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Chrysalis, Inc.

Chrysalis, Inc.

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Company Details

Name:	Chrysalis, Inc.
Jurisdiction:	Idaho
Legal type:	Non-Profit Corporation (D)
Status:	Active-Good Standing
Date of registration:	01 Sep 2023 (2 years ago)
Financial Date End:	30 Sep 2025
Entity Number:	5377608
Place of Formation:	IDAHO
File Number:	896469
ZIP code:	83815
County:	Kootenai County
Mailing Address:	TERRI JOHNSON SUITE 3 280 W. PRAIRIE AVE COEUR D ALENE, ID 83815

Agent

Name	Role	Address
Terri Johnson	Agent	7870 N HELMS DEEP LANE, COEUR D ALENE, ID 83815

Director

Name	Role	Address	Appointed On
Dave Johnson	Director	7780 N HELMS DEEP LANE, COEUR D ALENE, ID 83815	2024-10-07

National Provider Identifier

NPI Number:

1801668801

Certification Date:

2023-10-24

Link:

View on NPI website

Authorized Person:

Name:

MRS. TERRI KAE JOHNSON

Role:

CEO

Phone:

2087072770

Taxonomy:

Selected Taxonomy:

261QD1600X - Developmental Disabilities Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 208-770-2770

Fax:

2087702771

Filing

Filing Name	Filing Number	Filing date
Annual Report	0005931746	2024-10-07
Initial Filing	0005377608	2023-09-01

Tax Exempt

Employer Identification Number (EIN) :

93-2712501

In Care Of Name:

% TERRI K JOHNSON

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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)

Ruling Date:

2024-04

National Taxonomy Of Exempt Entities:

Human Services: Developmentally Disabled Centers

Deductibility:

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:

Download file

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Date of last update: 11 Jul 2025

Sources: Idaho Secretary of State