| Name: | Mountain States Institute for Graduate Medical Education and Research, Inc. |
| Jurisdiction: | Idaho |
| Legal type: | Non-Profit Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 26 Feb 2020 (5 years ago) |
| Financial Date End: | 28 Feb 2025 |
| Entity Number: | 3789965 |
| Place of Formation: | IDAHO |
| File Number: | 700944 |
| ZIP code: | 83642 |
| County: | Ada County |
| Mailing Address: | 1401 E CENTRAL DR MERIDIAN, ID 83642-8046 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M9BQNEL1SH29 | 2024-10-18 | 1401 E CENTRAL DRIVE, MERIDIAN, ID, 83642, 8046, USA | 1401 E CENTRAL DRIVE, MERIDIAN, ID, 83642, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | https://www.msigmer.org/ |
| Division Name | MOUNTAIN STATES INSTITUTE FOR GME AND RESEARCH, INC. |
| Congressional District | 01 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2023-11-06 |
| Initial Registration Date | 2022-07-26 |
| Entity Start Date | 2020-04-01 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | WENDY M GUTIERREZ |
| Role | STAFF ACCOUNTANT |
| Address | 1401 E CENTRAL DR, MERIDIAN, ID, 83642, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LARRY TISDALE |
| Role | CFO |
| Address | 1401 E CENTRAL DR, MERIDIAN, ID, 83642, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | TODD COFFEY |
| Role | ASSOCIATE PROFESSOR |
| Address | 1401 E CENTRAL DR, MERIDIAN, ID, 83642, USA |
| Name | Role | Address |
|---|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent | 1555 W SHORELINE DR, STE 100, BOISE, ID 83702 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Tracy Farnsworth | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2023-01-31 |
| Mark Nassir MD, MPH, CPE | Director | 6051 W EMERALD ST, BOISE, ID 83704 | 2024-02-20 |
| Larry Tisdale MBA, FACHE | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 |
| John Fullerton JD | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 |
| Kevin Wilson DO, FACOI, FACP | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 |
| Tracy Farnsworth EdD, MHSA, MBA, FACHE | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Larry Tisdale MBA, FACHE | Treasurer | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Thomas Mohr | President | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2021-03-15 | 2023-01-31 |
| Robyn Dreibelbis DO, FACOFP | President | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005608839 | 2024-02-20 |
| Annual Report Amendment | 0005123891 | 2023-02-23 |
| Annual Report | 0005086084 | 2023-01-31 |
| Registered Agent Name/Address Change (mass change) | 0004904491 | 2022-09-12 |
| Annual Report | 0004610562 | 2022-02-14 |
| Annual Report | 0004210392 | 2021-03-15 |
| Initial Filing | 0003789965 | 2020-02-26 |
Date of last update: 01 Jan 2025
Sources: Idaho Secretary of State
