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  5. MIDVALLEY HEALTHCARE PLLC

MIDVALLEY HEALTHCARE PLLC

Company Details

Name: MIDVALLEY HEALTHCARE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Sep 2009 (15 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 270291
Place of Formation: IDAHO
File Number: 270291
ZIP code: 83642
County: Ada County
Principal Address: 2321 E GALA ST STE 3 MERIDIAN, ID 83642
Mailing Address: STE 3 2321 E GALA ST MERIDIAN, ID 83642-7692

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDVALLEY HEALTHCARE, PLLC 401(K) P/S PLAN 2023 270588938 2024-07-03 MIDVALLEY HEALTHCARE, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621420
Sponsor’s telephone number 2088885848
Plan sponsor’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642

Signature of
Role Plan administrator
Date 2024-07-03
Name of individual signing SUSAN BLOOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-03
Name of individual signing SUSAN BLOOM
Valid signature Filed with authorized/valid electronic signature
MIDVALLEY HEALTHCARE, PLLC 401(K) P/S PLAN 2022 270588938 2023-06-29 MIDVALLEY HEALTHCARE, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621420
Sponsor’s telephone number 2088885848
Plan sponsor’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642

Plan administrator’s name and address
Administrator’s EIN 270588938
Plan administrator’s name MIDVALLEY HEALTHCARE, PLLC
Plan administrator’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642
Administrator’s telephone number 2088885848

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing SUSAN BLOOM
Valid signature Filed with authorized/valid electronic signature
MIDVALLEY HEALTHCARE, PLLC 401(K) P/S PLAN 2021 270588938 2022-04-27 MIDVALLEY HEALTHCARE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621420
Sponsor’s telephone number 2088885848
Plan sponsor’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642

Plan administrator’s name and address
Administrator’s EIN 270588938
Plan administrator’s name MIDVALLEY HEALTHCARE, PLLC
Plan administrator’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642
Administrator’s telephone number 2088885848

Signature of
Role Plan administrator
Date 2022-04-27
Name of individual signing SUSAN BLOOM
Valid signature Filed with authorized/valid electronic signature
MIDVALLEY HEALTHCARE, PLLC 401(K) P/S PLAN 2020 270588938 2021-08-10 MIDVALLEY HEALTHCARE, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621420
Sponsor’s telephone number 2088885848
Plan sponsor’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642

Plan administrator’s name and address
Administrator’s EIN 270588938
Plan administrator’s name MIDVALLEY HEALTHCARE, PLLC
Plan administrator’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642
Administrator’s telephone number 2088885848

Signature of
Role Plan administrator
Date 2021-08-10
Name of individual signing SUSAN BLOOM
Valid signature Filed with authorized/valid electronic signature
MIDVALLEY HEALTHCARE, PLLC 401(K) P/S PLAN 2019 270588938 2020-06-16 MIDVALLEY HEALTHCARE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621420
Sponsor’s telephone number 2088885848
Plan sponsor’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642

Plan administrator’s name and address
Administrator’s EIN 270588938
Plan administrator’s name MIDVALLEY HEALTHCARE, PLLC
Plan administrator’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642
Administrator’s telephone number 2088885848

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing SUSAN BLOOM
Valid signature Filed with authorized/valid electronic signature
MIDVALLEY HEALTHCARE, PLLC 401(K) P/S PLAN 2018 270588938 2019-02-28 MIDVALLEY HEALTHCARE, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621420
Sponsor’s telephone number 2088885848
Plan sponsor’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642

Plan administrator’s name and address
Administrator’s EIN 270588938
Plan administrator’s name MIDVALLEY HEALTHCARE, PLLC
Plan administrator’s address 2321 E GALA ST STE 3, MERIDIAN, ID, 83642
Administrator’s telephone number 2088885848

Signature of
Role Plan administrator
Date 2019-02-28
Name of individual signing SUSAN BLOOM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KRISTINA HARRINGTON Agent 8162 W DRAKE LN, GARDEN CITY, ID 83714

Member

Name Role Address Appointed On
Kristina J Harrington Member 8162 W DRAKE LN, GARDEN CITY, ID 83714 2020-08-03
Olurotimi A Ashaye Member 2852 S WHITECASTLE AV, EAGLE, ID 83616 2023-08-07

Filing

Filing Name Filing Number Filing date
Annual Report 0005840748 2024-08-05
Annual Report 0005355180 2023-08-07
Annual Report 0004838763 2022-08-03
Annual Report 0004364224 2021-08-03
Annual Report 0003952693 2020-08-03
Annual Report 0003615841 2019-09-05
Annual Report 0002059650 2018-07-31
Annual Report 0002059649 2017-08-01
Annual Report 0002059648 2016-07-26
Annual Report 0002059647 2015-07-20

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 08 Dec 2024

Sources: Idaho Secretary of State

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