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ADA COUNTY MEDICAL SOCIETY, INC.

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Company Details

Name: ADA COUNTY MEDICAL SOCIETY, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 09 Jul 1976 (49 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 172942
Place of Formation: IDAHO
File Number: 172942
ZIP code: 83702
County: Ada County
Mailing Address: STEVEN REAMES STE 101 305 W JEFFERSON ST BOISE, ID 83702-6047

Director

Name Role Address Appointed On Resigned On
Alice Blake MD Director 305 W JEFFERSON STREET, BOISE, ID 83702 2023-02-15 No data
Stephanie Hodson MD Director 305 W JEFFERSON STREET, BOISE, ID 83702 2021-06-08 2022-06-06
Thomas Pintar MD Director 305 W JEFFERSON STREET, BOISE, ID 83702 2022-06-06 2023-02-15
Amy Baruch MD Director 305 W JEFFERSON STREET, BOISE, ID 83702 2023-06-16 No data
Michael Foutz MD Director 305 W JEFFERSON ST, BOISE, ID 83702-6047 2023-06-16 No data
Beth Kleweno MD Director 305 W JEFFERSON ST, BOISE, ID 83702-6047 2023-06-16 No data
George Thomas DO Director 305 W JEFFERSON STREET, BOISE, ID 83702 2023-06-16 No data
James Whitaker DO Director 305 W JEFFERSON STREET, BOISE, ID 83702 2024-07-03 No data
Peter Kozisek MD Director 305 W JEFFERSON ST, BOISE, ID 83702-6047 2024-07-03 No data
Jacob Mong DO Director 305 W JEFFERSON ST, BOISE, ID 83702-6047 2024-07-03 No data

Vice President

Name Role Address Appointed On
Deb Roman DO Vice President 305 W JEFFERSON STREET, BOISE, ID 83702 2023-06-16
Naya Antink MD Vice President 305 W JEFFERSON STREET, BOISE, ID 83702 2024-07-03

President

Name Role Address Appointed On
James Whitaker DO President 305 W JEFFERSON STREET, BOISE, ID 83702 2023-06-16
Deb Roman DO President 305 W JEFFERSON STREET, BOISE, ID 83702 2024-07-03

Secretary

Name Role Address Appointed On
Naya Antink MD Secretary 305 W JEFFERSON STREET, BOISE, ID 83702 2023-06-16

Treasurer

Name Role Address Appointed On
Amy Baruch MD Treasurer 305 W JEFFERSON STREET, BOISE, ID 83702 2024-07-03

Agent

Name Role Address
STEVEN REAMES Agent 305 W JEFFERSON STREET, STE 101, STEVEN REAMES, BOISE, ID 83702

Filing

Filing Name Filing Number Filing date
Annual Report 0005795598 2024-07-03
Annual Report 0005286738 2023-06-16
Annual Report Amendment 0005117269 2023-02-15
Annual Report 0004772178 2022-06-06
Annual Report 0004310122 2021-06-08

Tax Exempt

Employer Identification Number (EIN) :
23-7251989
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1977-03

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Date of last update: 04 May 2025

Sources: Idaho Secretary of State