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JACK'S PHARMACY INCORPORATED

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Company Details

Name: JACK'S PHARMACY INCORPORATED
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Feb 1979 (47 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 192541
Place of Formation: IDAHO
File Number: 192541
ZIP code: 83861
County: Benewah County
Mailing Address: 103 E COLLEGE AVE ST MARIES, ID 83861-2247

President

Name Role Address Appointed On Resigned On
Sally L Darley President 13403 NORTH GOVERNMENT WAY, HAYDEN, ID 83835 2021-02-17 2024-02-20
Sally L Payne President 13403 NORTH GOVERNMENT WAY, HAYDEN, ID 83835 2024-02-20 No data

Director

Name Role Address Appointed On Resigned On
Benjamin R Potter Director 13403 NORTH GOVERNMENT WAY, HAYDEN, ID 83835 2024-02-20 2024-02-20

Agent

Name Role Address
PotterBulwark Inc. Agent 13403 NORTH GOVERNMENT WAY, 217, HAYDEN, ID 83835

Unique Entity ID

CAGE Code:
8GZS0
UEI Expiration Date:
2021-02-06

Business Information

Doing Business As:
GOOD NEIGHBOR PHARMACY
Activation Date:
2020-02-19
Initial Registration Date:
2020-02-07

Commercial and government entity program

CAGE number:
8GZS0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2022-01-27
CAGE Expiration:
2026-02-03
SAM Expiration:
2022-01-27

Contact Information

POC:
SALLY DARLEY

Form 5500 Series

Employer Identification Number (EIN):
820347008
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
11
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006158395 2025-03-12
Annual Report 0005608229 2024-02-20
Annual Report 0005124517 2023-02-24
Annual Report 0004551061 2022-01-03
Annual Report 0004176487 2021-02-17

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
190479.12
Total Face Value Of Loan:
190479.12
Date:
2019-10-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
908900.00
Total Face Value Of Loan:
908900.00
Date:
2019-10-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
79300.00
Total Face Value Of Loan:
79300.00

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Date of last update: 29 Aug 2025

Sources: Idaho Secretary of State