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OBENCHAIN INSURANCE, INC.

Company Details

Name: OBENCHAIN INSURANCE, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Merged Out
Date of registration: 22 Sep 1988 (36 years ago)
Financial Date End: 30 Sep 2013
Date dissolved: 27 Dec 2012
Entity Number: 272438
Place of Formation: IDAHO
File Number: 272438
Mailing Address: P.O. BOX 366 TWIN FALLS, ID 83303

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OBENCHAIN INSURANCE, INC. 401(K) PROFIT SHARING PLAN 2010 820424515 2011-06-28 OBENCHAIN INSURANCE 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2087331076
Plan sponsor’s address 264 MAIN AVE SOUTH, TWIN FALLS, ID, 83301

Plan administrator’s name and address

Administrator’s EIN 820424515
Plan administrator’s name OBENCHAIN INSURANCE
Plan administrator’s address 264 MAIN AVE SOUTH, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087331076

Signature of

Role Plan administrator
Date 2011-06-28
Name of individual signing SANDI STANDLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-28
Name of individual signing TIM OBENCHAIN
Valid signature Filed with authorized/valid electronic signature
OBENCHAIN INSURANCE, INC. 401(K) PROFIT SHARING PLAN 2010 820424515 2011-11-14 OBENCHAIN INSURANCE 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2087331076
Plan sponsor’s address 264 MAIN AVE SOUTH, TWIN FALLS, ID, 83301

Plan administrator’s name and address

Administrator’s EIN 820424515
Plan administrator’s name OBENCHAIN INSURANCE
Plan administrator’s address 264 MAIN AVE SOUTH, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087331076

Signature of

Role Plan administrator
Date 2011-11-14
Name of individual signing SANDI STANDLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-11-14
Name of individual signing TIM OBENCHAIN
Valid signature Filed with authorized/valid electronic signature
OBENCHAIN INSURANCE, INC. 401(K) PROFIT SHARING PLAN 2010 820424515 2011-11-14 OBENCHAIN INSURANCE 33
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2087331076
Plan sponsor’s address 264 MAIN AVE SOUTH, TWIN FALLS, ID, 83301

Plan administrator’s name and address

Administrator’s EIN 820424515
Plan administrator’s name OBENCHAIN INSURANCE
Plan administrator’s address 264 MAIN AVE SOUTH, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087331076

Signature of

Role Plan administrator
Date 2011-11-14
Name of individual signing SANDI STANDLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-11-14
Name of individual signing TIM OBENCHAIN
Valid signature Filed with authorized/valid electronic signature
OBENCHAIN INSURANCE, INC. 401(K) PROFIT SHARING PLAN 2009 820424515 2010-08-18 OBENCHAIN INSURANCE 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 524210
Sponsor’s telephone number 2087331076
Plan sponsor’s address 264 MAIN AVE SOUTH, TWIN FALLS, ID, 83301

Plan administrator’s name and address

Administrator’s EIN 820424515
Plan administrator’s name OBENCHAIN INSURANCE
Plan administrator’s address 264 MAIN AVE SOUTH, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087331076

Signature of

Role Plan administrator
Date 2010-08-18
Name of individual signing SANDI STANDLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-18
Name of individual signing TIM OBENCHAIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0004902899 2022-09-12
Statement of Merger (Non-Survivor) 0000831694 2012-12-27
Annual Report 0002072028 2012-09-21
Change of Registered Office/Agent/Both (by Entity) 0002072023 2011-08-12
Legacy Amendment 0002072022 2011-08-08
Annual Report 0002072021 2011-07-18
Annual Report 0002072020 2010-07-08
Annual Report 0002072019 2009-07-17
Annual Report 0002072025 2008-07-14
Annual Report 0002072024 2007-07-12

Date of last update: 11 Mar 2025

Sources: Idaho Secretary of State