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  5. STODDARD MEDICAL, INC.

STODDARD MEDICAL, INC.

Company Details

Name: STODDARD MEDICAL, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Sep 2007 (17 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 529517
Place of Formation: IDAHO
File Number: 529517
ZIP code: 83201
County: Bannock County
Mailing Address: 1685 GRANITE DR POCATELLO, ID 83201-8023

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STODDARD MEDICAL 401(K) PLAN 2021 900340231 2022-10-17 STODDARD MEDICAL, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing EARL STODDARD
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2019 900340231 2020-08-19 STODDARD MEDICAL, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2020-08-19
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-19
Name of individual signing EARL STODDARD
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2018 900340231 2019-09-18 STODDARD MEDICAL, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2017 900340231 2018-10-03 STODDARD MEDICAL, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-03
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2016 900340231 2017-07-28 STODDARD MEDICAL, INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2015 900340231 2016-07-11 STODDARD MEDICAL, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2014 900340231 2015-08-03 STODDARD MEDICAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2015-08-03
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2013 900340231 2014-11-04 STODDARD MEDICAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2014-10-29
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-30
Name of individual signing EARL R. STODDARD
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2012 900340231 2013-06-19 STODDARD MEDICAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing EARL R. STODDARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-18
Name of individual signing IDAHO SKIN INSTITUTE
Valid signature Filed with authorized/valid electronic signature
STODDARD MEDICAL 401(K) PLAN 2011 900340231 2012-06-18 STODDARD MEDICAL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-06-15
Business code 621111
Sponsor’s telephone number 2082387546
Plan sponsor’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202

Plan administrator’s name and address
Administrator’s EIN 900340231
Plan administrator’s name STODDARD MEDICAL
Plan administrator’s address 147 W CHUBBUCK RD, SUITE A, POCATELLO, ID, 83202
Administrator’s telephone number 2082387546

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing RALENE REDFORD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
EARL L STODDARD MD Agent 147 W CHUBBUCK RD, POCATELLO, ID 83202

Director

Name Role Address Appointed On
Stoddard Medical, Inc Director 147 W CHUBBUCK RD, CHUBBUCK, ID 83202 2020-09-02

Filing

Filing Name Filing Number Filing date
Annual Report 0005878284 2024-09-03
Statement of Change of Business Mailing Address 0005615251 2024-02-27
Annual Report 0005381625 2023-09-05
Annual Report 0004884541 2022-09-06
Annual Report 0004370735 2021-08-05
Annual Report 0003990887 2020-09-02
Annual Report 0003615544 2019-09-05
Annual Report 0003137259 2018-09-04
Annual Report 0003137257 2017-08-07
Annual Report 0003137256 2016-07-29

Related by officers

No related officers

Related by address

1685 GRANITE DR POCATELLO, ID 83201-8023

E & B STODDARD PROPERTIES LLC EB STODDARD MEDICAL LLC

Date of last update: 24 Dec 2024

Sources: Idaho Secretary of State

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