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GENESIS COMMUNITY HEALTH, INC.

Company Details

Name: GENESIS COMMUNITY HEALTH, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 17 May 2001 (24 years ago)
Financial Date End: 31 May 2025
Entity Number: 424288
Place of Formation: IDAHO
File Number: 424288
ZIP code: 83714
County: Ada County
Mailing Address: 215 W 35TH ST GARDEN CITY, ID 83714-6520

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
VGPFJTKXQFJ3 2025-02-22 215 W 35TH ST, GARDEN CITY, ID, 83714, 6520, USA 215 W. 35TH ST., GARDEN CITY, ID, 83714, USA

Business Information

Doing Business As GARDEN CITY COMMUNITY CLINIC
URL genesiscommunityhealth.com
Division Name GENESIS COMMUNITY HEALTH, INC.
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2024-02-26
Initial Registration Date 2019-01-22
Entity Start Date 2006-03-30
Fiscal Year End Close Date May 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name STEVEN D DAVIS
Role CEO
Address 215 W. 35TH ST., GARDEN CITY, ID, 83714, USA
Government Business
Title PRIMARY POC
Name STEVEN D DAVIS
Role CEO
Address 215 W. 35TH ST., GARDEN CITY, ID, 83714, USA
Past Performance Information not Available

Agent

Name Role Address
STEVE DAVIS Agent 215 W 35TH ST, GARDEN CITY, ID 83714

Treasurer

Name Role Address Appointed On
Lori Turner Treasurer 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2024-05-09

Secretary

Name Role Address Appointed On
Kyle Rooks Secretary 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2024-05-09

President

Name Role Address Appointed On Resigned On
Perry Jansen President 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2023-04-03 No data
Jackelyn Jantzi President 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2021-08-20 2023-04-03

Director

Name Role Address Appointed On
Dave Irving Director 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2024-05-09
Ryan Rebishke Director 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2024-05-09
Dale Dixon Director 215 W 35TH ST, GARDEN CITY, ID 83714 2024-05-09
Nikki Zogg Director 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2024-05-09
Karl Watts Director 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2024-05-09

Vice President

Name Role Address Appointed On
Jeffrey Greene Vice President 215 W 35TH ST, GARDEN CITY, ID 83714-6520 2024-05-09

Filing

Filing Name Filing Number Filing date
Annual Report 0005732591 2024-05-09
Annual Report 0005176359 2023-04-03
Annual Report 0004687166 2022-04-04
Application for Reinstatement 0004389606 2021-08-20
Dissolution/Revocation - Administrative 0004384790 2021-08-14
Annual Report 0003840631 2020-04-08
Annual Report 0003510407 2019-05-14
Annual Report 0002808997 2018-04-01
Change of Registered Office/Agent/Both (by Entity) 0002808995 2017-03-30
Annual Report 0002808994 2017-03-22

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
82-0505073 Corporation Unconditional Exemption 215 W 35TH ST, GARDEN CITY, ID, 83714-6520 2001-12
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 2023-05
Asset 1,000,000 to 4,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period May
Asset Amount 3005867
Income Amount 2169064
Form 990 Revenue Amount 2138753
National Taxonomy of Exempt Entities International, Foreign Affairs and National Security: International Relief
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 GENESIS COMMUNITY HEALTH
EIN 82-0505073
Tax Period 202305
Filing Type E
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH
EIN 82-0505073
Tax Period 202205
Filing Type E
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH
EIN 82-0505073
Tax Period 202105
Filing Type E
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH
EIN 82-0505073
Tax Period 202005
Filing Type P
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH
EIN 82-0505073
Tax Period 201905
Filing Type P
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH
EIN 82-0505073
Tax Period 201805
Filing Type P
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH
EIN 82-0505073
Tax Period 201705
Filing Type P
Return Type 990
File View File
Organization Name GENESIS COMMUNITY HEALTH INC
EIN 82-0505073
Tax Period 201605
Filing Type P
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9865887109 2020-04-15 1087 PPP 215 W 35th St, GARDEN CITY, ID, 83714
Loan Status Date 2021-06-25
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 88000
Loan Approval Amount (current) 88000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address GARDEN CITY, ADA, ID, 83714-0001
Project Congressional District ID-02
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 88911.34
Forgiveness Paid Date 2021-05-14

Date of last update: 14 Mar 2025

Sources: Idaho Secretary of State