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  5. SELKIRK GENERAL SURGERY

SELKIRK GENERAL SURGERY

Company Details

Name: SELKIRK GENERAL SURGERY
Jurisdiction: Idaho
Legal type: General Partnership (D)
Status: Inactive-Expired
Date of registration: 24 Aug 2009 (15 years ago)
Expiration date: 24 Aug 2014
Date dissolved: 03 Dec 2019
Entity Number: 4986
Place of Formation: IDAHO
File Number: 0000004986
ZIP code: 83864
County: Bonner County
Principal Address: 502 N 2ND AVE STE 3 SANDPOINT, ID 83864

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SELKIRK GENERAL SURGERY 401 K PROFIT SHARING PLAN 2012 820532143 2013-09-19 SELKIRK GENERAL SURGERY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 2082631421
Plan sponsor’s address 502 NORTH SECOND AVENUE, SUITE 3, SANDPOINT, ID, 83864

Signature of
Role Plan administrator
Date 2013-09-19
Name of individual signing RICHARD NEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-19
Name of individual signing RICHARD NEHER
Valid signature Filed with authorized/valid electronic signature
SELKIRK GENERAL SURGERY 401 K PROFIT SHARING PLAN 2011 820532143 2012-07-27 SELKIRK GENERAL SURGERY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 2082631421
Plan sponsor’s address 502 NORTH SECOND AVENUE, SUITE 3, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820532143
Plan administrator’s name SELKIRK GENERAL SURGERY
Plan administrator’s address 502 NORTH SECOND AVENUE, SUITE 3, SANDPOINT, ID, 83864
Administrator’s telephone number 2082631421

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing RICHARD NEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing RICHARD NEHER
Valid signature Filed with authorized/valid electronic signature
SELKIRK GENERAL SURGERY 401 K PROFIT SHARING PLAN 2010 820532143 2011-06-21 SELKIRK GENERAL SURGERY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 2082631421
Plan sponsor’s address 502 NORTH SECOND AVENUE, SUITE 3, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820532143
Plan administrator’s name SELKIRK GENERAL SURGERY
Plan administrator’s address 502 NORTH SECOND AVENUE, SUITE 3, SANDPOINT, ID, 83864
Administrator’s telephone number 2082631421

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing RICHARD NEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-21
Name of individual signing RICHARD NEHER
Valid signature Filed with authorized/valid electronic signature
SELKIRK GENERAL SURGERY 401 K PROFIT SHARING PLAN 2009 820532143 2010-10-15 SELKIRK GENERAL SURGERY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 2082631421
Plan sponsor’s address 502 NORTH SECOND AVENUE, SUITE 3, SANDPOINT, ID, 83864

Plan administrator’s name and address
Administrator’s EIN 820532143
Plan administrator’s name SELKIRK GENERAL SURGERY
Plan administrator’s address 502 NORTH SECOND AVENUE, SUITE 3, SANDPOINT, ID, 83864
Administrator’s telephone number 2082631421

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing RICHARD NEHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-15
Name of individual signing RICHARD NEHER
Valid signature Filed with authorized/valid electronic signature

Filing

Filing Name Filing Number Filing date
Initial Filing 0000004986 2009-08-24

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Date of last update: 22 Sep 2024

Sources: Idaho Secretary of State

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