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SAND HOLLOW, INC.

Company Details

Name: SAND HOLLOW, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 22 Aug 2012 (12 years ago)
Financial Date End: 31 Aug 2024
Date dissolved: 15 Nov 2024
Entity Number: 590626
Place of Formation: IDAHO
File Number: 590626
ZIP code: 83713
County: Ada County
Mailing Address: ATTN: RAY JENSEN 4619 N MARYLEBONE PL BOISE, ID 83713-2455

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAND HOLLOW INC. 401K 2022 460869079 2023-02-25 SAND HOLLOW INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-11-04
Business code 424990
Sponsor’s telephone number 2082838176
Plan sponsor’s DBA name R&R HARDWOOD DISTRIBTORS, LLC
Plan sponsor’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Signature of

Role Plan administrator
Date 2023-02-25
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-25
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC 401K PLAN 2021 460869078 2023-02-28 SAND HOLLOW INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-23
Business code 423300
Sponsor’s telephone number 2082838176
Plan sponsor’s mailing address 4619 N MARYLEBONE PL, BOISE, ID, 837132455
Plan sponsor’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Number of participants as of the end of the plan year

Active participants 1
Number of participants with account balances as of the end of the plan year 1

Signature of

Role Plan administrator
Date 2023-02-28
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-28
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC. 401K 2021 460869079 2023-02-24 SAND HOLLOW INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-11-04
Business code 424990
Sponsor’s telephone number 2082838176
Plan sponsor’s DBA name R&R HARDWOOD DISTRIBTORS, LLC
Plan sponsor’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Signature of

Role Plan administrator
Date 2023-02-24
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-24
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC 401K PLAN 2020 460869078 2022-04-27 SAND HOLLOW INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-23
Business code 423300
Sponsor’s telephone number 2082838176
Plan sponsor’s mailing address N MARYLEBONE PL, 4619 N MARYLEBONE PL, BOISE, ID, 837132455
Plan sponsor’s address N MARYLEBONE PL, 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 1

Signature of

Role Plan administrator
Date 2022-04-27
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-27
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC 401K PLAN 2020 460869078 2022-04-27 SAND HOLLOW INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2012-08-23
Business code 423300
Sponsor’s telephone number 2082838176
Plan sponsor’s DBA name TECH SYSTEMS INTERNATIONAL
Plan sponsor’s mailing address N MARYLEBONE PL, 4619 N MARYLEBONE PL, BOISE, ID, 837132455
Plan sponsor’s address N MARYLEBONE PL, 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 1

Signature of

Role Plan administrator
Date 2022-04-27
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-27
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC. 401K 2020 460869079 2022-01-12 SAND HOLLOW INC. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-11-04
Business code 424990
Sponsor’s telephone number 2082838176
Plan sponsor’s DBA name R&R HARDWOOD DISTRIBUTORS, LLC
Plan sponsor’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Plan administrator’s name and address

Administrator’s EIN 460869079
Plan administrator’s name RAY L JENSEN
Plan administrator’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455
Administrator’s telephone number 2082838176

Signature of

Role Plan administrator
Date 2022-01-12
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-12
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC 401K PLAN 2019 460869079 2022-04-27 SAND HOLLOW INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-23
Business code 423300
Sponsor’s telephone number 2082838176
Plan sponsor’s mailing address 4619 N MARYLEBONE PL, BOISE, ID, 837132455
Plan sponsor’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 1

Signature of

Role Plan administrator
Date 2022-04-27
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-27
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC 401K PLAN 2019 460869079 2022-04-26 SAND HOLLOW INC. 1
Three-digit plan number (PN) 001
Effective date of plan 2012-08-23
Business code 423300
Sponsor’s telephone number 2082838176
Plan sponsor’s mailing address 4619 N MARYLEBONE PL, BOISE, ID, 837132455
Plan sponsor’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Number of participants as of the end of the plan year

Active participants 1
Number of participants with account balances as of the end of the plan year 1

Signature of

Role Plan administrator
Date 2022-04-26
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-26
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC. 401K 2019 460869079 2022-01-11 SAND HOLLOW INC. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-11-04
Business code 424990
Sponsor’s telephone number 2082838176
Plan sponsor’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Signature of

Role Plan administrator
Date 2022-01-11
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-11
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
SAND HOLLOW INC 401K PLAN 2018 460869079 2020-02-06 SAND HOLLOW, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-23
Business code 423300
Sponsor’s telephone number 2082838176
Plan sponsor’s mailing address 4619 N MARYLEBONE PL, BOISE, ID, 837132455
Plan sponsor’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455

Plan administrator’s name and address

Administrator’s EIN 460869079
Plan administrator’s name SAND HOLLOW, INC
Plan administrator’s address 4619 N MARYLEBONE PL, BOISE, ID, 837132455
Administrator’s telephone number 2082838176

Number of participants as of the end of the plan year

Active participants 3

Signature of

Role Plan administrator
Date 2020-02-06
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-06
Name of individual signing RAY JENSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAY LELAND JENSEN Agent 4619 N MARYLEBONE, BOISE, ID 83713

Director

Name Role Address Appointed On
Ray L Jensen Director 4619 NORTH MARYLEBONE PL, BOISE, ID 83713 2020-07-17
Charlotte E Jensen Director 4619 NORTH MARYLEBONE PL, BOISE, ID 83713 2023-08-07

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005984193 2024-11-15
Annual Report 0005355992 2023-08-07
Annual Report 0004883971 2022-09-05
Annual Report 0004336112 2021-07-07
Annual Report 0003942448 2020-07-17
Annual Report 0003580246 2019-07-26
Annual Report 0003256454 2018-07-17
Annual Report 0003256453 2017-06-29
Annual Report 0003256452 2016-06-18
Annual Report 0003256451 2015-09-14

Date of last update: 27 Dec 2024

Sources: Idaho Secretary of State