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SOUTHERN IDAHO RADIOLOGY, PLLC

Company Details

Name: SOUTHERN IDAHO RADIOLOGY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Dec 2016 (8 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 531959
Place of Formation: IDAHO
File Number: 531959
ZIP code: 83301
County: Twin Falls County
Principal Address: 834 FALLS AVE STE 1020-D TWIN FALLS, ID 83301
Mailing Address: STE 100 225 CANYON CREST DR TWIN FALLS, ID 83301-4888

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN IDAHO RADIOLOGY PA 401(K) PROFIT SHARING PLAN 2023 814523495 2024-10-14 SOUTHERN IDAHO RADIOLOGY PLLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087336400
Plan sponsor’s address 225 CANYON CREST DR STE 100, TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2024-10-13
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-13
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO RADIOLOGY PA 401(K) PROFIT SHARING PLAN 2022 814523495 2023-10-11 SOUTHERN IDAHO RADIOLOGY PLLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087336400
Plan sponsor’s address 225 CANYON CREST DR STE 100, TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO RADIOLOGY PA 401(K) PROFIT SHARING PLAN 2021 814523495 2022-10-07 SOUTHERN IDAHO RADIOLOGY PLLC 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Plan sponsor’s address 225 CANYON CREST DR STE 100, TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-07
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO RADIOLOGY PA 401(K) PROFIT SHARING PLAN 2020 814523495 2021-10-12 SOUTHERN IDAHO RADIOLOGY PLLC 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Plan sponsor’s address 225 CANYON CREST DR STE 100, TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO RADIOLOGY PA 401(K) PROFIT SHARING PLAN 2019 824523495 2020-10-13 SOUTHERN IDAHO RADIOLOGY PLLC 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087336400
Plan sponsor’s address 225 CANYON CREST DR STE 100, TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing JOSHUA HALL
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO RADIOLOGY PA 401(K) PROFIT SHARING PLAN 2018 824523495 2019-10-14 SOUTHERN IDAHO RADIOLOGY PLLC 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087336400
Plan sponsor’s address 834 FALLS AVE STE 1020D, TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing CAMERON EVANS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing CAMERON EVANS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IDAHO RADIOLOGY PA 401(K) PROFITSHARING PLAN 2017 824523495 2018-10-08 SOUTHERN IDAHO RADIOLOGY PLLC 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2087336400
Plan sponsor’s address 834 FALLS AVE STE 1020-D, TWIN FALLS, ID, 83301

Signature of

Role Plan administrator
Date 2018-10-08
Name of individual signing CAMERON EVANS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-08
Name of individual signing CAMERON EVANS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOSHUA E HALL Agent 225 CANYON CREST DR, STE 100, TWIN FALLS, ID 83301

Manager

Name Role Address Appointed On
JOSHUA E HALL MD PA Manager 225 CANYON CREST DR, TWIN FALLS, ID 83301 2020-12-08

Member

Name Role Address Appointed On Resigned On
DANIEL C ALDER MD PA Member 225 CANYON CREST DR, TWIN FALLS, ID 83301 2024-01-06 2024-01-06
JAMES M DUNN MD PLLC Member 225 CANYON CREST DR, TWIN FALLS, ID 83301 2024-01-06 2024-01-06
STELLAR RADIOLOGY PLLC Member 225 CANYON CREST DR, TWIN FALLS, ID 83301 2024-01-06 2024-01-06
CREIGHTON LEWIS MD PLLC Member 3294 WOODRIDGE DRIVE, TWIN FALLS, ID 83301 2024-01-06 No data
PETER HINCKLEY MD PLLC Member 2897 SUN MOUNTAIN DRIVE, TWIN FALLS, ID 83301 2024-01-06 No data
WESTWOOD COMPANY LLC Member 225 CANYON CREST DR STE 100, TWIN FALLS, ID 83301 2024-01-06 2024-01-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005960765 2024-11-04
Annual Report 0005545562 2024-01-06
Annual Report 0005045516 2023-01-03
Annual Report 0004479802 2021-11-03
Annual Report 0004094412 2020-12-08
Annual Report 0003796307 2020-03-03
Annual Report 0003364693 2018-12-06
Annual Report 0003142920 2018-01-12
Initial Filing 0000531959 2016-12-16

Date of last update: 24 Dec 2024

Sources: Idaho Secretary of State