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WEST VALLEY MEDICAL ASSOCIATES INC

Company Details

Name: WEST VALLEY MEDICAL ASSOCIATES INC
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 16 Nov 2017 (7 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 633222
Place of Formation: IDAHO
File Number: 633222
Mailing Address: PO BOX 45789 BOISE, ID 83711-5789

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEST VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2023 823448311 2024-07-23 WEST VALLEY MEDICAL ASSOCIATES INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 621111
Sponsor’s telephone number 2088102315
Plan sponsor’s address P.O. BOX 45789, BOISE, ID, 83711

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing RICHARD AUGUSTUS
Valid signature Filed with authorized/valid electronic signature
WEST VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2022 823448311 2023-07-20 WEST VALLEY MEDICAL ASSOCIATES INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 621111
Sponsor’s telephone number 2088102315
Plan sponsor’s address 3080 EAST GENTRY WAY, SUITE 100, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2023-07-20
Name of individual signing RICHARD AUGUSTUS
Valid signature Filed with authorized/valid electronic signature
WEST VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2021 823448311 2022-07-26 WEST VALLEY MEDICAL ASSOCIATES INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 621111
Sponsor’s telephone number 2088102315
Plan sponsor’s address 3080 EAST GENTRY WAY, SUITE 100, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing RICHARD AUGUSTUS
Valid signature Filed with authorized/valid electronic signature
WEST VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2020 823448311 2021-07-09 WEST VALLEY MEDICAL ASSOCIATES INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 621111
Sponsor’s telephone number 2088102315
Plan sponsor’s address 3080 EAST GENTRY WAY, SUITE 100, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2021-07-09
Name of individual signing RICHARD AUGUSTUS
Valid signature Filed with authorized/valid electronic signature
WEST VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2019 823448311 2020-07-20 WEST VALLEY MEDICAL ASSOCIATES INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 621111
Sponsor’s telephone number 2088102315
Plan sponsor’s address 3080 EAST GENTRY WAY, SUITE 100, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2020-07-20
Name of individual signing RICHARD AUGUSTUS
Valid signature Filed with authorized/valid electronic signature
WEST VALLEY MEDICAL ASSOCIATES 401(K) PLAN 2018 823448311 2019-10-02 WEST VALLEY MEDICAL ASSOCIATES INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-05-01
Business code 621111
Sponsor’s telephone number 2088102315
Plan sponsor’s address 3080 EAST GENTRY WAY, SUITE 100, MERIDIAN, ID, 83642

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing RICHARD AUGUSTUS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RICHARD AUGUSTUS MD Agent 1717 ARLINGTON, CALDWELL, ID 83605

President

Name Role Address Appointed On
Richard Augustus MD President 3080 E GENTRY WAY, MERIDIAN, ID 83642-3060 2020-10-06
Richard Augustus President 3080 E GENTRY WAY, MERIDIAN, ID 83642-3060 2021-10-04

Filing

Filing Name Filing Number Filing date
Annual Report 0005962640 2024-11-04
Change of Registered Office/Agent/Both (by Entity) 0005506228 2023-12-08
Statement of Change of Business Mailing Address 0005503089 2023-12-06
Annual Report 0005457690 2023-11-03
Application for Reinstatement 0005130421 2023-03-02
Dissolution/Revocation - Administrative 0005112617 2023-02-11
Restated Articles 0004586822 2022-01-31
Annual Report 0004434574 2021-10-04
Annual Report 0004025557 2020-10-06
Annual Report 0003636959 2019-10-02

Date of last update: 29 Dec 2024

Sources: Idaho Secretary of State