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VISION QUEST MEDICAL CENTER, P.A.

Company Details

Name: VISION QUEST MEDICAL CENTER, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Jun 2017 (8 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 631793
Place of Formation: IDAHO
File Number: 631793
ZIP code: 83706
County: Ada County
Mailing Address: 5680 W GAGE ST BOISE, ID 83706-1326

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VISION QUEST MEDICAL CENTER, P.A. RETIREMENT AND PROFIT SHARING PLAN 2023 822064279 2024-09-24 VISION QUEST MEDICAL CENTER, P.A. 31
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621320
Sponsor’s telephone number 2083373997
Plan sponsor’s address 5680 WEST GAGE ST., BOISE, ID, 86706

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing JACOB MONG
Valid signature Filed with authorized/valid electronic signature
VISION QUEST MEDICAL CENTER, P.A. RETIREMENT AND PROFIT SHARING PLAN 2022 822064279 2023-05-08 VISION QUEST MEDICAL CENTER, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621320
Sponsor’s telephone number 2083373997
Plan sponsor’s address 5680 WEST GAGE ST., BOISE, ID, 86706

Signature of

Role Plan administrator
Date 2023-05-08
Name of individual signing JACOB MONG
Valid signature Filed with authorized/valid electronic signature
VISION QUEST MEDICAL CENTER, P.A. RETIREMENT AND PROFIT SHARING PLAN 2021 822064279 2022-10-14 VISION QUEST MEDICAL CENTER, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621320
Sponsor’s telephone number 2083373997
Plan sponsor’s address 5680 WEST GAGE ST., BOISE, ID, 86706

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing JACOB MONG
Valid signature Filed with authorized/valid electronic signature
VISION QUEST MEDICAL CENTER, P.A. RETIREMENT AND PROFIT SHARING PLAN 2020 822064279 2021-10-08 VISION QUEST MEDICAL CENTER, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621320
Sponsor’s telephone number 2083373997
Plan sponsor’s address 5680 WEST GAGE ST., BOISE, ID, 86706

Signature of

Role Plan administrator
Date 2021-10-08
Name of individual signing JACOB MONG
Valid signature Filed with authorized/valid electronic signature
VISION QUEST MEDICAL CENTER, P.A. RETIREMENT AND PROFIT SHARING PLAN 2019 822064279 2020-10-14 VISION QUEST MEDICAL CENTER, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621320
Sponsor’s telephone number 2083373997
Plan sponsor’s address 5680 WEST SAGE ST., BOISE, ID, 86706

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing JACOB MONG
Valid signature Filed with authorized/valid electronic signature
VISION QUEST MEDICAL CENTER, P.A. RETIREMENT AND PROFIT SHARING PLAN 2018 822064279 2019-10-15 VISION QUEST MEDICAL CENTER, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621320
Sponsor’s telephone number 2083373997
Plan sponsor’s address 5680 WEST SAGE ST., BOISE, ID, 86706

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing JACOB MONG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JACOB A MONG DO Agent 5680 GAGE ST, BOISE, ID 83706

Secretary

Name Role Address Appointed On
LEAH MONG Secretary 2395 W CONIFER, EAGLE, ID 83616 2024-05-06

President

Name Role Address Appointed On
JACOB MONG President 5680 W GAGE ST, BOISE, ID 83706 2020-07-06

Filing

Filing Name Filing Number Filing date
Annual Report 0005725840 2024-05-06
Annual Report 0005220904 2023-05-03
Annual Report 0004725179 2022-05-03
Annual Report 0004264292 2021-05-03
Annual Report 0003930898 2020-07-06
Annual Report 0003518096 2019-05-20
Annual Report 0003302741 2018-04-23
Legacy Amendment 0000940334 2017-09-11
Change of Registered Office/Agent/Both (by Entity) 0003302740 2017-07-20
Legacy Amendment 0000940335 2017-07-11

Date of last update: 29 Dec 2024

Sources: Idaho Secretary of State