| Name: | GARDEN VALLEY FAMILY MEDICINE, PC |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 14 Jul 2005 (19 years ago) |
| Financial Date End: | 31 Jul 2025 |
| Entity Number: | 490139 |
| Place of Formation: | IDAHO |
| File Number: | 490139 |
| ZIP code: | 83622 |
| County: | Boise County |
| Mailing Address: | PO BOX 270 GARDEN VALLEY, ID 83622-0270 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARDEN VALLEY FAMILY MEDICINE 401(K) PLAN | 2023 | 203164316 | 2024-10-02 | GARDEN VALLEY FAMILY MEDICINE, PC | 13 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-10-02 |
| Name of individual signing | ROSEMARY KOENIG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2084623533 |
| Plan sponsor’s address | 856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID, 83622 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-10 |
| Name of individual signing | ROSEMARY KOENIG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2084623533 |
| Plan sponsor’s address | 856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID, 83622 |
Signature of
| Role | Plan administrator |
| Date | 2022-11-10 |
| Name of individual signing | MICHAEL KOENIG |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2084623533 |
| Plan sponsor’s address | 856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID, 83622 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-17 |
| Name of individual signing | MICHAEL KOENIG |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MICHAEL KOENING MD | Agent | 856 BANKS LOWMAN RD, GARDEN VALLEY, ID 83622 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| MICHAEL KOENIG | President | PO BOX 270, GARDEN VALLEY, ID 83622 | 2021-08-13 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Rosemary Koenig | Secretary | PO BOX 270, GARDEN VALLEY, ID 83622-0270 | 2024-07-09 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005813937 | 2024-07-09 |
| Annual Report | 0005265939 | 2023-06-05 |
| Articles of Amendment | 0005178969 | 2023-04-03 |
| Annual Report | 0004856992 | 2022-08-11 |
| Annual Report | 0004383348 | 2021-08-13 |
| Annual Report | 0003904679 | 2020-06-09 |
| Annual Report | 0003564246 | 2019-07-12 |
| Annual Report | 0003034036 | 2018-06-21 |
| Annual Report | 0003034034 | 2017-08-14 |
| Annual Report | 0003034038 | 2016-08-08 |
Date of last update: 22 Dec 2024
Sources: Idaho Secretary of State
