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  5. ROCKY MOUNTAIN PHYSICIAN GROUP, LLC

ROCKY MOUNTAIN PHYSICIAN GROUP, LLC

Company Details

Name: ROCKY MOUNTAIN PHYSICIAN GROUP, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 Nov 2017 (7 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 578563
Place of Formation: IDAHO
File Number: 578563
ZIP code: 83201
County: Bannock County
Principal Address: EMERGENCY DEPT 777 HOSPITAL WAY POCATELLO, ID 83201
Mailing Address: EMERGENCY DEPARTMENT 777 HOSPITAL WAY POCATELLO, ID 83201-5175

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
C5DRER27N984 2024-12-05 777 HOSPITAL WAY, POCATELLO, ID, 83201, 5175, USA PO BOX 15490, SCOTTSDALE, AZ, 85267, 5490, USA

Business Information
Doing Business As ROCKY MOUNTAIN PHYSICIAN GROUP LLC
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2023-12-08
Initial Registration Date 2023-12-06
Entity Start Date 2017-11-17
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DANIEL DALLON
Role OWNER
Address PO BOX 15490, SCOTTSDALE, AZ, 85267, 5490, USA
Government Business
Title PRIMARY POC
Name DANIEL DALLON
Role OWNER
Address PO BOX 15490, SCOTTSDALE, AZ, 85267, 5490, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 401(K) PLAN 2023 823920656 2024-10-15 ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2082391801
Plan sponsor’s address 777 HOSPITAL WAY, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JORDON MARSHALL
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 401(K) PLAN 2023 823920656 2024-10-15 ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2082391801
Plan sponsor’s address 777 HOSPITAL WAY, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JORDON MARSHALL
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 401(K) PLAN 2022 823920656 2023-10-11 ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 15
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2082391801
Plan sponsor’s address 777 HOSPITAL WAY, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing JORDON MARSHALL
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 401(K) PLAN 2022 823920656 2024-10-15 ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2082391801
Plan sponsor’s address 777 HOSPITAL WAY, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JORDON MARSHALL
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 401(K) PLAN 2021 823920656 2024-10-15 ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2082391801
Plan sponsor’s address 777 HOSPITAL WAY, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JORDON MARSHALL
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 401(K) PLAN 2020 823920656 2021-10-12 ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2082391801
Plan sponsor’s address 777 HOSPITAL WAY, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing JEREMY MONROE
Valid signature Filed with authorized/valid electronic signature
ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 401(K) PLAN 2019 823920656 2020-10-07 ROCKY MOUNTAIN PHYSICIAN GROUP, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2082391801
Plan sponsor’s address 777 HOSPITAL WAY, POCATELLO, ID, 83201

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing JEREMY MONROE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAN DALLON MD Agent EMERGENCY DEPT, 777 HOSPITAL WAY, POCATELLO, ID 83201

Manager

Name Role Address Appointed On
Daniel Dallon Manager 777 HOSPITAL WAY, POCATELLO, ID 83201 2021-10-10
Daniel Dallon MD Manager 777 HOSPITAL WAY, POCATELLO, ID 83201 2020-10-11

Filing

Filing Name Filing Number Filing date
Annual Report 0005919823 2024-10-03
Annual Report 0005420008 2023-10-03
Annual Report 0004991601 2022-11-12
Annual Report 0004442955 2021-10-10
Annual Report 0004029907 2020-10-11
Annual Report 0003633548 2019-10-01
Annual Report 0003336265 2018-10-25
Initial Filing 0000578563 2017-11-17

Related by officers

Daniel Dallon

ROCKY MOUNTAIN EMERGENCY PHYSICIANS, L.L.C. DANIEL DALLON, PLLC

Related by address

No related companies by address

Date of last update: 26 Dec 2024

Sources: Idaho Secretary of State

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