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Eastern Idaho Physiatry, PLLC

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Company Details

Name: Eastern Idaho Physiatry, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 May 2020 (5 years ago)
Financial Date End: 31 May 2026
Entity Number: 3868474
Place of Formation: IDAHO
File Number: 708611
ZIP code: 83404
County: Bonneville County
Principal Address: SARAH VLACH 2730 HOMESTEAD LANE IDAHO FALLS, ID 83404
Mailing Address: JENNA BAKER 5812 S CEDARWOOD LN AMMON, ID 83406-4303

Agent

Name Role Address
Jacob S. Wessel Agent 1000 RIVERWALK DRIVE, SUITE 300, IDAHO FALLS, ID 83402

Member

Name Role Address Appointed On Resigned On
Andrew Cooper Member 1571 N. 885 E., SHELLY, ID 83274 2023-04-03 No data
Bryan Baker Member 5812 S CEDARWOOD LN, AMMON, ID 83406 2024-07-22 No data
Sarah A Vlach Member 2730 HOMESTEAD LN, IDAHO FALLS, ID 83404-7149 2020-09-04 2024-07-22

Form 5500 Series

Employer Identification Number (EIN):
851394166
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006184609 2025-04-03
Annual Report Amendment 0005826256 2024-07-22
Statement of Change of Business Mailing Address 0005826247 2024-07-22
Annual Report 0005666807 2024-04-03
Annual Report 0005174136 2023-04-03

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State