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  5. Black Lands EMS Inc

Black Lands EMS Inc

Company Details

Name: Black Lands EMS Inc
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 21 Apr 2022 (3 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 4712044
Place of Formation: IDAHO
File Number: 818304
ZIP code: 83843
County: Latah County
Mailing Address: 619 HOMESTEAD ST MOSCOW, ID 83843-2765

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
V52PKGQZD8Y6 2025-04-09 619 HOMESTEAD ST, MOSCOW, ID, 83843, 2765, USA 619 HOMESTEAD ST, MOSCOW, ID, 83843, 2765, USA

Business Information
Congressional District 01
State/Country of Incorporation ID, USA
Activation Date 2024-04-10
Initial Registration Date 2022-04-28
Entity Start Date 2022-04-21
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621910

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ZACHARY JOSIPOVICH
Role OWNER
Address 619 HOMESTEAD ST, MOSCOW, ID, 83843, 2765, USA
Government Business
Title PRIMARY POC
Name ZACHARY JOSIPOVICH
Role OWNER
Address 619 HOMESTEAD ST, MOSCOW, ID, 83843, 2765, USA
Past Performance Information not Available

Agent

Name Role Address
Zachary Josipovich Agent 619 HOMESTEAD ST, MOSCOW, ID 83843

President

Name Role Address Appointed On
Zachary Lands Josipovich President 619 HOMESTEAD ST, MOSCOW, ID 83843 2024-05-03

Filing

Filing Name Filing Number Filing date
Annual Report Amendment 0006038705 2024-12-30
Annual Report 0005717822 2024-05-03
Application for Reinstatement 0005322362 2023-07-13
Dissolution/Revocation - Administrative 0005321380 2023-07-13
Statement of Change of Business Mailing Address 0005171499 2023-03-30
Statement of Change of Business Mailing Address 0004718216 2022-04-27
Initial Filing 0004712044 2022-04-21

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 12024B25M0149 2024-10-05 2024-10-13 2024-10-13
Unique Award Key CONT_AWD_12024B25M0149_12C2_12024B23T7099_12C2
Awarding Agency Department of Agriculture
Link View Page

Award Amounts
Obligated Amount 29900.00
Current Award Amount 29900.00
Potential Award Amount 29900.00

Description
Title BLACK LANDS EMS INC IDBOF000936 O707
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes F003: NATURAL RESOURCES/CONSERVATION- FOREST-RANGE FIRE SUPPRESSION/PRESUPPRESSION

Recipient Details
Recipient BLACK LANDS EMS INC
UEI V52PKGQZD8Y6
Recipient Address UNITED STATES, 619 HOMESTEAD ST, MOSCOW, LATAH, IDAHO, 838432765
DELIVERY ORDER AWARD 12024B24M1253 2024-09-24 2024-10-09 2024-10-09
Unique Award Key CONT_AWD_12024B24M1253_12C2_12024B23T7099_12C2
Awarding Agency Department of Agriculture
Link View Page

Award Amounts
Obligated Amount 23920.00
Current Award Amount 23920.00
Potential Award Amount 23920.00

Description
Title BLACK LANDS EMS INC IDBOF000936 O706
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes F003: NATURAL RESOURCES/CONSERVATION- FOREST-RANGE FIRE SUPPRESSION/PRESUPPRESSION

Recipient Details
Recipient BLACK LANDS EMS INC
UEI V52PKGQZD8Y6
Recipient Address UNITED STATES, 619 HOMESTEAD ST, MOSCOW, LATAH, IDAHO, 838432765
PURCHASE ORDER AWARD 1202RZ24K5766 2024-09-24 2024-10-08 2024-10-08
Unique Award Key CONT_AWD_1202RZ24K5766_12C2_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Award Amounts
Obligated Amount 98469.50
Current Award Amount 98469.50
Potential Award Amount 98469.50

Description
Title O174, RED ROCK, IDSCF240202, DUMP, TRUCK, DUMP;
NAICS Code 532412: CONSTRUCTION, MINING, AND FORESTRY MACHINERY AND EQUIPMENT RENTAL AND LEASING
Product and Service Codes W038: LEASE OR RENTAL OF EQUIPMENT- CONSTRUCTION, MINING, EXCAVATING, AND HIGHWAY MAINTENANCE EQUIPMENT

Recipient Details
Recipient BLACK LANDS EMS INC
UEI V52PKGQZD8Y6
Recipient Address UNITED STATES, 619 HOMESTEAD ST, MOSCOW, LATAH, IDAHO, 838432765
DELIVERY ORDER AWARD 12024B24M1330 2024-09-24 2024-10-13 2024-10-13
Unique Award Key CONT_AWD_12024B24M1330_12C2_12024B23T7099_12C2
Awarding Agency Department of Agriculture
Link View Page

Award Amounts
Obligated Amount 19435.00
Current Award Amount 19435.00
Potential Award Amount 19435.00

Description
Title BLACK LANDS EMS INC IDBOF000936 O705
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes F003: NATURAL RESOURCES/CONSERVATION- FOREST-RANGE FIRE SUPPRESSION/PRESUPPRESSION

Recipient Details
Recipient BLACK LANDS EMS INC
UEI V52PKGQZD8Y6
Recipient Address UNITED STATES, 619 HOMESTEAD ST, MOSCOW, LATAH, IDAHO, 838432765
PURCHASE ORDER AWARD 1202RZ24K5463 2024-08-11 2024-08-23 2024-08-23
Unique Award Key CONT_AWD_1202RZ24K5463_12C2_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Award Amounts
Obligated Amount 84500.00
Current Award Amount 84500.00
Potential Award Amount 84500.00

Description
Title O73, WILLIAMS MINE, WAGPF000813, RESV, RESCUE VEHICLE;
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE

Recipient Details
Recipient BLACK LANDS EMS INC
UEI V52PKGQZD8Y6
Recipient Address UNITED STATES, 619 HOMESTEAD ST, MOSCOW, LATAH, IDAHO, 838432765
DELIVERY ORDER AWARD 12024B24M0049 2024-04-08 2024-04-15 2024-04-15
Unique Award Key CONT_AWD_12024B24M0049_12C2_12024B23T7099_12C2
Awarding Agency Department of Agriculture
Link View Page

Award Amounts
Obligated Amount 13087.54
Current Award Amount 13087.54
Potential Award Amount 13087.54

Description
Title BLACK LANDS EMS INC KYDBF240001 O84
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes F003: NATURAL RESOURCES/CONSERVATION- FOREST-RANGE FIRE SUPPRESSION/PRESUPPRESSION

Recipient Details
Recipient BLACK LANDS EMS INC
UEI V52PKGQZD8Y6
Recipient Address UNITED STATES, 619 HOMESTEAD ST, MOSCOW, LATAH, IDAHO, 838432765
DELIVERY ORDER AWARD 12024B24M0048 2024-03-24 2024-04-07 2024-04-07
Unique Award Key CONT_AWD_12024B24M0048_12C2_12024B23T7099_12C2
Awarding Agency Department of Agriculture
Link View Page

Award Amounts
Obligated Amount 24890.26
Current Award Amount 24890.26
Potential Award Amount 24890.26

Description
Title BLACK LANDS EMS INC KYDBF240001 O84
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes F003: NATURAL RESOURCES/CONSERVATION- FOREST-RANGE FIRE SUPPRESSION/PRESUPPRESSION

Recipient Details
Recipient BLACK LANDS EMS INC
UEI V52PKGQZD8Y6
Recipient Address UNITED STATES, 619 HOMESTEAD ST, MOSCOW, LATAH, IDAHO, 838432765

Related by officers

No related officers

Related by address

619 HOMESTEAD ST MOSCOW, ID 83843-2765

Pelican LLC

Date of last update: 06 Jan 2025

Sources: Idaho Secretary of State

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