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IDAHO FALLS DERMATOLOGY, P.A.

Company Details

Name: IDAHO FALLS DERMATOLOGY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 19 Aug 1991 (33 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 297710
Place of Formation: IDAHO
File Number: 297710
ZIP code: 83404
County: Bonneville County
Mailing Address: STE 12A 2001 S WOODRUFF AVE IDAHO FALLS, ID 83404-6372

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2023 820445241 2024-09-26 IDAHO FALLS DERMATOLOGY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2001 S. WOODRUFF AVE., STE. 12A, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2022 820445241 2023-10-09 IDAHO FALLS DERMATOLOGY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2001 S. WOODRUFF AVE., STE. 12A, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2021 820445241 2022-10-17 IDAHO FALLS DERMATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2001 S. WOODRUFF AVE., STE. 12A, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2020 820445241 2021-09-10 IDAHO FALLS DERMATOLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2001 S. WOODRUFF AVE., STE. 12A, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2019 820445241 2020-10-08 IDAHO FALLS DERMATOLOGY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2001 S. WOODRUFF AVE., STE. 12A, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2018 820445241 2019-10-07 IDAHO FALLS DERMATOLOGY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2001 S. WOODRUFF AVE., STE. 12A, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2017 820445241 2018-06-14 IDAHO FALLS DERMATOLOGY, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2001 S. WOODRUFF AVE., STE. 12A, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2016 820445241 2017-03-27 IDAHO FALLS DERMATOLOGY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2001 S. WOODRUFF AVE., STE. 12A, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2015 820445241 2016-03-15 IDAHO FALLS DERMATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2860 CHANNING WAY, SUITE 121, IDAHO FALLS, ID, 83404
IDAHO FALLS DERMATOLOGY, P.A. PROFIT SHARING PLAN 2014 820445241 2015-04-22 IDAHO FALLS DERMATOLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2085228945
Plan sponsor’s address 2860 CHANNING WAY, SUITE 122, IDAHO FALLS, ID, 83404

Agent

Name Role Address
PAUL BROOKE, M.D. Agent 2001 S. WOODRUFF, STE 12A, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On Resigned On
Paul Brooke MD President 2001 S WOODRUFF, IDAHO FALLS, ID 83404 2023-07-11 No data
C Paul Brooke President 2001 S WOODRUFF AVE, IDAHO FALLS, ID 83404 2020-07-07 2021-03-02

Secretary

Name Role Address Appointed On
Margo Brooke Secretary 6229 HIGHWAY 12 WEST, HELENA, MT 89601 2021-03-02

Filing

Filing Name Filing Number Filing date
Annual Report 0005796299 2024-07-03
Annual Report 0005315842 2023-07-11
Annual Report 0004805095 2022-07-05
Annual Report 0004336314 2021-07-07
Annual Report Amendment 0004187437 2021-03-02
Annual Report 0003933498 2020-07-07
Annual Report 0003584521 2019-07-31
Annual Report 0002215711 2018-06-20
Annual Report 0002215710 2017-08-06
Annual Report 0002215709 2016-08-30

Date of last update: 09 Dec 2024

Sources: Idaho Secretary of State