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SOUTH PARK, INCORPORATED

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Company Details

Name: SOUTH PARK, INCORPORATED
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 19 Sep 1985 (40 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 248558
Place of Formation: IDAHO
File Number: 248558
ZIP code: 83204
County: Power County
Mailing Address: JAMIE L ANTHONY 415 S ARTHUR AVE POCATELLO, ID 83204-3303

Agent

Name Role Address
Jamie L Anthony Agent 415 S ARTHUR AVE, POCATELLO, ID 83204

President

Name Role Address Appointed On
Stacie Shouse President 135 N ARTHUR AVE, POCATELLO, ID 83204 2020-08-10

Director

Name Role Address Appointed On
Susan Villano Director 1910 ARLINGTON DRIVE, POCATELLO, ID 83204 2023-08-10
Linda Waters Director 1676 CALICO CIRCLE, POCATELLO, ID 83201 2023-08-10
Rich Derie Director 1780 RAINIER DRIVE, POCATELLO, ID 83201 2022-09-08
Therese Marchetti Director 4861 REED, CHUBBUCK, ID 83202 2023-08-10
Kristine Korrell Director 280 S. ARTHUR AVE, POCATELLO, ID 83204 2023-08-10
Brooks Hale Director 636 ALPINE AVE, POCATELLO, ID 83201 2024-08-05

Unique Entity ID

Unique Entity ID:
CX6VUFRJQMU5
UEI Expiration Date:
2024-08-28

Business Information

Doing Business As:
DEVELOPMENTAL OPTIONS
Activation Date:
2023-08-31
Initial Registration Date:
2022-10-03

National Provider Identifier

NPI Number:
1821203498

Authorized Person:

Name:
RUSSELL C MCCOY
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Fax:
2082336842

Filing

Filing Name Filing Number Filing date
Annual Report 0005840858 2024-08-05
Annual Report 0005360013 2023-08-10
Annual Report 0004889814 2022-09-08
Change of Registered Office/Agent/Both (by Entity) 0004376760 2021-08-10
Annual Report 0004376792 2021-08-10

OSHA's Inspections within Industry

Inspection Summary

Date:
2016-08-24
Type:
Complaint
Address:
415 S ARTHUR AVE, POCATELLO, ID, 83204
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2012-01-11
Type:
Complaint
Address:
3801 STOCKMAN ROAD, POCATELLO, ID, 83201
Safety Health:
Safety
Scope:
Partial

Tax Exempt

Employer Identification Number (EIN) :
82-0400220
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:
1988-02
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 18 Jul 2025

Sources: Idaho Secretary of State