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CHAROLAIS CARE IV, INC.

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Company Details

Name: CHAROLAIS CARE IV, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved
Date of registration: 27 Aug 2008 (17 years ago)
Financial Date End: 31 Aug 2024
Date dissolved: 18 Jul 2024
Entity Number: 544092
Place of Formation: IDAHO
File Number: 544092
ZIP code: 83201
County: Bannock County
Mailing Address: 275 S 5TH AVE LOWR LEVEL POCATELLO, ID 83201-6400

Agent

Name Role Address
David Harding Agent 275 S 5TH AVE, LOWER LEVEL, POCATELLO, ID 83201

President

Name Role Address Appointed On
Darin McSpadden President 5314 N RIVER RUN DRIVE SUITE 140, PROVO, UT 84604 2020-07-07

Director

Name Role Address Appointed On
Chad Fullmer Director 5314 N RIVER RUN DR SUITE 140, PROVO, UT 84604 2023-07-03

National Provider Identifier

NPI Number:
1518115773

Authorized Person:

Name:
JIM EVERTON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
2088862549

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0005814448 2024-07-18
Annual Report 0005301330 2023-07-03
Annual Report 0004803592 2022-07-05
Annual Report 0004339236 2021-07-09
Change of Registered Office/Agent/Both (by Entity) 0004044962 2020-10-30

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Date of last update: 13 May 2025

Sources: Idaho Secretary of State