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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 2026
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 SUITE 230 3015 E GOLDSTONE DR MERIDIAN, ID 83642

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 3015 E GOLDSTONE DR SUITE 230, DANIEL NOONAN, MERIDIAN, ID 83642

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 0006070382 2025-01-14
Annual Report 0005559551 2024-01-11
Amendment to Certificate 0005116717 2023-02-15
Initial Filing 0005078993 2023-01-24

Date of last update: 02 Mar 2025

Sources: Idaho Secretary of State