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  5. IDAHO BEHAVIORAL HEALTH, INC.

IDAHO BEHAVIORAL HEALTH, INC.

Company Details

Name: IDAHO BEHAVIORAL HEALTH, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 16 Jul 2008 (17 years ago)
Financial Date End: 31 Jul 2022
Date dissolved: 13 Oct 2022
Entity Number: 542643
Place of Formation: IDAHO
File Number: 542643
ZIP code: 83709
County: Ada County
Mailing Address: 7116 W ASHLAND DR BOISE, ID 83709-1807

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IDAHO BEHAVIORAL HEALTH 401K PLAN 2021 263016352 2022-05-23 IDAHO BEHAVIORAL HEALTH, INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621330
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing TAMI JONES
Valid signature Filed with authorized/valid electronic signature
IDAHO BEHAVIORAL HEALTH 401K PLAN 2021 263016352 2022-05-23 IDAHO BEHAVIORAL HEALTH, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621330
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2022-05-23
Name of individual signing TAMI JONES
Valid signature Filed with authorized/valid electronic signature
IDAHO BEHAVIORAL HEALTH 401K PLAN 2020 263016352 2021-04-14 IDAHO BEHAVIORAL HEALTH, INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621330
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2021-04-14
Name of individual signing TAMI JONES
Valid signature Filed with authorized/valid electronic signature
IDAHO BEHAVIORAL HEALTH 401K PLAN 2019 263016352 2020-05-05 IDAHO BEHAVIORAL HEALTH, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621330
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2020-05-05
Name of individual signing TAMI JONES
Valid signature Filed with authorized/valid electronic signature
IDAHO BEHAVIORAL HEALTH 401K PLAN 2018 263016352 2019-06-10 IDAHO BEHAVIORAL HEALTH, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621330
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2019-06-10
Name of individual signing TAMI JONES
Valid signature Filed with authorized/valid electronic signature
IDAHO BEHAVIORAL HEALTH 401K PLAN 2017 263016352 2018-05-02 IDAHO BEHAVIORAL HEALTH, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621330
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2018-05-02
Name of individual signing TAMI JONES
Valid signature Filed with authorized/valid electronic signature
IDAHO BEHAVIORAL HEALTH 401K PLAN 2016 263016352 2017-02-14 IDAHO BEHAVIORAL HEALTH, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621330
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2017-02-14
Name of individual signing TAMI JONES
Valid signature Filed with authorized/valid electronic signature
IDAHO BEHAVIORAL HEALTH 401K PLAN 2015 263016352 2016-06-15 IDAHO BEHAVIORAL HEALTH, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621112
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705
IDAHO BEHAVIORAL HEALTH 401K PLAN 2014 263016352 2015-07-06 IDAHO BEHAVIORAL HEALTH, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 812990
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing TAMI JONES
Valid signature Filed with authorized/valid electronic signature
IDAHO BEHAVIORAL HEALTH 401K PLAN 2013 263016352 2014-07-28 IDAHO BEHAVIORAL HEALTH, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 812990
Sponsor’s telephone number 2083432737
Plan sponsor’s address 2273 S VISTA AVE, STE. 190, BOISE, ID, 83705

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TAMI SUE JONES Agent 7116 ASHLAND DR, BOISE, ID 83709

President

Name Role Address Appointed On
Tami S Jones President 7116 W. ASHLAND DR, BOISE, ID 83709 2021-07-27

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004951538 2022-10-13
Annual Report 0004358656 2021-07-27
Annual Report 0003903926 2020-06-08
Annual Report 0003559400 2019-07-04
Annual Report 0003167231 2018-05-24
Annual Report 0003167229 2017-07-17
Annual Report 0003167228 2016-06-16
Annual Report 0003167227 2015-05-20
Annual Report 0003167226 2014-05-16
Annual Report 0003167225 2013-05-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7320027001 2020-04-07 1087 PPP 1811 E. KARCHER RD, NAMPA, ID, 83687-3000
Loan Status Date 2022-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 445800
Loan Approval Amount (current) 445800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 96211
Servicing Lender Name Idaho Central CU
Servicing Lender Address 4400 Central Way, CHUBBUCK, ID, 83202-5096
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address NAMPA, CANYON, ID, 83687-3000
Project Congressional District ID-01
Number of Employees 70
NAICS code 541720
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 96211
Originating Lender Name Idaho Central CU
Originating Lender Address CHUBBUCK, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 448427.27
Forgiveness Paid Date 2021-02-16

Related by officers

TAMI SUE JONES

BEHAVIORAL HEALTH IDAHO, INC. IDAHO BEHAVIORAL HEALTH GROUP, INC. LEMR, LLC Idaho Technology Solutions LLC

Tami S Jones

IDAHO BEHAVIORAL HEALTH GROUP, INC.

Related by address

7116 W ASHLAND DR BOISE, ID 83709-1807

IDAHO SUPPORTIVE SERVICES INCORPORATED LEMR, LLC Idaho Technology Solutions LLC Idaho Wild Horse Alliance Inc.

Date of last update: 10 Apr 2025

Sources: Idaho Secretary of State

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