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ALPINE DERMATOLOGY CLINIC, P.C.

Company Details

Name: ALPINE DERMATOLOGY CLINIC, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 03 Dec 2008 (16 years ago)
Financial Date End: 31 Dec 2024
Entity Number: 547491
Place of Formation: IDAHO
File Number: 547491
ZIP code: 83440
County: Madison County
Mailing Address: 1049 SUMMERS DR REXBURG, ID 83440-5335

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2023 263855838 2024-09-26 ALPINE DERMATOLOGY CLINIC, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2022 263855838 2023-07-19 ALPINE DERMATOLOGY CLINIC, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2021 263855838 2022-10-13 ALPINE DERMATOLOGY CLINIC, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2020 263855838 2021-10-12 ALPINE DERMATOLOGY CLINIC, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2019 263855838 2020-10-07 ALPINE DERMATOLOGY CLINIC, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2018 263855838 2019-10-03 ALPINE DERMATOLOGY CLINIC, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2017 263855838 2018-07-26 ALPINE DERMATOLOGY CLINIC, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2016 263855838 2017-08-02 ALPINE DERMATOLOGY CLINIC, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2015 263855838 2016-10-03 ALPINE DERMATOLOGY CLINIC, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 1049 SUMMERS DR., REXBURG, ID, 83440
ALPINE DERMATOLOGY CLINIC, P.C. 401(K) PLAN 2014 263855838 2015-09-21 ALPINE DERMATOLOGY CLINIC, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2083594841
Plan sponsor’s address 393 EAST 2ND NORTH, REXBURG, ID, 83440

Agent

Name Role Address
Daniel Marshall Agent 1049 SUMMERS DRIVE, REXBURG, ID 83440

President

Name Role Address Appointed On
Daniel R Marshall President 949 N 12TH W, REXBURG, ID 83440-5015 2021-01-15

Secretary

Name Role Address Appointed On
Pauline Marshall Secretary 949 N 12TH W, REXBURG, ID 83440-5015 2023-12-01

Filing

Filing Name Filing Number Filing date
Annual Report 0005492020 2023-12-01
Annual Report 0004996585 2022-11-18
Annual Report 0004566702 2022-01-12
Annual Report 0004135662 2021-01-15
Annual Report 0003702664 2019-12-09
Application for Reinstatement 0003178141 2018-05-01
Application for Reinstatement 0000928428 2018-04-11
Annual Report 0003178140 2017-01-09
Annual Report 0003178139 2016-01-18
Annual Report 0003178138 2015-01-07

Date of last update: 24 Dec 2024

Sources: Idaho Secretary of State