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  5. PEND OREILLE RADIOLOGY, INC.

PEND OREILLE RADIOLOGY, INC.

Company Details

Name: PEND OREILLE RADIOLOGY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Oct 1999 (25 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 400343
Place of Formation: IDAHO
File Number: 400343
ZIP code: 83864
County: Bonner County
Mailing Address: JACOB STYER 318 N 2ND AVE SANDPOINT, ID 83864

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEND OREILLE RADIOLOGY, INC. 401(K) PLAN 2015 820520903 2016-05-12 PEND OREILLE RADIOLOGY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2082651160
Plan sponsor’s address P.O. BOX 1448, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820520903
Plan administrator’s name PEND OREILLE RADIOLOGY, INC.
Plan administrator’s address P.O. BOX 1448, SANDPOINT, ID, 83864
Administrator’s telephone number 2082651160
PEND OREILLE RADIOLOGY 401(K) PLAN 2015 820520903 2016-05-12 PEND OREILLE RADIOLOGY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2082651160
Plan sponsor’s address P.O. BOX 1448, SANDPOINT, ID, 83864
PEND OREILLE RADIOLOGY, INC. 401(K) PLAN 2014 820520903 2015-08-27 PEND OREILLE RADIOLOGY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2082651160
Plan sponsor’s address P.O. BOX 1448, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820520903
Plan administrator’s name PEND OREILLE RADIOLOGY, INC.
Plan administrator’s address P.O. BOX 1448, SANDPOINT, ID, 83864
Administrator’s telephone number 2082651160

Signature of
Role Plan administrator
Date 2015-08-27
Name of individual signing CHARLES W MAILE
Valid signature Filed with authorized/valid electronic signature
PEND OREILLE RADIOLOGY, INC. 401(K) PLAN 2013 820520903 2014-07-10 PEND OREILLE RADIOLOGY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2082651160
Plan sponsor’s address P.O. BOX 1448, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820520903
Plan administrator’s name PEND OREILLE RADIOLOGY, INC.
Plan administrator’s address P.O. BOX 1448, SANDPOINT, ID, 83864
Administrator’s telephone number 2082651160

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing CHARLES W MAILE
Valid signature Filed with authorized/valid electronic signature
PEND OREILLE RADIOLOGY, INC. 401(K) PLAN 2012 820520903 2013-10-01 PEND OREILLE RADIOLOGY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2082651160
Plan sponsor’s address P.O. BOX 1448, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820520903
Plan administrator’s name PEND OREILLE RADIOLOGY, INC.
Plan administrator’s address P.O. BOX 1448, SANDPOINT, ID, 83864
Administrator’s telephone number 2082651160

Signature of
Role Plan administrator
Date 2013-10-01
Name of individual signing CHARLES W MAILE
Valid signature Filed with authorized/valid electronic signature
PEND OREILLE RADIOLOGY 401(K) PLAN 2011 820520903 2012-03-30 PEND OREILLE RADIOLOGY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2082651160
Plan sponsor’s address P.O. BOX 1448, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820520903
Plan administrator’s name PEND OREILLE RADIOLOGY, INC.
Plan administrator’s address P.O. BOX 1448, SANDPOINT, ID, 83864
Administrator’s telephone number 2082651160

Signature of
Role Plan administrator
Date 2012-03-30
Name of individual signing CHARLES W MAILE
Valid signature Filed with authorized/valid electronic signature
PEND OREILLE RADIOLOGY 401(K) PLAN 2010 820520903 2011-08-12 PEND OREILLE RADIOLOGY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2082651160
Plan sponsor’s address P.O. BOX 1448, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820520903
Plan administrator’s name PEND OREILLE RADIOLOGY, INC.
Plan administrator’s address P.O. BOX 1448, SANDPOINT, ID, 83864
Administrator’s telephone number 2082651160

Signature of
Role Plan administrator
Date 2011-08-12
Name of individual signing CHARLES W MAILE
Valid signature Filed with authorized/valid electronic signature
PEND OREILLE RADIOLOGY, INC. 401(K) PLAN 2009 820520903 2010-09-23 PEND OREILLE RADIOLOGY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2082651160
Plan sponsor’s address PO BOX 1448, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820520903
Plan administrator’s name PEND OREILLE RADIOLOGY, INC.
Plan administrator’s address PO BOX 1448, SANDPOINT, ID, 83864
Administrator’s telephone number 2082651160

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing MARK E. WEBER, M.D.
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address Appointed On
Edward c VanVooren President 200 HOOVER AVE, LAS VEGAS, NV 89101 2020-09-03

Agent

Name Role Address
JACOB STYER Agent 318 N 2ND AVE, SANDPOINT, ID 83864

Filing

Filing Name Filing Number Filing date
Annual Report 0005922893 2024-10-03
Annual Report 0005380998 2023-09-04
Annual Report 0004882146 2022-09-03
Annual Report 0004400417 2021-09-03
Annual Report 0003994094 2020-09-03
Annual Report 0003612907 2019-09-03
Annual Report 0003330450 2018-10-17
Annual Report 0002715838 2017-08-21
Annual Report 0002715837 2016-09-15
Annual Report 0002715836 2015-08-25

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JACOB STYER

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JACOB STYER 318 N 2ND AVE SANDPOINT, ID 83864

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Date of last update: 23 Jan 2025

Sources: Idaho Secretary of State

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