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  5. SARAH VLACH MD PC

SARAH VLACH MD PC

Company Details

Name: SARAH VLACH MD PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 03 Dec 2007 (17 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 532942
Place of Formation: IDAHO
File Number: 532942
ZIP code: 83455
County: Teton County
Mailing Address: MARK HOLBROOK 1132 LODGE POLE LN VICTOR, ID 83455-5263

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SARAH VLACH MD, PC 401(K) PLAN 2019 261492548 2020-06-26 SARAH VLACH MD, PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2085690504
Plan sponsor’s address 2730 HOMESTEAD LANE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2020-06-26
Name of individual signing MARK HOLBROOK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-26
Name of individual signing SARAH VLACH
Valid signature Filed with authorized/valid electronic signature
SARAH VLACH MD, PC 401(K) PLAN 2018 261492548 2019-06-26 SARAH VLACH MD, PC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2085690504
Plan sponsor’s address 2730 HOMESTEAD LANE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing MARK HOLBROOK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-26
Name of individual signing SARAH VLACH
Valid signature Filed with authorized/valid electronic signature
SARAH VLACH MD, PC 401(K) PLAN 2017 261492548 2018-05-30 SARAH VLACH MD, PC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2085690504
Plan sponsor’s address 2730 HOMESTEAD LANE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2018-05-30
Name of individual signing MARK HOLBROOK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-30
Name of individual signing SARAH VLACH
Valid signature Filed with authorized/valid electronic signature
SARAH VLACHMD, PC 401(K) PLAN 2016 261492548 2017-07-18 SARAH VLACH MD, PC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2085690504
Plan sponsor’s address 2730 HOMESTEAD LANE, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing MARK HOLBROOK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing MARK HOLBROOK
Valid signature Filed with authorized/valid electronic signature
SARAH VLACHMD, PC 401(K) PLAN 2015 261492548 2016-06-21 SARAH VLACH MD, PC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2085354343
Plan sponsor’s address 3155 CHANNING WAY, SUITE A, IDAHO FALLS, ID, 83404

Signature of
Role Plan administrator
Date 2016-06-20
Name of individual signing MARK HOLBROOK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-20
Name of individual signing SARAH VLACH MD PC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARK HOLBROOK Agent 1132 LODGE POLE LN, VICTOR, ID 83455

President

Name Role Address Appointed On
Sarah Vlach A Holbrook President 2730 HOMESTEAD LN, IDAHO FALLS, ID 83404-7149 2020-11-04
Mark A Holbrook President 1132 LODGE POLE LN, VICTOR, ID 83455 2024-11-03

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0005991090 2024-11-21
Annual Report 0005958187 2024-11-03
Statement of Change of Business Mailing Address 0005880580 2024-09-03
Annual Report 0005463591 2023-11-05
Annual Report 0004968847 2022-11-03
Annual Report 0004477712 2021-11-03
Annual Report 0004051986 2020-11-04
Annual Report 0003665420 2019-11-04
Annual Report 0003372976 2018-12-17
Application for Reinstatement 0003145176 2017-06-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7990967708 2020-05-01 1087 PPP 2730 Homestead Ln, Idaho Falls, ID, 83404
Loan Status Date 2020-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 81200
Loan Approval Amount (current) 81200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Idaho Falls, BONNEVILLE, ID, 83404-1200
Project Congressional District ID-02
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 76129.6
Forgiveness Paid Date 2020-10-19

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Related by address

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Date of last update: 10 Apr 2025

Sources: Idaho Secretary of State

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