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COTTONWOOD SHELTER HOME, INC.

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Company Details

Name: COTTONWOOD SHELTER HOME, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 28 Jan 2004 (22 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 464747
Place of Formation: IDAHO
File Number: 464747
ZIP code: 83501
County: Nez Perce County
Mailing Address: SCOTT BAGELY 2706 GRELLE AVE LEWISTON, ID 83501-9742

Agent

Name Role Address
SUSAN SILVERS Agent 210 FOSTER, COTTONWOOD, ID 83522

President

Name Role Address Appointed On
Susan E Silvers President 15107 WESTSIDE LANE, LEWISTON, ID 83501 2021-01-01

Secretary

Name Role Address Appointed On Resigned On
Scott D Bagley Secretary 2706 GRELLE AVE, LEWISTON, ID 83501 2024-01-03 2024-01-03

Unique Entity ID

Unique Entity ID:
JP1QN7Y7FMU8
UEI Expiration Date:
2023-06-01

Business Information

Activation Date:
2022-06-03
Initial Registration Date:
2022-06-01

National Provider Identifier

NPI Number:
1588453427
Certification Date:
2025-05-06

Authorized Person:

Name:
SCOTT D BAGLEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
2087981508

Filing

Filing Name Filing Number Filing date
Annual Report 0006025513 2024-12-13
Annual Report 0005540095 2024-01-03
Annual Report 0005163794 2023-03-21
Annual Report 0004526635 2021-12-13
Annual Report 0004111956 2021-01-01

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
42500.00
Total Face Value Of Loan:
42500.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$42,500
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$42,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$42,802.74
Servicing Lender:
Twin River Bank
Use of Proceeds:
Payroll: $34,000
Utilities: $2,500
Rent: $6,000

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Date of last update: 09 Aug 2025

Sources: Idaho Secretary of State