| Name: | SOUTHERN IDAHO SURGERY CENTER PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 15 Mar 2011 (14 years ago) |
| Financial Date End: | 31 Mar 2025 |
| Entity Number: | 313177 |
| Place of Formation: | IDAHO |
| File Number: | 313177 |
| ZIP code: | 83646 |
| County: | Ada County |
| Principal Address: | 3235 N TOWERBRIDGE WY STE 100 MERIDIAN, ID 83646 |
| Mailing Address: | STE 100 3235 N TOWERBRIDGE WAY MERIDIAN, ID 83646-5721 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SISC 401(K) PLAN | 2023 | 451149795 | 2024-09-10 | SOUTHERN IDAHO SURGERY CENTER PLLC | 3 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-09-10 |
| Name of individual signing | JOEL WHITT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2088955611 |
| Plan sponsor’s address | 3235 NORTH TOWERBRIDGE WAY, #100, MERIDIAN, ID, 83646 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-26 |
| Name of individual signing | JOEL WHITT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2088955611 |
| Plan sponsor’s address | 3235 NORTH TOWERBRIDGE WAY, #100, MERIDIAN, ID, 83646 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-18 |
| Name of individual signing | JOEL WHITT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2088955611 |
| Plan sponsor’s address | 3235 NORTH TOWERBRIDGE WAY, #100, MERIDIAN, ID, 83646 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-12 |
| Name of individual signing | JOEL WHITT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOEL WHITT | Agent | 3235 N TOWERBRIDGE WY STE 100, MERIDIAN, ID 83646 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| JOEL E WHITT | Manager | 3235 N TOWERBRIDGE WY STE 100, MERIDIAN, ID 83646 | 2021-04-06 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Daniel Ashby | Member | 106 W. RUSH CT., EAGLE, ID 83616 | 2024-03-26 |
| DENNIS G STODDARD | Member | 1417 WINCHESTER DR, POCATELLO, ID 83201 | 2024-03-26 |
| ZANE O PALMER | Member | 3363 W RYDER CUP DR, MERIDIAN, ID 83646 | 2024-03-26 |
| JOHN C BURTENSHAW | Member | 5183 E 21ST ST, AMMON, ID 83406 | 2024-03-26 |
| RIKI R LAMBERT | Member | 5737 W FAIRVIEW AVE, BOISE, ID 83706 | 2024-03-26 |
| CORDELL D NEBEKER | Member | 10439 FALLOW FIELD ST, NAMPA, ID 83687 | 2024-03-26 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005659460 | 2024-03-26 |
| Annual Report | 0005195074 | 2023-04-11 |
| Annual Report | 0004667132 | 2022-03-22 |
| Annual Report | 0004237546 | 2021-04-06 |
| Annual Report | 0003788613 | 2020-02-25 |
| Annual Report | 0003466574 | 2019-03-29 |
| Annual Report | 0002301936 | 2018-03-22 |
| Annual Report | 0002301935 | 2017-04-06 |
| Change of Registered Office/Agent/Both (by Entity) | 0002301934 | 2016-06-23 |
| Annual Report | 0002301933 | 2016-04-29 |
Date of last update: 11 Dec 2024
Sources: Idaho Secretary of State
