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SOUTHERN IDAHO OPHTHALMOLOGY, PLLC

Company Details

Name: SOUTHERN IDAHO OPHTHALMOLOGY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Oct 2015 (9 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 477132
Place of Formation: IDAHO
File Number: 477132
ZIP code: 83301
County: Twin Falls County
Principal Address: 1415 PARK VIEW DR TWIN FALLS, ID 83301
Mailing Address: 1415 PARK VIEW DR TWIN FALLS, ID 83301-3250

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN 2023 820369780 2024-09-03 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 833013250

Signature of

Role Plan administrator
Date 2024-09-03
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN 2022 820369780 2023-09-23 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 833013250

Signature of

Role Plan administrator
Date 2023-09-23
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN 2021 820369780 2022-06-23 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 13
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 833013250

Signature of

Role Plan administrator
Date 2022-06-23
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN 2021 820369780 2023-09-21 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 833013250

Signature of

Role Plan administrator
Date 2023-09-21
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY, PLLC CASH BALANCE PLAN 2020 820369780 2021-09-27 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 833013250

Signature of

Role Plan administrator
Date 2021-09-27
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN 2019 820369780 2020-08-13 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 833013250

Signature of

Role Plan administrator
Date 2020-08-13
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN 2018 820369780 2019-04-01 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2019-04-01
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN 2017 820369780 2018-05-21 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 8
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2018-05-21
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN 2017 820369780 2019-04-01 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2019-04-01
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO OPHTHALMOLOGY DEFINED BENEFIT PENSION PLAN 2016 820369780 2017-05-12 SOUTHERN IDAHO OPHTHALMOLOGY, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2087348934
Plan sponsor’s address 1415 PARK VIEW DR., TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2017-05-12
Name of individual signing JAMES M. COOMBS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES M COOMBS Agent 1415 PARK VIEW DR, TWIN FALLS, ID 83301

Member

Name Role Address Appointed On
JAMES M COOMBS Member 1415 PARK VIEW DRIVE, TWIN FALLS, ID 83301 2020-09-08
KYLE N KLINGLER Member 1415 PARK VIEW DRIVE, TWIN FALLS, ID 83301 2024-09-05

Filing

Filing Name Filing Number Filing date
Annual Report 0005886020 2024-09-05
Annual Report 0005383918 2023-09-05
Annual Report 0004886897 2022-09-06
Annual Report 0004410191 2021-09-07
Annual Report 0003999099 2020-09-08
Annual Report 0003613971 2019-09-04
Annual Report 0002994135 2018-08-28
Annual Report 0002994134 2017-08-28
Annual Report 0002994133 2016-10-11
Initial Filing 0000477132 2015-10-06

Date of last update: 22 Dec 2024

Sources: Idaho Secretary of State