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  5. FAMILY EYECARE SPECIALISTS, PLLC

FAMILY EYECARE SPECIALISTS, PLLC

Company Details

Name: FAMILY EYECARE SPECIALISTS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 May 2002 (23 years ago)
Financial Date End: 31 May 2025
Entity Number: 71548
Place of Formation: IDAHO
File Number: 71548
ZIP code: 83605
County: Canyon County
Principal Address: 420 E ELM ST CALDWELL, ID 83605
Mailing Address: 420 E. ELM ST. CALDWELL, ID 83605-4846

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY EYECARE SPECIALISTS, PLLC 401(K) PROFIT 2018 320047366 2019-07-22 FAMILY EYECARE SPECIALISTS, PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE SPECIALISTS, PLLC 401(K) PROFIT 2017 320047366 2018-07-27 FAMILY EYECARE SPECIALISTS, PLLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE SPECIALISTS, PLLC 401(K) PROFIT 2016 320047366 2017-07-25 FAMILY EYECARE SPECIALISTS, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE SPECIALISTS, PLLC 401(K) PROFIT 2015 320047366 2016-07-25 FAMILY EYECARE SPECIALISTS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE SPECIALISTS PLLC 401K PROFIT 2014 320047366 2015-07-29 FAMILY EYECARE SPECIALISTS, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2013 320047366 2014-10-03 FAMILY EYECARE SPECIALISTS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2012 320047366 2013-09-30 FAMILY EYECARE SPECIALISTS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2011 320047366 2012-07-27 FAMILY EYECARE SPECIALISTS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Plan administrator’s name and address
Administrator’s EIN 320047366
Plan administrator’s name FAMILY EYECARE SPECIALISTS, PLLC
Plan administrator’s address 420 E. ELM STREET, CALDWELL, ID, 83605
Administrator’s telephone number 2084592020

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature
FAMILY EYECARE SPECIALISTS PLLC 401K PROFIT SHARING PLAN TRUST 2010 320047366 2011-07-13 FAMILY EYECARE SPECIALISTS PLLC 10
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Plan administrator’s name and address
Administrator’s EIN 320047366
Plan administrator’s name FAMILY EYECARE SPECIALISTS PLLC
Plan administrator’s address 420 E. ELM STREET, CALDWELL, ID, 83605
Administrator’s telephone number 2084592020

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing WILLIAM BLACK
Valid signature Filed with incorrect/unrecognized electronic signature
FAMILY EYECARE SPECIALISTS PLLC 401K PROFIT SHARING PLAN TRUST 2010 320047366 2011-07-14 FAMILY EYECARE SPECIALISTS PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2084592020
Plan sponsor’s address 420 E. ELM STREET, CALDWELL, ID, 83605

Plan administrator’s name and address
Administrator’s EIN 320047366
Plan administrator’s name FAMILY EYECARE SPECIALISTS PLLC
Plan administrator’s address 420 E. ELM STREET, CALDWELL, ID, 83605
Administrator’s telephone number 2084592020

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing WILLIAM BLACK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Member

Name Role Address Appointed On Resigned On
Douglas W. Adams Member 420 E. ELM STREET, CALDWELL, ID 83605 2023-03-08 No data
WILLIAM T BLACK Member 420 E ELM ST, CALDWELL, ID 83605 2021-04-05 2023-03-08
O.D. William T. Black Member 420 E. ELM ST., CALDWELL, ID 83605-4846 2024-04-19 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0005698163 2024-04-19
Annual Report 0005223190 2023-05-04
Amendment to Certificate 0005126721 2023-03-08
Registered Agent Name/Address Change (mass change) 0004893992 2022-09-12
Annual Report 0004685949 2022-04-04
Annual Report 0004228375 2021-04-05
Change of Registered Office/Agent/Both (by Entity) 0003842997 2020-04-10
Annual Report 0003834632 2020-04-04
Annual Report 0003502292 2019-05-03
Annual Report 0001186966 2018-03-20

Related by officers

C T CORPORATION SYSTEM

EVANS KEANE LLP PRESTON GATES & ELLIS LLP TITLE AND TRUST COMPANY FUNNY BONE COMEDY CLUB OF BOISE, L.L.C. ELKHORN, LTD., A LIMITED PARTNERSHIP RANCHO VISTA ASSOCIATES, A LIMITED PARTNERSHIP FAR WEST HYDROELECTRIC FUND LTD., A UTAH LIMITED PARTNERSHIP EAGLE RIVER L.L.C. IDAHO RANCH DEVELOPMENT L.L.C. OPSIS ARCHITECTURE LLP

WILLIAM T BLACK

CALDWELL HEALTHCARE DEVELOPMENT, LLC MIDDLETON FITNESS, LLC ELM STREET, LLC PINE STREET, LLC YELLOWPINE, LLC ARLINGTON, LLC OCONIK, LLC

Related by address

420 E ELM ST CALDWELL, ID 83605

INSIGHT OPTICAL B&O CAPITAL, LLC TURNER CENTER FOR FAMILY DEVELOPMENT ELM STREET, LLC PINE STREET, LLC YELLOWPINE, LLC ARLINGTON, LLC MILL TOWN, LLC BLUE ELEPHANT CARWASH

Date of last update: 29 Nov 2024

Sources: Idaho Secretary of State

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