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HAYDEN VISION CENTER P.A.

Company Details

Name: HAYDEN VISION CENTER P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 12 Apr 1995 (30 years ago)
Financial Date End: 30 Apr 2024
Date dissolved: 05 Mar 2024
Entity Number: 339513
Place of Formation: IDAHO
File Number: 339513
ZIP code: 83835
County: Kootenai County
Mailing Address: 8445 N GOVERNMENT WAY HAYDEN, ID 83835-9349

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAYDEN VISION CENTER P.A. 401(K) PLAN 2023 820480284 2024-04-26 HAYDEN VISION CENTER P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 2087723208
Plan sponsor’s address 8445 N. GOVERNMENT WAY, HAYDEN, ID, 838359280

Signature of

Role Plan administrator
Date 2024-04-26
Name of individual signing TYREL BRUNEEL
Valid signature Filed with authorized/valid electronic signature
HAYDEN VISION CENTER P.A. 401(K) PLAN 2022 820480284 2023-07-19 HAYDEN VISION CENTER P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 2087723208
Plan sponsor’s address 8445 N. GOVERNMENT WAY, HAYDEN, ID, 838359280

Signature of

Role Plan administrator
Date 2023-07-19
Name of individual signing TYREL BRUNEEL
Valid signature Filed with authorized/valid electronic signature
HAYDEN VISION CENTER P.A. 401(K) PLAN 2021 820480284 2022-10-13 HAYDEN VISION CENTER P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 2087723208
Plan sponsor’s address 8445 N. GOVERNMENT WAY, HAYDEN, ID, 838359280

Signature of

Role Plan administrator
Date 2022-10-13
Name of individual signing ROBERT SORENSEN
Valid signature Filed with authorized/valid electronic signature
HAYDEN VISION CENTER P.A. 401(K) PLAN 2020 820480284 2021-10-04 HAYDEN VISION CENTER P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 2087723208
Plan sponsor’s address 8445 N. GOVERNMENT WAY, HAYDEN, ID, 838359280

Signature of

Role Plan administrator
Date 2021-10-04
Name of individual signing ROBERT SORENSEN
Valid signature Filed with authorized/valid electronic signature
HAYDEN VISION CENTER P.A. 401(K) PLAN 2019 820480284 2020-07-13 HAYDEN VISION CENTER P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 2087723208
Plan sponsor’s address 8445 N. GOVERNMENT WAY, HAYDEN, ID, 838359280
HAYDEN VISION CENTER P.A. 401(K) PLAN 2018 820480284 2019-05-28 HAYDEN VISION CENTER P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 2087723208
Plan sponsor’s address 8445 N. GOVERNMENT WAY, HAYDEN, ID, 838359280
HAYDEN VISION CENTER P.A. 401(K) PLAN 2017 820480284 2018-10-01 HAYDEN VISION CENTER P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 2087723208
Plan sponsor’s address 8445 N. GOVERNMENT WAY, HAYDEN, ID, 838359280
HAYDEN VISION CENTER P.A. 401(K) PLAN 2016 820480284 2017-06-26 HAYDEN VISION CENTER P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621320
Sponsor’s telephone number 2087723208
Plan sponsor’s address 8445 N. GOVERNMENT WAY, HAYDEN, ID, 838359280

Agent

Name Role Address
ROBERT A SORENSEN Agent 8445 GOVERNMENT WAY, HAYDEN LAKE, ID 83835

President

Name Role Address Appointed On
Robert A Sorensen President 8445 N GOVERNMENT WAY, HAYDEN, ID 83835 2021-04-24

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0005635478 2024-03-05
Annual Report 0005167992 2023-03-27
Annual Report 0004630805 2022-03-03
Annual Report 0004255489 2021-04-24
Annual Report 0003869301 2020-05-06
Annual Report 0003490559 2019-04-23
Annual Report 0002439553 2018-03-06
Annual Report 0002439551 2017-02-21
Annual Report 0002439549 2016-02-23
Annual Report 0002439547 2015-02-19

Date of last update: 12 Dec 2024

Sources: Idaho Secretary of State