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Snake River Pediatrics, PC

Company Details

Name: Snake River Pediatrics, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 11 Jan 2021 (4 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 4129216
Place of Formation: IDAHO
File Number: 741667
ZIP code: 83619
County: Payette County
Mailing Address: CHELSEY BIDWELL 1100 NW 12TH ST FRUITLAND, ID 83619

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
C1VXBZ1CM7L1 2025-03-27 1100 NW 12TH ST, FRUITLAND, ID, 83619, 5040, USA 1100 NW 12TH ST, FRUITLAND, ID, 83619, USA

Business Information

URL www.snakeriverpediatrics.com
Division Name SNAKE RIVER PEDIATRICS, PC
Congressional District 01
State/Country of Incorporation ID, USA
Activation Date 2024-03-29
Initial Registration Date 2023-09-14
Entity Start Date 2014-10-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name CHELSEY BIDWELL
Role CEO
Address 1100 NW 12TH ST, FRUITLAND, ID, 83619, USA
Government Business
Title PRIMARY POC
Name CHELSEY BIDWELL
Role CEO
Address 1100 NW 12TH ST, FRUITLAND, ID, 83619, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SNAKE RIVER PEDIATRICS, PC 401(K) PLAN 2023 471779788 2024-07-09 SNAKE RIVER PEDIATRICS, PC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2084526556
Plan sponsor’s address 1100 NW 12TH STREET, FRUITLAND, ID, 83619

Signature of

Role Plan administrator
Date 2024-07-10
Name of individual signing CHELSEY BIDWELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Chelsey M Bidwell Agent 1100 NW 12TH ST, CHELSEY BIDWELL, FRUITLAND, ID 83619

Director

Name Role Address Appointed On Resigned On
Mary L James Director 1100 NW 12TH ST, FRUITLAND, ID 83619 2023-12-04 2023-12-04
Sage B Stringer Director 1100 NW 12TH ST, FRUITLAND, ID 83619 2023-12-04 2023-12-04

Treasurer

Name Role Address Appointed On Resigned On
Chelsey M Bidwell Treasurer 1100 NW 12TH ST, FRUITLAND, ID 83619 2023-12-04 2023-12-04

Secretary

Name Role Address Appointed On Resigned On
Chelsie M Lewis Secretary 1100 NW 12TH ST, FRUITLAND, ID 83619 2023-12-04 2023-12-04

President

Name Role Address Appointed On Resigned On
Matthew J Berria PhD President 1100 NW 12TH ST, FRUITLAND, ID 83619 2023-12-04 2023-12-04

Vice President

Name Role Address Appointed On
Michelle F DeVoe DO Vice President 1100 NW 12TH ST, FRUITLAND, ID 83619 2022-01-12

Filing

Filing Name Filing Number Filing date
Annual Report 0006009148 2024-12-05
Annual Report 0005497783 2023-12-04
Annual Report 0005013601 2022-12-05
Annual Report 0004566268 2022-01-12
Initial Filing 0004129216 2021-01-11

Date of last update: 03 Jan 2025

Sources: Idaho Secretary of State