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  5. HAYDEN VISION CENTER P.A.

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

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3632305000 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient HAYDEN VISION CENTER, P.A.
Recipient Name Raw HAYDEN VISION CENTER, P.A.
Recipient DUNS 165040320
Recipient Address 8445 N. GOVERNMENT WAY, HAYDEN, KOOTENAI, IDAHO, 83835-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 20150.00
Face Value of Direct Loan 650000.00
Link View Page

Related by officers

Robert A Sorensen

HAMMERSHUS, LLC

Related by address

8445 N GOVERNMENT WAY HAYDEN, ID 83835-9349

HAMMERSHUS, LLC Hayden Vision Source, PLLC

Date of last update: 12 Mar 2025

Sources: Idaho Secretary of State

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