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  5. VERST SPINE & ORTHOPEDIC CARE, PLLC

VERST SPINE & ORTHOPEDIC CARE, PLLC

Company Details

Name: VERST SPINE & ORTHOPEDIC CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Apr 2003 (22 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 83903
Place of Formation: IDAHO
File Number: 83903
ZIP code: 83333
County: Blaine County
Principal Address: 15 W GALENA ST HAILEY, ID 83333
Mailing Address: 15 W GALENA ST HAILEY, ID 83333-8414

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VERST SPINE & ORTHOPEDIC CARE 401(K) PLAN 2022 680548602 2023-05-05 VERST SPINE & ORTHOPEDIC CARE, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-23
Business code 621111
Sponsor’s telephone number 2087887779
Plan sponsor’s address 15 W GALENA, HAILEY, ID, 83333

Signature of
Role Plan administrator
Date 2023-05-05
Name of individual signing DAVID VERST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-05
Name of individual signing DAVID VERST
Valid signature Filed with authorized/valid electronic signature
VERST SPINE & ORTHOPEDIC CARE 401(K) PLAN 2021 680548602 2022-09-30 VERST SPINE & ORTHOPEDIC CARE, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-23
Business code 621111
Sponsor’s telephone number 2087887779
Plan sponsor’s address 15 W GALENA, HAILEY, ID, 83333

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing DAVID VERST
Valid signature Filed with authorized/valid electronic signature
VERST SPINE & ORTHOPEDIC CARE 401(K) PLAN 2020 680548602 2021-09-02 VERST SPINE & ORTHOPEDIC CARE, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-23
Business code 621111
Sponsor’s telephone number 2087887779
Plan sponsor’s address 15 W GALENA, HAILEY, ID, 83333

Signature of
Role Plan administrator
Date 2021-09-02
Name of individual signing DAVID VERST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-02
Name of individual signing DAVID VERST
Valid signature Filed with authorized/valid electronic signature
VERST SPINE & ORTHOPEDIC CARE 401(K) PLAN 2019 680548602 2020-10-08 VERST SPINE & ORTHOPEDIC CARE, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-23
Business code 621111
Sponsor’s telephone number 2089043089
Plan sponsor’s address 15 WEST GALENA STREET, HAILEY, ID, 83333

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing ELAINE JEX
Valid signature Filed with authorized/valid electronic signature
VERST SPINE & ORTHOPEDIC CARE 401(K) PLAN 2018 680548602 2019-07-31 VERST SPINE & ORTHOPEDIC CARE, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-23
Business code 621111
Sponsor’s telephone number 2089043089
Plan sponsor’s address 15 WEST GALENA STREET, HAILEY, ID, 83333

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing ELAINE JEX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-31
Name of individual signing ELAINE JEX
Valid signature Filed with incorrect/unrecognized electronic signature
VERST SPINE & ORTHOPEDIC CARE PLLC 401(K) PLAN 2017 680548602 2018-05-04 VERST SPINE & ORTHOPEDIC CARE PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-02
Business code 621111
Sponsor’s telephone number 2087887779
Plan sponsor’s address 15 W GALENA ST, HAILEY, ID, 833330000

Signature of
Role Plan administrator
Date 2018-05-04
Name of individual signing DR DAVID VERST
Valid signature Filed with authorized/valid electronic signature
VERST SPINE & ORTHOPEDIC CARE PLLC 401(K) PLAN 2016 680548602 2017-07-20 VERST SPINE & ORTHOPEDIC CARE PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-02
Business code 621111
Sponsor’s telephone number 2087887779
Plan sponsor’s address 15 W GALENA ST, HAILEY, ID, 833330000

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing DR DAVID VERST
Valid signature Filed with authorized/valid electronic signature
VERST SPINE & ORTHOPEDIC CARE PLLC 401(K) PLAN 2015 680548602 2016-07-15 VERST SPINE & ORTHOPEDIC CARE PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-02
Business code 621111
Sponsor’s telephone number 2087887779
Plan sponsor’s address 15 W GALENA ST, HAILEY, ID, 833330000

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing DR DAVID VERST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-15
Name of individual signing DR DAVID VERST
Valid signature Filed with authorized/valid electronic signature
VERST SPINE & ORTHOPEDIC CARE PLLC 401K PLAN 2014 680548602 2015-06-17 VERST SPINE & ORTHOPEDIC CARE PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-02
Business code 621111
Sponsor’s telephone number 2087887779
Plan sponsor’s address 15 W GALENA ST, HAILEY, ID, 833330000

Signature of
Role Plan administrator
Date 2015-06-17
Name of individual signing DR DAVID VERST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-17
Name of individual signing DR DAVID VERST
Valid signature Filed with authorized/valid electronic signature
VERST SPINE & ORTHOPEDIC CARE PLLC 401K PLAN 2013 680548602 2014-05-15 VERST SPINE & ORTHOPEDIC CARE PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-08-02
Business code 621111
Sponsor’s telephone number 2087887779
Plan sponsor’s address 15 W GALENA ST, HAILEY, ID, 833330000

Signature of
Role Plan administrator
Date 2014-05-15
Name of individual signing DR DAVID VERST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-15
Name of individual signing DR DAVID VERST
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAVID B VERST Agent 15 WEST GALENA ST, HAILEY, ID 83333

Member

Name Role Address Appointed On
David B. Verst Member 15 W GALENA ST, HAILEY, ID 83333-8414 2021-02-24

Filing

Filing Name Filing Number Filing date
Annual Report 0005643118 2024-03-11
Annual Report 0005145614 2023-03-08
Annual Report 0004655088 2022-03-11
Annual Report 0004204449 2021-03-10
Application for Reinstatement 0004182053 2021-02-24
Dissolution/Revocation - Administrative 0003925334 2020-07-03
Annual Report 0003490013 2019-04-23
Annual Report 0001232263 2018-03-14
Annual Report 0001232262 2017-03-07
Annual Report 0001232261 2016-03-09

Related by officers

David B. Verst

Verst Properties, LLC Independent Medical Solutions, PLLC

Related by address

No related companies by address

Date of last update: 29 Nov 2024

Sources: Idaho Secretary of State

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