83406
PEARL HEALTH CLINIC, PLLC 401(K) PLAN 2020 262512237 2021-10-14 PEARL HEALTH CLINIC, PLLC 82
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621420
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 E. 17TH STREET, IDAHO FALLS, ID, 83406
PEARL 401(K) PLAN 2019 262512237 2020-10-14 PEARL HEALTH CLINIC, PLLC 49
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621112
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 EAST 17TH STREET, AMMON, ID, 83406
PEARL 401(K) PLAN 2019 262512237 2021-11-03 PEARL HEALTH CLINIC, PLLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621112
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 EAST 17TH STREET, AMMON, ID, 83406
PEARL 401(K) PLAN 2018 262512237 2019-10-11 PEARL HEALTH CLINIC, PLLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621112
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 EAST 17TH STREET, AMMON, ID, 83406

Signature of

Role Plan administrator
Date 2019-10-11
Name of individual signing ZAK WARREN
Valid signature Filed with authorized/valid electronic signature
PEARL 401(K) PLAN 2017 262512237 2018-07-18 PEARL HEALTH CLINIC, PLLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-09-01
Business code 621112
Sponsor’s telephone number 2083467500
Plan sponsor’s address 2705 EAST 17TH STREET, AMMON, ID, 83406

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing ZAK WARREN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ZAK WARREN Agent 2705 E 17TH ST, AMMON, ID 83406

Manager

Name Role Address Appointed On
Zak Warren Manager 2705 E 17TH ST, AMMON, ID 83406 2021-04-27

Filing

Filing Name Filing Number Filing date
Annual Report 0005659097 2024-03-26
Annual Report 0005208014 2023-04-21
Annual Report 0004722122 2022-05-02
Annual Report 0004257457 2021-04-27
Annual Report 0003855430 2020-04-30
Annual Report 0003493279 2019-04-25
Annual Report 0001854355 2018-03-12
Change of Registered Office/Agent/Both (by Entity) 0001854354 2017-08-17
Legacy Amendment 0000811322 2017-07-13
Annual Report 0001854353 2017-02-22

Date of last update: 17 Jan 2025

Sources: Idaho Secretary of State