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BEAR LAKE VALLEY HEALTH CARE FOUNDATION, INC.

Company Details

Name: BEAR LAKE VALLEY HEALTH CARE FOUNDATION, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 14 Feb 1997 (28 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 363452
Place of Formation: IDAHO
File Number: 363452
ZIP code: 83254
County: Bear Lake County
Mailing Address: 164 S 5TH ST MONTPELIER, ID 83254-1557

Agent

Name Role Address
Shane Johnson Agent 164 S 5TH ST, MONTPELIER, ID 83254

President

Name Role Address Appointed On
Corin Eborn President 164 S. 5TH STREET, MONTPELIER, ID 83254 2021-03-04
Kristie DeClark President 164 S. 5TH STREET, MONTPELIER, ID 83254 2025-01-23

Director

Name Role Address Appointed On Resigned On
Shane Johnson Director 820 WEBSTER ST, MONTPELIER, ID 83254 2024-02-12 2024-02-12

Treasurer

Name Role Address Appointed On Resigned On
Andrea Woolstenhulme Treasurer 164 S. 5TH STREET, MONTPELIER, ID 83254 2024-02-12 2024-02-12

Vice President

Name Role Address Appointed On Resigned On
Kristie DeClark Vice President 164 S. 5TH STREET, MONTPELIER, ID 83254 2024-02-12 2024-02-12

Filing

Filing Name Filing Number Filing date
Annual Report 0006078450 2025-01-23
Annual Report 0005600243 2024-02-12
Annual Report 0005054135 2023-01-05
Annual Report Amendment 0004655074 2022-03-11
Annual Report 0004626331 2022-03-01
Annual Report 0004196039 2021-03-04
Annual Report 0003726179 2020-01-02
Application for Reinstatement 0003556755 2019-07-01
Dissolution/Revocation - Administrative 0003544053 2019-06-18
Change of Registered Office/Agent/Both (by Entity) 0002555003 2018-03-26

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
82-0495884 Corporation Unconditional Exemption 164 S 5TH ST, MONTPELIER, ID, 83254-1557 1997-06
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-09
Asset 500,000 to 999,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 554032
Income Amount 195549
Form 990 Revenue Amount 151801
National Taxonomy of Exempt Entities Health Care: Hospitals and Related Primary Medical Care Facilities
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name BEAR LAKE VALLEY HEALTH CARE FOUNDA
EIN 82-0495884
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name BEAR LAKE VALLEY HEALTH CARE FOUNDA
EIN 82-0495884
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name BEAR LAKE VALLEY HEALTH CARE FOUNDA
EIN 82-0495884
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name BEAR LAKE VALLEY HEALTH CARE FOUNDA
EIN 82-0495884
Tax Period 201809
Filing Type P
Return Type 990
File View File
Organization Name BEAR LAKE VALLEY HEALTH CARE FOUNDA
EIN 82-0495884
Tax Period 201709
Filing Type P
Return Type 990
File View File
Organization Name BEAR LAKE VALLEY HEALTH CARE FOUNDA
EIN 82-0495884
Tax Period 201609
Filing Type P
Return Type 990
File View File

Date of last update: 05 Apr 2025

Sources: Idaho Secretary of State