| Name: | Cardiovascular Specialists of America, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 10 Aug 2020 (5 years ago) |
| Financial Date End: | 31 Aug 2025 |
| Entity Number: | 3968553 |
| Place of Formation: | IDAHO |
| File Number: | 721093 |
| ZIP code: | 83201 |
| County: | Bannock County |
| Principal Address: | 2431 ANDREW ST POCATELLO, ID 83201-8000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARDIOVASCULAR SPECIALISTS OF AMERICA, LLC 401(K) PROFIT SHARING PLAN | 2023 | 852376404 | 2024-10-15 | CARDIOVASCULAR SPECIALISTS OF AMERICA, LLC | 7 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-15 |
| Name of individual signing | LANCE LONGMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-15 |
| Name of individual signing | LANCE LONGMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-08-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2082332273 |
| Plan sponsor’s address | 1515 EAST CLARK STREET, POCATELLO, ID, 83201 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-21 |
| Name of individual signing | JENN GUSTAVES |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-09-21 |
| Name of individual signing | JENN GUSTAVES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-08-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2082332273 |
| Plan sponsor’s address | 1515 EAST CLARK STREET, POCATELLO, ID, 83201 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-14 |
| Name of individual signing | LANCE LONGMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-14 |
| Name of individual signing | LANCE LONGMORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LANCE LONGMORE | Agent | 2431 ANDREW ST, POCATELLO, ID 83201 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| LANCE LONGMORE | Member | 2431 ANDREW ST, POCATELLO, ID 83201 | 2021-07-13 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Application for Reinstatement | 0005985434 | 2024-11-15 |
| Dissolution/Revocation - Administrative | 0005982248 | 2024-11-15 |
| Annual Report | 0005345350 | 2023-08-03 |
| Annual Report | 0004887855 | 2022-09-07 |
| Annual Report | 0004346029 | 2021-07-13 |
| Initial Filing | 0003968553 | 2020-08-10 |
Date of last update: 15 Apr 2025
Sources: Idaho Secretary of State
