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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

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: 23 Dec 2024

Sources: Idaho Secretary of State

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