| Name: | IDAHO FALLS PHYSICAL MEDICINE AND REHABILITATION, P.C. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Inactive-Dissolved (Administrative) |
| Date of registration: | 04 May 2001 (24 years ago) |
| Financial Date End: | 31 May 2012 |
| Date dissolved: | 07 Aug 2012 |
| Entity Number: | 423692 |
| Place of Formation: | IDAHO |
| File Number: | 0000423692 |
| ZIP code: | 83404 |
| County: | Bonneville County |
| Mailing Address: | 2860 CHANNING WAY STE 213 IDAHO FALLS, ID 83404 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IDAHO FALLS PHYSICAL MEDICINE AND REHABILITATION, P.C., 401(K) PLAN | 2011 | 820531699 | 2012-09-17 | IDAHO FALLS PHYSICAL MEDICINE AND REHABILITATION, P.C. | 2 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 820531699 |
| Plan administrator’s name | IDAHO FALLS PHYSICAL MEDICINE AND REHABILITATION, P.C. |
| Plan administrator’s address | 2860 CHANNING WAY, SUITE 213, IDAHO FALLS, ID, 83404 |
| Administrator’s telephone number | 2085354420 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-17 |
| Name of individual signing | DAVID C. SIMON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-09-17 |
| Name of individual signing | DAVID C. SIMON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085354420 |
| Plan sponsor’s address | 2860 CHANNING WAY, SUITE 213, IDAHO FALLS, ID, 83404 |
Plan administrator’s name and address
| Administrator’s EIN | 820531699 |
| Plan administrator’s name | IDAHO FALLS PHYSICAL MEDICINE AND REHABILITATION, P.C. |
| Plan administrator’s address | 2860 CHANNING WAY, SUITE 213, IDAHO FALLS, ID, 83404 |
| Administrator’s telephone number | 2085354420 |
Signature of
| Role | Plan administrator |
| Date | 2011-02-28 |
| Name of individual signing | DAVID C. SIMON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-02-28 |
| Name of individual signing | DAVID C. SIMON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2085354420 |
| Plan sponsor’s address | 2860 CHANNING WAY, SUITE 213, IDAHO FALLS, ID, 83404 |
Plan administrator’s name and address
| Administrator’s EIN | 820531699 |
| Plan administrator’s name | IDAHO FALLS PHYSICAL MEDICINE AND REHABILITATION, P.C. |
| Plan administrator’s address | 2860 CHANNING WAY, SUITE 213, IDAHO FALLS, ID, 83404 |
| Administrator’s telephone number | 2085354420 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-25 |
| Name of individual signing | DAVID C. SIMON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-25 |
| Name of individual signing | DAVID C. SIMON |
| Valid signature | Filed with authorized/valid electronic signature |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0002806793 | 2011-05-31 |
| Annual Report | 0002806792 | 2010-07-01 |
| Annual Report | 0002806791 | 2009-05-27 |
| Annual Report | 0002806802 | 2008-05-19 |
| Annual Report | 0002806794 | 2007-03-12 |
| Annual Report | 0002806790 | 2006-05-15 |
| Annual Report | 0002806789 | 2005-03-16 |
| Annual Report | 0002806788 | 2004-05-10 |
| Annual Report | 0002806787 | 2003-05-19 |
| Annual Report | 0002806786 | 2002-04-17 |
Date of last update: 25 Sep 2024
Sources: Idaho Secretary of State
