Name: | High Country Behavioral Health Inc |
Jurisdiction: | Idaho |
Legal type: | Foreign Nonprofit Corporation |
Status: | Active-Good Standing |
Date of registration: | 11 Oct 2019 (6 years ago) |
Financial Date End: | 31 Oct 2025 |
Entity Number: | 3647294 |
Place of Formation: | WYOMING |
File Number: | 683827 |
ZIP code: | 83404 |
County: | Bonneville County |
Principal Address: | JENNIFER JENSEN 1248 E 17TH AVE IDAHO FALLS, ID 83404 |
Mailing Address: | JENNIFER JENSEN PO BOX 376 AFTON, WY 83110-0376 |
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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GXUDMYRA84G7 | 2024-12-14 | 1248 E 17TH ST, IDAHO FALLS, ID, 83404, 6147, USA | 1248 E. 17TH ST., IDAHO FALLS, ID, 83404, 6147, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Division Name | IDAHO FALLS |
Division Number | HIGH COUNT |
Congressional District | 02 |
State/Country of Incorporation | ID, USA |
Activation Date | 2023-12-19 |
Initial Registration Date | 2020-12-16 |
Entity Start Date | 2019-11-01 |
Fiscal Year End Close Date | Jun 30 |
Service Classifications
NAICS Codes | 621420 |
Points of Contacts
Electronic Business | |
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Title | PRIMARY POC |
Name | KELLY KLEEMAN |
Role | CIO |
Address | 389 ADAMS ST, AFTON, WY, 83110, 0376, USA |
Title | ALTERNATE POC |
Name | PAUL MEIGIO |
Role | CFO |
Address | 389 ADAMS ST, AFTON, WY, 83110, USA |
Government Business | |
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Title | PRIMARY POC |
Name | KIPP DANA |
Role | CEO |
Address | 389 ADAMS ST, AFTON, WY, 83110, 0376, USA |
Past Performance | |
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Title | ALTERNATE POC |
Name | PAUL MEIGIO |
Role | CFO |
Address | 389 ADAMS ST, AFTON, WY, 83110, USA |
Name | Role | Address |
---|---|---|
Brandi Warkne | Agent | 3853 WEST 17TH SOUTH, IDAHO FALLS, ID 83402 |
Name | Role | Address | Appointed On | Resigned On |
---|---|---|---|---|
Ann Sanderson | Secretary | PO BOX 857, AFTON, WY 83110 | 2023-09-12 | 2023-09-12 |
Name | Role | Address | Appointed On | Resigned On |
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Layne McCord | Vice President | 1943 MADISON AVE, IDAHO FALLS, ID 83404 | 2023-09-12 | 2023-09-12 |
Name | Role | Address | Appointed On | Resigned On |
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DyAnne LaBaugh | President | 1120 BOWER DR, IDAHO FALLS, ID 83404 | 2022-10-19 | No data |
Mike Hunsaker | President | 488 ROCKBRIDGE DRIVE, AFTON, WY 83110 | 2020-11-04 | 2021-10-11 |
Name | Role | Address | Appointed On |
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Mike Hunsaker | Governor | PO BOX 10, AFTON, WY 83110 | 2021-10-28 |
Filing Name | Filing Number | Filing date |
---|---|---|
Annual Report | 0005954681 | 2024-10-30 |
Annual Report | 0005399475 | 2023-09-12 |
Annual Report | 0004956896 | 2022-10-19 |
Amendment of Foreign Registration Statement | 0004443808 | 2021-10-28 |
Annual Report | 0004443807 | 2021-10-11 |
Annual Report | 0004053327 | 2020-11-04 |
Initial Filing | 0003647294 | 2019-10-11 |
Date of last update: 14 Apr 2025
Sources: Idaho Secretary of State