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Eagle Rock Medical Center LLC

Company Details

Name: Eagle Rock Medical Center LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Nov 2021 (3 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4488611
Place of Formation: IDAHO
File Number: 789711
ZIP code: 83402
County: Bonneville County
Principal Address: 919 SOUTH UTAH AVE IDAHO FALLS, ID 83402
Mailing Address: 919 S UTAH AVE IDAHO FALLS, ID 83402-3322

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAGLE ROCK MEDICAL CENTER 401(K) PLAN 2023 873445284 2024-05-15 EAGLE ROCK MEDICAL CENTER LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621112
Sponsor’s telephone number 2084256020
Plan sponsor’s address 919 S. UTAH AVE., IDAHO FALLS, ID, 83402

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-15
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
EAGLE ROCK MEDICAL CENTER 401(K) PLAN 2022 873445284 2023-05-28 EAGLE ROCK MEDICAL CENTER LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621112
Sponsor’s telephone number 2084256020
Plan sponsor’s address 919 S. UTAH AVE., IDAHO FALLS, ID, 83402

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
KANO LABS LLC Agent 919 SOUTH UTAH AVE, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
Kendon Howard Manager 919 S UTAH AVE, IDAHO FALLS, ID 83402-3322 2022-11-17

Filing

Filing Name Filing Number Filing date
Annual Report 0005957216 2024-11-03
Annual Report 0005416560 2023-10-03
Annual Report 0004996479 2022-11-17
Initial Filing 0004488611 2021-11-05

Date of last update: 05 Jan 2025

Sources: Idaho Secretary of State