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NCMIC DIVERSIFIED HEALTH RPG ASSN., INC.

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Company Details

Name: NCMIC DIVERSIFIED HEALTH RPG ASSN., INC.
Jurisdiction: Idaho
Legal type: Foreign Nonprofit Corporation
Status: Active-Good Standing
Date of registration: 30 Apr 2012 (13 years ago)
Financial Date End: 30 Apr 2026
Branch of: NCMIC DIVERSIFIED HEALTH RPG ASSN., INC., ILLINOIS (Company Number CORP_60077983)
Entity Number: 587182
Place of Formation: ILLINOIS
File Number: 587182
Principal Address: 14001 UNIVERSITY AVE CLIVE, IA 50325
Mailing Address: 14001 UNIVERSITY AVE CLIVE, IA 50325-8258

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

President

Name Role Address Appointed On
David Siebert President 14001 UNIVERSITY AVE, CLIVE, IA 50325-8258 2021-03-03

Secretary

Name Role Address Appointed On Resigned On
Matt Gustafson Secretary 14001 UNIVERSITY AVE, CLIVE, IA 50325 2024-03-26 2024-03-26

Director

Name Role Address Appointed On Resigned On
Mike McCoy Director 14001 UNIVERSITY AVE, CLIVE, IA 50325-8258 2024-03-26 2024-03-26
David Siebert Director 14001 UNIVERSITY AVE, CLIVE, IA 50325-8258 2024-03-26 2024-03-26
Matt Gustafson Director 14001 UNIVERSITY AVE, CLIVE, IA 50325-8258 2024-03-26 2024-03-26

Treasurer

Name Role Address Appointed On Resigned On
Matt Gustafson Treasurer 14001 UNIVERSITY AVE, CLIVE, IA 50325-8258 2024-03-26 2024-03-26

Filing

Filing Name Filing Number Filing date
Annual Report 0006165048 2025-03-19
Annual Report 0005659539 2024-03-26
Annual Report 0005180778 2023-04-04
Registered Agent Name/Address Change (mass change) 0004644682 2022-03-08
Annual Report 0004626055 2022-03-01

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State