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  5. COUNTRYSIDE VETERINARY HOSPITAL, P.C.

COUNTRYSIDE VETERINARY HOSPITAL, P.C.

Company Details

Name: COUNTRYSIDE VETERINARY HOSPITAL, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 19 Jun 2006 (19 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 507728
Place of Formation: IDAHO
File Number: 507728
ZIP code: 83404
County: Bonneville County
Mailing Address: 3120 S WOODRUFF AVE IDAHO FALLS, ID 83404-8310

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2023 205073657 2024-03-25 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2024-03-25
Name of individual signing NATHAN ROLSTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-25
Name of individual signing NATHAN ROLSTON
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2022 205073657 2023-04-13 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2023-04-13
Name of individual signing NATHAN ROLSTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-13
Name of individual signing NATHAN ROLSTON
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2021 205073657 2022-03-16 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2022-03-16
Name of individual signing NATHAN ROLSTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-16
Name of individual signing NATHAN ROLSTON
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2020 205073657 2021-02-10 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2021-02-10
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-10
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2019 205073657 2020-05-14 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-14
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2018 205073657 2019-07-17 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2019-07-17
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-17
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2017 205073657 2018-07-16 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-16
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2016 205073657 2017-04-26 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2017-04-26
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-26
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2015 205073657 2016-08-19 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2016-08-19
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-19
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
COUNTRYSIDE VETERINARY HOSPITAL PC 401K 2014 205073657 2015-10-05 COUNTRYSIDE VETERINARY HOSPITAL, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 541940
Sponsor’s telephone number 2085228010
Plan sponsor’s address 3120 SOUTH WOODRUFF AVE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-05
Name of individual signing BRAD FRANCIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Nathan K Rolston Agent 3120 S WOODRUFF AVE, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On
Nathan Rolston President 3120 S WOODRUFF AVE, IDAHO FALLS, ID 83404 2021-05-04

Filing

Filing Name Filing Number Filing date
Annual Report 0005721483 2024-05-03
Annual Report 0005218813 2023-05-03
Annual Report Amendment 0004726411 2022-05-03
Annual Report 0004726372 2022-05-03
Annual Report 0004267264 2021-05-04
Annual Report 0003873874 2020-05-11
Annual Report 0003545536 2019-06-19
Annual Report 0003082540 2018-05-02
Annual Report 0003082539 2017-04-27
Annual Report 0003082538 2016-04-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1421667105 2020-04-10 1087 PPP 3120 S Woodruff Ave, IDAHO FALLS, ID, 83404-8310
Loan Status Date 2021-02-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 129900
Loan Approval Amount (current) 129800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20158
Servicing Lender Name Bank of Idaho
Servicing Lender Address 399 N Capital Ave, IDAHO FALLS, ID, 83402-3632
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address IDAHO FALLS, BONNEVILLE, ID, 83404-8310
Project Congressional District ID-02
Number of Employees 19
NAICS code 541940
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 20158
Originating Lender Name Bank of Idaho
Originating Lender Address IDAHO FALLS, ID
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 130809.95
Forgiveness Paid Date 2021-02-01

Related by officers

No related officers

Related by address

3120 S WOODRUFF AVE IDAHO FALLS, ID 83404-8310

FRANCIS & ROLSTON, P.L.L.C.

Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State

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