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  5. BMH, INC.

BMH, INC.

Company Details

Name: BMH, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 26 Jun 2006 (19 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 508190
Place of Formation: IDAHO
File Number: 508190
ZIP code: 83221
County: Bingham County
Mailing Address: ATTN: ADMINISTRATOR 98 POPLAR ST BLACKFOOT, ID 83221-1758

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ZKLTAGELCBE1 2025-02-11 98 POPLAR ST, BLACKFOOT, ID, 83221, 1758, USA 98 POPLAR STREET, ATTN: DUSTIN NICHOLS, BLACKFOOT, ID, 83221, 1799, USA

Business Information
Doing Business As BINGHAM HEALTHCARE
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2024-02-14
Initial Registration Date 2006-04-21
Entity Start Date 1950-08-19
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DUSTIN NICHOLS
Address 98 POPLAR ST, BLACKFOOT, ID, 83221, USA
Title ALTERNATE POC
Name JAKE ERICKSON
Address 98 POPLAR ST, BLACKFOOT, ID, 83221, USA
Government Business
Title PRIMARY POC
Name GARRETT MOULTON
Address 98 POPLAR ST, BLACKFOOT, ID, 83221, USA
Past Performance
Title PRIMARY POC
Name RANDY POWELL
Address 98 POPLAR STREET, BLACKFOOT, ID, 83221, USA

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493002LGI7L0Z3WTO71 508190 US-ID GENERAL ACTIVE No data

Addresses
Legal C/O JAKE ERICKSON, 98 Poplar Street, BLACKFOOT, US-ID, US, 83221
Headquarters 98 Poplar Street, Blackfoot, US-ID, US, 83221

Registration details
Registration Date 2015-04-30
Last Update 2023-08-04
Status LAPSED
Next Renewal 2016-04-27
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 508190

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BMH, INC. 403(B) 2023 205126945 2024-10-11 BMH, INC. 88
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087854100
Plan sponsor’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221

Plan administrator’s name and address
Administrator’s EIN 205126945
Plan administrator’s name BMH, INC.
Plan administrator’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221
Administrator’s telephone number 2087854100

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BMH, INC HEALTH AND WELFARE BENEFITS PLAN 2022 205126945 2024-05-09 BMH, INC 771
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Plan administrator’s name and address
Administrator’s EIN 360883760
Plan administrator’s name RELIANCE STANDARD LIFE INSURANCE COMPANY
Plan administrator’s address PO BOX 8330, PHILADELPHIA, PA, 191018330
Administrator’s telephone number 8003517500

Number of participants as of the end of the plan year
Active participants 775

Signature of
Role Plan administrator
Date 2024-05-09
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-09
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE BENEFITS PLAN 2022 205126945 2024-04-30 BMH, INC 681
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 715

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE HRA PLAN 2022 205126945 2024-04-30 BMH, INC 819
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 765

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE DENTAL PLAN 2022 205126945 2024-04-30 BMH, INC 680
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 676

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BMH, INC. 403(B) 2022 205126945 2023-10-12 BMH, INC. 83
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087854100
Plan sponsor’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221

Plan administrator’s name and address
Administrator’s EIN 205126945
Plan administrator’s name BMH, INC.
Plan administrator’s address 98 POPLAR STREET, BLACKFOOT, ID, 83221
Administrator’s telephone number 2087854100

Signature of
Role Plan administrator
Date 2023-10-12
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE DENTAL PLAN 2021 205126945 2023-04-29 BMH, INC 675
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 680

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE HRA PLAN 2021 205126945 2023-04-29 BMH, INC 820
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 820

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BMH, INC HEALTH AND WELFARE BENEFITS PLAN 2021 205126945 2023-04-29 BMH, INC 767
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Plan administrator’s name and address
Administrator’s EIN 360883760
Plan administrator’s name RELIANCE STANDARD LIFE INSURANCE COMPANY
Plan administrator’s address PO BOX 8330, PHILADELPHIA, PA, 191018330
Administrator’s telephone number 8003517500

Number of participants as of the end of the plan year
Active participants 771

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
BINGHAM MEMORIAL EMPLOYEE BENEFITS PLAN 2021 205126945 2023-04-29 BMH, INC 678
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2007-07-01
Business code 622000
Sponsor’s telephone number 2087853841
Plan sponsor’s DBA name BINGHAM MEMORIAL HOSPITAL
Plan sponsor’s mailing address 98 POPLAR ST, BLACKFOOT, ID, 832211758
Plan sponsor’s address 98 POPLAR ST, BLACKFOOT, ID, 832211758

Number of participants as of the end of the plan year
Active participants 681

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-29
Name of individual signing JAKE ERICKSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAKE ERICKSON Agent 98 POPLAR ST, BLACKFOOT, ID 83221

Director

Name Role Address Appointed On Resigned On
Gary Baumgartner Director 98 POPLAR STREET, BLACKFOOT, ID 83221 2020-09-08 2022-03-10
Linda Valentine Director 98 POPLAR STREET, BLACKFOOT, ID 83221 2022-03-10 2023-06-06
Scott Reese Director 98 POPLAR STREET, BLACKFOOT, ID 83221 2024-06-03 No data
Bill Sponenburgh Director 98 POPLAR STREET, BLACKFOOT, ID 83221 2024-06-03 No data

Treasurer

Name Role Address Appointed On
Christian Cannon Treasurer 98 POPLAR STREET, BLACKFOOT, ID 83221 2023-06-06

President

Name Role Address Appointed On
Jake Erickson President 98 POPLAR STREET, BLACKFOOT, ID 83221 2024-06-03

Filing

Filing Name Filing Number Filing date
Annual Report 0005755304 2024-06-03
Annual Report 0005269294 2023-06-06
Annual Report 0004751521 2022-05-18
Articles of Amendment 0004652451 2022-03-10
Annual Report 0004294620 2021-06-01
Application for Reinstatement 0003997501 2020-09-08
Dissolution/Revocation - Administrative 0003989811 2020-09-02
Annual Report 0003546098 2019-06-19
Annual Report 0003083838 2018-05-15
Change of Registered Office/Agent/Both (by Entity) 0003083837 2017-12-07

Related by officers

JAKE ERICKSON

CRESTWOOD ENTERPRISES, LLC MOUNTAIN RIVER BIRTHING AND SURGERY CENTER, LLC CMRGO, LLC IDAHO PHYSICIANS CLINIC, LLC IDAHO PAIN TREATMENT CENTER, LLC HEALTH & WELLNESS SLEEP INSTITUTE OF POCATELLO, LLC DOCTORS AND HOSPITAL HEALTH SYSTEM OF IDAHO, LLC BINGHAM LAND, LLC BMH PHYSICIANS CLINIC, LLC IDAHO QUALITY ADVOCATES, LLC

Gary Baumgartner

B & T PARTNERSHIP, LLC

Christian Cannon

VLC Investments LLC

Jake Erickson

IDAHO HOSPITAL ASSOCIATION, INCORPORATED MOUNTAIN RIVER BIRTHING AND SURGERY CENTER, LLC IDAHO PHYSICIANS CLINIC, LLC HEALTH & WELLNESS SLEEP INSTITUTE OF POCATELLO, LLC BMH PHYSICIANS CLINIC, LLC BINGHAM COMMUNITY HEALTH PLAN, INC. BINGHAM HEALTH CARE FOUNDATION, INC (THE) HEALTH & WELLNESS SLEEP INSTITUTE, PLLC (THE) NDBWFEA LLC Community Healthcare Alliance LLC

Scott Reese

REDI FOUNDATION, INC. Reese LLC

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Idaho Secretary of State

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