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High Desert Heart & Vascular, PLLC

Company Details

Name: High Desert Heart & Vascular, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Jan 2023 (2 years ago)
Financial Date End: 31 Jan 2025
Entity Number: 5078993
Place of Formation: IDAHO
File Number: 860009
ZIP code: 83704
County: Ada County
Principal Address: DANIEL NOONAN, MD 8950 WEST EMERALD STREET BOISE, ID 83704
Mailing Address: DANIEL NOONAN, MD 8950 W EMERALD ST BOISE, ID 83704-4854

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGH DESERT HEART 401(K) PLAN 2023 923461840 2024-09-05 HIGH DESERT HEART & VASCULAR, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-06-05
Business code 621111
Sponsor’s telephone number 2083984306
Plan sponsor’s address 3015 E GOLDSTONE, STE. 230, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2024-09-05
Name of individual signing FREDERICK COSTELLO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Daniel KP Noonan Agent 8854 WEST EMERALD STREET, BOISE, ID 83704

Member

Name Role Address Appointed On
Joshua Mozes Member 8854 WEST EMERALD STREET, BOISE, ID 83704 2024-01-11
David Hinchman Member 8854 WEST EMERALD STREET, BOISE, ID 83704 2024-01-11
Fredrick Costello Member 8854 W EMERALD ST, BOISE, ID 83704 2024-01-11

Manager

Name Role Address Appointed On
Daniel KP Noonan Manager 8854 WEST EMERALD STREET, BOISE, ID 83704 2023-02-15

Filing

Filing Name Filing Number Filing date
Annual Report 0005559551 2024-01-11
Amendment to Certificate 0005116717 2023-02-15
Initial Filing 0005078993 2023-01-24

Date of last update: 07 Jan 2025

Sources: Idaho Secretary of State