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  5. W. ALLEN RADER, M.D., P.C.

W. ALLEN RADER, M.D., P.C.

Company Details

Name: W. ALLEN RADER, M.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 19 Oct 2004 (20 years ago)
Financial Date End: 31 Oct 2021
Date dissolved: 06 Oct 2021
Entity Number: 476810
Place of Formation: IDAHO
File Number: 476810
ZIP code: 83616
County: Ada County
Mailing Address: 2594 E MARGATE CT EAGLE, ID 83616-6680

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401(K) PLAN 2019 202047167 2021-01-12 W. ALLEN RADER, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2088593954
Plan sponsor’s address 2594 E MARGATE CT, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2021-01-12
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401(K) PLAN 2019 202047167 2020-07-21 W. ALLEN RADER, M.D., P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2088593954
Plan sponsor’s address 2594 E MARGATE CT, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401(K) PLAN 2018 202047167 2019-09-27 W. ALLEN RADER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2088593954
Plan sponsor’s address 2594 E MARGATE CT, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401(K) PLAN 2017 202047167 2018-10-08 W. ALLEN RADER, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2088593954
Plan sponsor’s address 2594 E MARGATE CT, EAGLE, ID, 83616

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401(K) PLAN 2016 202047167 2017-07-28 W. ALLEN RADER, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2088593954
Plan sponsor’s address 165 PARKWAY DR., BOISE, ID, 83706

Plan administrator’s name and address
Administrator’s EIN 202047167
Plan administrator’s name W. ALLEN RADER, M.D., P.C.
Plan administrator’s address 165 PARKWAY DR., BOISE, ID, 83706
Administrator’s telephone number 2088593954

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401(K) PLAN 2015 202047167 2016-08-23 W. ALLEN RADER, M.D., P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2083433652
Plan sponsor’s address 165 PARKWAY DRIVE, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2016-08-23
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-23
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401K PLAN 2014 202047167 2015-08-03 W. ALLEN RADER, M.D., P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2083433652
Plan sponsor’s address 165 PARKWAY DRIVE, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2015-08-03
Name of individual signing WILBUR A RADER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-03
Name of individual signing WILBUR A RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401K PLAN 2013 202047167 2014-10-15 W. ALLEN RADER, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2083433652
Plan sponsor’s address 165 PARKWAY DRIVE, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing W ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. SAFE HARBOR 401K PLAN 2012 202047167 2013-10-15 W. ALLEN RADER, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2083433652
Plan sponsor’s address 165 PARKWAY DRIVE, BOISE, ID, 83706

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
W. ALLEN RADER, M.D., P.C. 401K PROFIT SHARING PLAN 2011 202047167 2012-10-10 W. ALLEN RADER, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621399
Sponsor’s telephone number 2083433652
Plan sponsor’s address 165 PARKWAY DRIVE, BOISE, ID, 83702

Plan administrator’s name and address
Administrator’s EIN 202047167
Plan administrator’s name W. ALLEN RADER, M.D., P.C.
Plan administrator’s address 165 PARKWAY DRIVE, BOISE, ID, 83702
Administrator’s telephone number 2083433652

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing W. ALLEN RADER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
W ALLEN RADER MD Agent 2594 E MARGATE CT, EAGLE, ID 83616

President

Name Role Address Appointed On
wilbur a rader President 2594 E MARGATE CT, EAGLE, ID 83616 2020-11-09

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0004439587 2021-10-06
Annual Report 0004063899 2020-11-09
Annual Report 0003680347 2019-11-19
Annual Report 0002993267 2018-08-24
Annual Report 0002993276 2017-08-29
Annual Report 0002993265 2016-08-30
Annual Report 0002993264 2015-08-24
Annual Report 0002993263 2014-08-25
Annual Report 0002993262 2013-08-24
Annual Report 0002993272 2012-08-17

Related by officers

wilbur a rader

MEDICAL BARIATRICS AMERICA, LLC

Related by address

2594 E MARGATE CT EAGLE, ID 83616-6680

MEDICAL BARIATRICS AMERICA, LLC IDAHO BARIATRIC PROPERTIES, LLC

Date of last update: 22 Dec 2024

Sources: Idaho Secretary of State

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