| Name: | SUN VALLEY INSURANCE, INC. |
| Jurisdiction: | Idaho |
| Legal type: | General Business Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 01 Jun 1998 (27 years ago) |
| Financial Date End: | 30 Jun 2025 |
| Entity Number: | 380948 |
| Place of Formation: | IDAHO |
| File Number: | 380948 |
| ZIP code: | 83340 |
| County: | Blaine County |
| Mailing Address: | PO BOX 5808 KETCHUM, ID 83340-5808 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUN VALLEY INSURANCE MEDOVA LIFESTYLE HEALTH PLAN | 2021 | 820500298 | 2024-08-28 | SUN VALLEY INSURANCE | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-28 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-12-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 2087250977 |
| Plan sponsor’s address | PO BOX 5808, KETCHUM, ID, 833405808 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-30 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOHN W DIES | Agent | 780 N MAIN, KETCHUM, ID 83340 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| John Dies | President | PO BOX 5808, KETCHUM, ID 83340 | 2021-05-13 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005757630 | 2024-06-03 |
| Annual Report | 0005252428 | 2023-05-26 |
| Annual Report | 0004737473 | 2022-05-06 |
| Annual Report | 0004282591 | 2021-05-13 |
| Annual Report | 0003871769 | 2020-05-07 |
| Annual Report | 0003536969 | 2019-06-13 |
| Annual Report | 0002633950 | 2018-05-23 |
| Annual Report | 0002633948 | 2017-05-08 |
| Annual Report | 0002633946 | 2016-04-27 |
| Annual Report | 0002633944 | 2015-08-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3320777310 | 2020-04-29 | 1087 | PPP | PO BOX 5808, KETCHUM, ID, 83340 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 06 Apr 2025
Sources: Idaho Secretary of State
