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  5. SPINE INSTITUTE OF IDAHO, P.A.

SPINE INSTITUTE OF IDAHO, P.A.

Company Details

Name: SPINE INSTITUTE OF IDAHO, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Mar 2001 (24 years ago)
Financial Date End: 31 Mar 2025
Entity Number: 421371
Place of Formation: IDAHO
File Number: 421371
ZIP code: 83642
County: Ada County
Mailing Address: 360 E MONTVUE DR # 100 MERIDIAN, ID 83642-6318

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2023 820531056 2024-10-15 SPINE INSTITUTE OF IDAHO, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2022 820531056 2023-10-03 SPINE INSTITUTE OF IDAHO, P.A. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2021 820531056 2022-09-29 SPINE INSTITUTE OF IDAHO, P.A. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2020 820531056 2021-10-15 SPINE INSTITUTE OF IDAHO, P.A. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E MONTVUE DR. STE 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2019 820531056 2020-09-01 SPINE INSTITUTE OF IDAHO, P.A. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2018 820531056 2019-10-10 SPINE INSTITUTE OF IDAHO, P.A. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2017 820531056 2018-07-31 SPINE INSTITUTE OF IDAHO, P.A. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2016 820531056 2017-09-25 SPINE INSTITUTE OF IDAHO, P.A. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2015 820531056 2016-09-12 SPINE INSTITUTE OF IDAHO, P.A. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642
SPINE INSTITUTE OF IDAHO 401(K) PLAN 2014 820531056 2015-05-18 SPINE INSTITUTE OF IDAHO, P.A. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-03-13
Business code 621111
Sponsor’s telephone number 2088552900
Plan sponsor’s address 360 E. MONTVUE DR., STE. 100, MERIDIAN, ID, 83642

Agent

Name Role Address
Jennifer Harris Agent 360 E MONTVUE DR, 100, MERIDIAN, ID 83642

President

Name Role Address Appointed On
SAMUEL S JORGENSON President 360 E MONTVUE, MERIDIAN, ID 83642 2021-04-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005585618 2024-02-05
Annual Report 0005091982 2023-02-03
Annual Report 0004600185 2022-02-08
Annual Report 0004237062 2021-04-06
Annual Report 0003831225 2020-04-03
Annual Report 0003466344 2019-03-29
Annual Report 0002797510 2018-04-17
Annual Report 0002797509 2017-04-26
Annual Report 0002797507 2016-03-17
Change of Registered Office/Agent/Both (by Entity) 0002797505 2015-01-22

Related by officers

Jennifer Harris

Rock River Construction, LLC

SAMUEL S JORGENSON

JORGENSON HOLDINGS, LLC

Related by address

No related companies by address

Date of last update: 19 Dec 2024

Sources: Idaho Secretary of State

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