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  5. GREGORY O. DORNFELD INSURANCE AGENCY, INC.

GREGORY O. DORNFELD INSURANCE AGENCY, INC.

Company Details

Name: GREGORY O. DORNFELD INSURANCE AGENCY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Forfeited
Date of registration: 17 Apr 1989 (36 years ago)
Date dissolved: 01 Dec 1992
Entity Number: 277135
Place of Formation: IDAHO
File Number: 0000277135
ZIP code: 83401
County: Bonneville County
Mailing Address: 251 S. WOODRUFF IDAHO FALLS, ID 83401

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2017 820431811 2018-10-11 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2016 820431811 2017-07-27 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing GREGORY DORNFELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing GREGORY DORNFELD
Valid signature Filed with authorized/valid electronic signature
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2015 820431811 2016-08-09 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Signature of
Role Plan administrator
Date 2016-08-09
Name of individual signing LUCAS SMITH
Valid signature Filed with authorized/valid electronic signature
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2014 820431811 2015-07-30 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing GREGORY O. DORNFIELD
Valid signature Filed with authorized/valid electronic signature
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2013 820431811 2014-07-23 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing GREG DORNFELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-23
Name of individual signing GREG DORNFELD
Valid signature Filed with authorized/valid electronic signature
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2012 820431811 2013-07-25 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing GREGORY DORNFELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing GREGORY DORNFELD
Valid signature Filed with authorized/valid electronic signature
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2011 820431811 2012-05-22 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Plan administrator’s name and address
Administrator’s EIN 820431811
Plan administrator’s name GREGORY O. DORNFELD INSURANCE AGENCY, INC.
Plan administrator’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401
Administrator’s telephone number 2085290652

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing GREGORY DORNFELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-22
Name of individual signing GREGORY DORNFELD
Valid signature Filed with authorized/valid electronic signature
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2010 820431811 2011-07-15 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Plan administrator’s name and address
Administrator’s EIN 820431811
Plan administrator’s name GREGORY O. DORNFELD INSURANCE AGENCY, INC.
Plan administrator’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401
Administrator’s telephone number 2085290652

Signature of
Role Plan administrator
Date 2011-07-15
Name of individual signing GREG DORNFELD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-15
Name of individual signing GREG DORNFELD
Valid signature Filed with authorized/valid electronic signature
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2010 820431811 2011-07-14 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Plan administrator’s name and address
Administrator’s EIN 820431811
Plan administrator’s name GREGORY O. DORNFELD INSURANCE AGENCY, INC.
Plan administrator’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401
Administrator’s telephone number 2085290652

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing GREGORY O. DORNFELD INSURANCE AGENC
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-07-14
Name of individual signing GREGORY O. DORNFELD INSURANCE AGENC
Valid signature Filed with incorrect/unrecognized electronic signature
GREGORY O. DORNFELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2009 820431811 2010-07-09 GREGORY O. DORNFELD INSURANCE AGENCY, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524210
Sponsor’s telephone number 2085290652
Plan sponsor’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401

Plan administrator’s name and address
Administrator’s EIN 820431811
Plan administrator’s name GREGORY O. DORNFELD INSURANCE AGENCY, INC.
Plan administrator’s address 251 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID, 83401
Administrator’s telephone number 2085290652

Signature of
Role Plan administrator
Date 2010-07-09
Name of individual signing GREGORY O DORNFELD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-09
Name of individual signing GREGORY O DORNFELD
Valid signature Filed with incorrect/unrecognized electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0002099582 1991-07-11
Annual Report 0002099581 1990-07-11
Annual Report 0002099580 1989-10-06
Initial Filing 0000277135 1989-04-17

Related by officers

No related officers

Related by address

251 S. WOODRUFF IDAHO FALLS, ID 83401

GARY D. POTTER INSURANCE AGENCY, INC.

Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State

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