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EAST IDAHO ORTHOPAEDICS PLLC

Company Details

Name: EAST IDAHO ORTHOPAEDICS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Apr 2016 (9 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 501081
Place of Formation: IDAHO
File Number: 501081
ZIP code: 83404
County: Bonneville County
Principal Address: 3405 MERLIN DR IDAHO FALLS, ID 83404
Mailing Address: 2210 CORONADO ST IDAHO FALLS, ID 83404-7552

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST IDAHO ORTHOPAEDICS CASH BALANCE PLAN 2023 812293923 2024-10-14 EAST IDAHO ORTHOPAEDICS PLLC 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLS, ID, 83404

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing ANDREW FIEDERLEIN
Valid signature Filed with authorized/valid electronic signature
EAST IDAHO ORTHOPAEDICS 401(K) PLAN 2023 812293923 2024-10-14 EAST IDAHO ORTHOPAEDICS PLLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLLS, ID, 83404

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing ANDREW FIEDERLEIN
Valid signature Filed with authorized/valid electronic signature
EAST IDAHO ORTHOPAEDICS 401(K) PLAN 2022 812293923 2023-10-08 EAST IDAHO ORTHOPAEDICS PLLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLLS, ID, 83404

Signature of

Role Plan administrator
Date 2023-10-08
Name of individual signing ANDREW FIEDERLEIN
Valid signature Filed with authorized/valid electronic signature
EAST IDAHO ORTHOPAEDICS CASH BALANCE PLAN 2022 812293923 2023-10-08 EAST IDAHO ORTHOPAEDICS PLLC 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLS, ID, 83404

Signature of

Role Plan administrator
Date 2023-10-08
Name of individual signing ANDREW FIEDERLEIN
Valid signature Filed with authorized/valid electronic signature
EAST IDAHO ORTHOPAEDICS CASH BALANCE PLAN 2021 812293923 2022-10-05 EAST IDAHO ORTHOPAEDICS PLLC 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLS, ID, 83404

Signature of

Role Plan administrator
Date 2022-10-05
Name of individual signing ANGIE KRUEGER
Valid signature Filed with authorized/valid electronic signature
EAST IDAHO ORTHOPAEDICS 401(K) PLAN 2021 812293923 2022-09-16 EAST IDAHO ORTHOPAEDICS PLLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLLS, ID, 83404

Signature of

Role Plan administrator
Date 2022-09-16
Name of individual signing NATHAN CARLSON
Valid signature Filed with authorized/valid electronic signature
EAST IDAHO ORTHOPAEDICS 401(K) PLAN 2020 812293923 2021-08-31 EAST IDAHO ORTHOPAEDICS PLLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLLS, ID, 83404
EAST IDAHO ORTHOPAEDICS CASH BALANCE PLAN 2020 812293923 2021-10-08 EAST IDAHO ORTHOPAEDICS PLLC 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLS, ID, 83404
EAST IDAHO ORTHOPAEDICS CASH BALANCE PLAN 2019 812293923 2020-10-13 EAST IDAHO ORTHOPAEDICS PLLC 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLS, ID, 83404
EAST IDAHO ORTHOPAEDICS 401(K) PLAN 2019 812293923 2020-09-29 EAST IDAHO ORTHOPAEDICS PLLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2085354567
Plan sponsor’s address 3405 MERLIN DRIVE, IDAHO FALLLS, ID, 83404

Agent

Name Role Address
JARED W ALLEN Agent BEARD ST CLAIR GAFFNEY, PA, 955 PIER VIEW DRIVE, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
Alexis Bergeson Manager 3405 MERLIN DR, IDAHO FALLS, ID 83404 2021-03-11
Amund Evans Manager 2210 CORONADO ST, IDAHO FALLS, ID 83404 2024-03-05

Filing

Filing Name Filing Number Filing date
Annual Report 0005635570 2024-03-05
Annual Report 0005139645 2023-03-06
Annual Report 0004630162 2022-03-03
Statement of Change of Business Mailing Address 0004477370 2021-11-03
Annual Report 0004205172 2021-03-11
Amendment to Certificate 0003842837 2020-04-10
Annual Report 0003804801 2020-03-06
Annual Report 0003519790 2019-05-21
Annual Report 0003064491 2018-03-01
Statement of Change of Business Mailing Address 0003064489 2017-08-07

Date of last update: 22 Dec 2024

Sources: Idaho Secretary of State