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CLUB, INC.

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Company Details

Name: CLUB, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 14 Mar 1988 (37 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 268129
Place of Formation: IDAHO
File Number: 268129
ZIP code: 83401
County: Bonneville County
Mailing Address: 555 4TH ST IDAHO FALLS, ID 83401-3914

Agent

Name Role Address
ERIC THOMAS Agent 3244 OLD CASTLE CIRCLE, IDAHO FALLS, ID 83404

Treasurer

Name Role Address Appointed On
Robert Hardy Treasurer 1655 1ST STREET, IDAHO FALLS, ID 83401 2021-02-03

Director

Name Role Address Appointed On Resigned On
Dena Skinner Director 1820 E 17TH ST, IDAHO FALLS, ID 83404-6436 2024-02-05 2024-02-05

President

Name Role Address Appointed On Resigned On
Eric Thomas President 1820 E 17TH ST, IDAHO FALLS, ID 83404-6436 2024-02-05 2024-02-05

Unique Entity ID

Unique Entity ID:
G354SCHGQMT9
CAGE Code:
73NS3
UEI Expiration Date:
2026-05-20

Business Information

Activation Date:
2025-05-22
Initial Registration Date:
2014-03-31

Commercial and government entity program

CAGE number:
73NS3
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-22
SAM Expiration:
2026-05-20

Contact Information

POC:
DENA SKINNER

National Provider Identifier

NPI Number:
1871915694

Authorized Person:

Name:
KRISTEE CRIDDLE
Role:
LNSW
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2085294676

Filing

Filing Name Filing Number Filing date
Annual Report 0006090842 2025-02-03
Statement of Change of Business Mailing Address 0005941731 2024-10-15
Annual Report 0005585096 2024-02-05
Annual Report 0005139370 2023-03-06
Annual Report 0004592098 2022-02-03

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-06-05
Type:
Complaint
Address:
1904 DAKOTA LANE, AMMON, ID, 83406
Safety Health:
Health
Scope:
Partial

Tax Exempt

Employer Identification Number (EIN) :
94-3076071
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:
2001-03
National Taxonomy Of Exempt Entities:
Mental Health & Crisis Intervention: Mental Health Treatment F31 Psychiatric, Mental Health Hospital
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$52,796.35
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,796.35
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$52,948.23
Servicing Lender:
Bank of Idaho
Use of Proceeds:
Payroll: $52,794.35
Jobs Reported:
8
Initial Approval Amount:
$31,300
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,367.54
Servicing Lender:
Bank of Idaho
Use of Proceeds:
Payroll: $31,200

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Date of last update: 18 Jul 2025

Sources: Idaho Secretary of State