| Name: | Shoshone County Ambulance Service District |
| Jurisdiction: | Idaho |
| Legal type: | Unincorporated Nonprofit Association (D) |
| Status: | Active-Current |
| Date of registration: | 21 Nov 2023 (a year ago) |
| Entity Number: | 5485005 |
| Place of Formation: | IDAHO |
| File Number: | 908397 |
| ZIP code: | 83837 |
| County: | Shoshone County |
| Principal Address: | 911 BUNKER AVE. KELLOGG, ID 83837 |
| Mailing Address: | PO BOX 488 OSBURN, ID 83849-0488 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEJUDENPCYY5 | 2024-06-11 | 58738 SILVER VALLEY RD, OSBURN, ID, 83849, 1150, USA | PO BOX 488, 58738 SILVER VALLEY ROAD, OSBURN, ID, 83849, 0488, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Division Name | SHOSHONE COUNTY AMBULANCE SERVICE DISTRICT |
| Division Number | SHOSHONE C |
| Congressional District | 01 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2023-06-14 |
| Initial Registration Date | 2021-04-28 |
| Entity Start Date | 2021-01-10 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KJELL TRUESDELL TRUESDELL |
| Role | ALTERNATE |
| Address | PO BOX 488, OSBURN, ID, 83849, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SCOTT DIETRICH |
| Role | FIRE CHIEF |
| Address | PO BOX 488, OSBURN, ID, 83849, USA |
| Title | ALTERNATE POC |
| Name | SCOTT DIETRICH |
| Role | EMS CHIEF |
| Address | PO BOX 488, OSBURN, ID, 83849, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| Scott Dietrich | Agent | 911 BUNKER AVE, KELLOGG, ID 83837 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Initial Filing | 0005485005 | 2023-11-21 |
Date of last update: 23 Nov 2024
Sources: Idaho Secretary of State
