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  5. SURGICAL BARIATRICS NORTHWEST, INC., P.A.

SURGICAL BARIATRICS NORTHWEST, INC., P.A.

Company Details

Name: SURGICAL BARIATRICS NORTHWEST, INC., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Oct 2000 (24 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 414422
Place of Formation: IDAHO
File Number: 414422
ZIP code: 83854
County: Kootenai County
Mailing Address: STE 205 750 N SYRINGA ST POST FALLS, ID 83854-5275

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL BARIATRICS NORTHWEST, INC., P.A. CASH BALANCE PLAN 2023 820527714 2024-10-07 SURGICAL BARIATRICS NORTHWEST, INC., P.A. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, SUITE 205, POST FALLS, ID, 838545275
SURGICAL BARIATRICS NORTHWEST, INC. P.A. 401(K) PROFIT SHARING PLAN 2023 820527714 2024-10-09 SURGICAL BARIATRICS NORTHWEST, INC. P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-12-28
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, STE 205, POST FALLS, ID, 838545275

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing JOHN L PENNINGS, MD
Valid signature Filed with authorized/valid electronic signature
SURGICAL BARIATRICS NORTHWEST, INC., P.A. CASH BALANCE PLAN 2022 820527714 2023-10-03 SURGICAL BARIATRICS NORTHWEST, INC., P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, SUITE 205, POST FALLS, ID, 838545275
SURGICAL BARIATRICS NORTHWEST, INC. P.A. 401(K) PROFIT SHARING PLAN 2022 820527714 2023-07-24 SURGICAL BARIATRICS NORTHWEST, INC. P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-12-28
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, STE 205, POST FALLS, ID, 838545275

Signature of
Role Plan administrator
Date 2023-07-22
Name of individual signing JOHN L PENNINGS, MD
Valid signature Filed with authorized/valid electronic signature
SURGICAL BARIATRICS NORTHWEST, INC., P.A. CASH BALANCE PLAN 2021 820527714 2022-10-06 SURGICAL BARIATRICS NORTHWEST, INC., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, SUITE 205, POST FALLS, ID, 838545275
SURGICAL BARIATRICS NORTHWEST, INC. P.A. 401(K) PROFIT SHARING PLAN 2021 820527714 2022-09-07 SURGICAL BARIATRICS NORTHWEST, INC. P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-12-28
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, STE 205, POST FALLS, ID, 838545275

Signature of
Role Plan administrator
Date 2022-09-07
Name of individual signing JOHN L PENNINGS, MD
Valid signature Filed with authorized/valid electronic signature
SURGICAL BARIATRICS NORTHWEST, INC., P.A. CASH BALANCE PLAN 2020 820527714 2021-10-04 SURGICAL BARIATRICS NORTHWEST, INC., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, SUITE 205, POST FALLS, ID, 838545275
SURGICAL BARIATRICS NORTHWEST, INC. P.A. 401(K) PROFIT SHARING PLAN 2020 820527714 2021-09-20 SURGICAL BARIATRICS NORTHWEST, INC. P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-12-28
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, STE 205, POST FALLS, ID, 838545275

Signature of
Role Plan administrator
Date 2021-09-13
Name of individual signing JOHN L PENNINGS, MD
Valid signature Filed with authorized/valid electronic signature
SURGICAL BARIATRICS NORTHWEST, INC. P.A. 401(K) PROFIT SHARING PLAN 2019 820527714 2020-10-04 SURGICAL BARIATRICS NORTHWEST, INC. P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-12-28
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, STE 205, POST FALLS, ID, 838545275

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing JOHN L PENNINGS, MD
Valid signature Filed with authorized/valid electronic signature
SURGICAL BARIATRICS NORTHWEST, INC., P.A. CASH BALANCE PLAN 2019 820527714 2020-09-30 SURGICAL BARIATRICS NORTHWEST, INC., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2082620945
Plan sponsor’s address 750 N SYRINGA STREET, SUITE 205, POST FALLS, ID, 838545275

Secretary

Name Role Address Appointed On Resigned On
Terese Fandel Secretary 750 N. SYRINGA STREET, POST FALLS, ID 83854 2020-11-02 2023-12-14
DEREK DIRKS Secretary 911 N BALCONY DR., COEUR D'ALENE, ID 83814 2023-12-14 No data

Vice President

Name Role Address Appointed On
CORY RICHARDSON Vice President 6295 W HARBOR DR, POST FALLS, ID 83854 2023-12-14

President

Name Role Address Appointed On
JOHN PENNINGS President 4318 E DEEPWATER LOOP, HAYDEN, ID 83835 2023-12-14
John Pennings President 750 N. SYRINGA STREET, POST FALLS, ID 83854 2023-10-31

Agent

Name Role Address
John L Pennings Agent 750 N SYRINGA ST, POST FALLS, ID 83854

Filing

Filing Name Filing Number Filing date
Annual Report 0005950592 2024-10-25
Annual Report Amendment 0005511504 2023-12-14
Articles of Amendment 0005510473 2023-12-13
Annual Report 0005452973 2023-10-31
Annual Report 0004963493 2022-10-27
Annual Report 0004458622 2021-10-22
Annual Report 0004046300 2020-11-02
Annual Report 0003655466 2019-10-25
Annual Report 0003308620 2018-10-12
Annual Report 0002771086 2017-09-12

Related by officers

No related officers

Related by address

STE 205 750 N SYRINGA ST POST FALLS, ID 83854-5275

Digestive Doctors & Surgeons., PLLC

Date of last update: 18 Dec 2024

Sources: Idaho Secretary of State

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