| Name: | Magic Valley Urology, pllc |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 12 Oct 2020 (4 years ago) |
| Financial Date End: | 31 Oct 2025 |
| Entity Number: | 4030389 |
| Place of Formation: | IDAHO |
| File Number: | 729494 |
| ZIP code: | 83301 |
| County: | Twin Falls County |
| Principal Address: | SUITE 201 401 GOODING ST N TWIN FALLS, ID 83301 |
| Mailing Address: | PO BOX 1293 TWIN FALLS, ID 83303-1293 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAGIC VALLEY UROLOGY, PLLC 401(K) PLAN | 2023 | 853464087 | 2024-10-01 | MAGIC VALLEY UROLOGY, PLLC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-01 |
| Name of individual signing | JASON GREENHALGH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2087333404 |
| Plan sponsor’s address | P.O. BOX 1293, TWIN FALLS, ID, 83301 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-03 |
| Name of individual signing | JASON GREENHALGH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| John Coleman | Agent | 401 GOODING ST N, SUITE 201, TWIN FALLS, ID 83301 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Joel Hancock, MD PLLC | Manager | PO BOX 1293, TWIN FALLS, ID 83303 | 2023-09-04 |
| Jason R. Greenhalgh, MD, PA | Manager | PO BOX 1293, TWIN FALLS, ID 83303 | 2021-10-07 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005893459 | 2024-09-07 |
| Annual Report | 0005380148 | 2023-09-04 |
| Annual Report | 0004884142 | 2022-09-05 |
| Annual Report | 0004441321 | 2021-10-07 |
| Initial Filing | 0004030389 | 2020-10-12 |
Date of last update: 02 Jan 2025
Sources: Idaho Secretary of State
