| Name: | HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 26 Jan 2010 (15 years ago) |
| Financial Date End: | 31 Jan 2026 |
| Entity Number: | 279928 |
| Place of Formation: | IDAHO |
| File Number: | 279928 |
| ZIP code: | 83404 |
| County: | Bonneville County |
| Principal Address: | 2085 PROVIDENCE WAY IDAHO FALLS, ID 83404 |
| Mailing Address: | 2085 PROVIDENCE WAY IDAHO FALLS, ID 83404-4945 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIGH VALLEY DERMATOLOGY AND DERMATOLOGIC SURGERY, P.C. 401(K) PLAN | 2014 | 470901074 | 2015-04-01 | HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY, PLLC | 13 | |||||||||||||||||||||||
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| HIGH VALLEY DERMATOLOGY AND DERMATOLOGIC SURGERY, P.C. 401(K) PLAN | 2013 | 470901074 | 2014-06-25 | HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY, PLLC | 13 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-06-25 |
| Name of individual signing | REBECCA TORRES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-05-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085227546 |
| Plan sponsor’s address | 2085 PROVIDENCE WAY, IDAHO FALLS, ID, 83404 |
Signature of
| Role | Plan administrator |
| Date | 2014-03-13 |
| Name of individual signing | DAWN VEGA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Gregory Simpson | Agent | 2085 PROVIDENCE WAY, IDAHO FALLS, ID 83404 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Brandon L Miner | Member | 6275 S TANGLEWOOD CIRCLE, IDAHO FALLS, ID 83406 | 2024-01-30 | 2024-01-30 |
| LINDSAY D SEWELL | Member | 3330 SPARROW HAWK DR, IDAHO FALLS, ID 83401 | 2024-01-30 | 2024-01-30 |
| LD SEWELL PLLC | Member | 3330 SPARROW HAWK DR, IDAHO FALLS, ID 83401 | 2024-01-30 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006085185 | 2025-01-30 |
| Annual Report | 0005575310 | 2024-01-30 |
| Annual Report | 0003700956 | 2019-12-05 |
| Annual Report | 0003461422 | 2019-03-25 |
| Change of Registered Office/Agent/Both (by Entity) | 0003368996 | 2018-12-11 |
| Annual Report | 0002115579 | 2017-12-14 |
| Annual Report | 0002115577 | 2017-02-23 |
| Annual Report | 0002115575 | 2015-11-17 |
| Annual Report | 0002115573 | 2014-11-18 |
| Annual Report | 0002115571 | 2013-11-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5674747101 | 2020-04-13 | 1087 | PPP | 2085 Providence Way, IDAHO FALLS, ID, 83404-4945 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Idaho Secretary of State
