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  5. TETON CANCER SPECIALISTS, PLLC

TETON CANCER SPECIALISTS, PLLC

Company Details

Name: TETON CANCER SPECIALISTS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 20 Oct 2010 (14 years ago)
Financial Date End: 31 Oct 2013
Date dissolved: 16 Jan 2014
Entity Number: 301189
Place of Formation: IDAHO
File Number: 0000301189
ZIP code: 83440
County: Madison County
Principal Address: 380 WALKER DR SUITE 100 REXBURG, ID 83440

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TETON CANCER SPECIALISTS NEW 401(K) PLAN 2019 273728774 2020-10-13 TETON CANCER SPECIALISTS PLLC 4
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2083569559
Plan sponsor’s address 380 WALKER DR., REXBURG, ID, 83440
TETON CANCER SPECIALISTS NEW 401(K) PLAN 2018 273728774 2019-10-14 TETON CANCER SPECIALISTS PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2083569559
Plan sponsor’s address 380 WALKER DR., REXBURG, ID, 83440
TETON CANCER SPECIALISTS 401(K) PLAN 2016 273728774 2017-02-02 TETON CANCER SPECIALISTS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2083569559
Plan sponsor’s address 380 WALKER DR., REXBURG, ID, 83440
TETON CANCER SPECIALISTS 401(K) PLAN 2015 273728774 2016-10-12 TETON CANCER SPECIALISTS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2083569559
Plan sponsor’s address 380 WALKER DR., REXBURG, ID, 83440
TETON CANCER SPECIALISTS 401(K) PLAN 2014 273728774 2015-10-13 TETON CANCER SPECIALISTS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2083569559
Plan sponsor’s address 380 WALKER DR., REXBURG, ID, 83440
TETON CANCER SPECIALISTS 401(K) PLAN 2013 273728774 2014-10-13 TETON CANCER SPECIALISTS PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2083569559
Plan sponsor’s address 380 WALKER DR., REXBURG, ID, 83440
TETON CANCER SPECIALISTS 401(K) PLAN 2012 273728774 2013-10-02 TETON CANCER SPECIALISTS PLLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2083569559
Plan sponsor’s address 380 WALKER DR., REXBURG, ID, 83440

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing DANE J. DICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing DANE J. DICKSON
Valid signature Filed with authorized/valid electronic signature
TETON CANCER SPECIALISTS 401(K) PLAN 2011 273728774 2012-10-15 TETON CANCER SPECIALISTS PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2083569559
Plan sponsor’s address 380 WALKER DR., STE. 100, REXBURG, ID, 83440

Plan administrator’s name and address
Administrator’s EIN 273728774
Plan administrator’s name TETON CANCER SPECIALISTS PLLC
Plan administrator’s address 380 WALKER DR., STE. 100, REXBURG, ID, 83440
Administrator’s telephone number 2083569559

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DANE J. DICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing DANE J. DICKSON
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Annual Report 0002235864 2012-09-05
Annual Report 0002235861 2011-09-19
Initial Filing 0000301189 2010-10-20

Related by officers

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Related by address

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State

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