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  5. NAGRAJ NARASIMHAN, M.D., P.A.

NAGRAJ NARASIMHAN, M.D., P.A.

Company Details

Name: NAGRAJ NARASIMHAN, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 31 May 2007 (18 years ago)
Financial Date End: 31 May 2020
Date dissolved: 05 Aug 2020
Entity Number: 525034
Place of Formation: IDAHO
File Number: 525034
ZIP code: 83301
County: Twin Falls County
Mailing Address: STE D 746 N COLLEGE RD TWIN FALLS, ID 83301-3486

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2019 870807980 2020-10-14 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2083202402
Plan sponsor’s address 193 VERMONT AVE., TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2018 870807980 2019-07-09 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-09
Name of individual signing NAGRAJ NARASIMHAN
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2017 870807980 2018-10-02 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2016 870807980 2017-10-02 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2017-09-30
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-30
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2015 870807980 2016-09-14 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2014 870807980 2015-10-15 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2013 870807980 2014-10-03 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-03
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2012 870807980 2013-07-30 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2011 870807980 2012-09-12 NAGRAJ NARASIMHAN, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 870807980
Plan administrator’s name NAGRAJ NARASIMHAN, M.D., P.A.
Plan administrator’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087349587

Signature of
Role Plan administrator
Date 2012-09-12
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-12
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature
NAGRAJ NARASIMHAN, M.D., P.A. RETIREMENT PLAN 2010 870807980 2011-10-17 NAGRAJ NARASIMHAN, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2087349587
Plan sponsor’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301

Plan administrator’s name and address
Administrator’s EIN 870807980
Plan administrator’s name NAGRAJ NARASIMHAN, M.D., P.A.
Plan administrator’s address 833 MORNING SUN DRIVE, TWIN FALLS, ID, 83301
Administrator’s telephone number 2087349587

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing NAGRAJ NARASIMHAN, MD PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing NAGRAJ NARASIMHAN, MD, PA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JUDSON B MONTGOMERY Agent 601 W BANNOCK ST, BOISE, ID 83702

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003959380 2020-08-05
Annual Report 0003529212 2019-06-02
Annual Report 0003126548 2018-05-20
Annual Report 0003126546 2017-06-20
Annual Report 0003126545 2016-06-23
Annual Report 0003126544 2015-06-22
Annual Report 0003126543 2014-04-08
Annual Report 0003126542 2013-05-30
Annual Report 0003126541 2012-03-20
Annual Report 0003126538 2011-03-30

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Date of last update: 23 Dec 2024

Sources: Idaho Secretary of State

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