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LIFEWAYS, INC.

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Company Details

Name: LIFEWAYS, INC.
Jurisdiction: Idaho
Legal type: Foreign Nonprofit Corporation
Status: Active-Good Standing
Date of registration: 08 Oct 2013 (12 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 602884
Place of Formation: OREGON
File Number: 602884
Principal Address: 702 SUNSET DR ONTARIO, OR 97914
Mailing Address: BARRY BORGER 702 SUNSET DR ONTARIO, OR 97914-3121

Agent

Name Role Address
Barry J Borger Agent 15294 MOSS CREEK WAY, CALDWELL, ID 83607

Director

Name Role Address Appointed On
David Waldo Director 702 SUNSET DRIVE, ONTARIO, OR 97914 2021-09-30
MIchael Hannigan Director 702 SUNSET DRIVE, ONTARIO, OR 97914 2023-09-03
Dennis Burke Director 702 SUNSET DRIVE, ONTARIO, OR 97914 2023-09-03
Cory Jakobson Director 702 SUNSET DRIVE, ONTARIO, OR 97914-3121 2024-09-03
Ron Rowan Director 702 SUNSET DRIVE, ONTARIO, OR 97914-3121 2024-09-03
Richard Fitzsimmons Director 702 SUNSET DRIVE, ONTARIO, OR 97914-3121 2024-09-03

President

Name Role Address Appointed On Resigned On
Timothy Hoekstra President 702 SUNSET DRIVE, ONTARIO, OR 97914 2020-09-03 2021-09-30
David Waldo President 702 SUNSET DRIVE, ONTARIO, OR 97914 2024-09-03 No data
Steven Jensen President 702 SUNSET DRIVE, ONTARIO, OR 97914 2023-09-03 No data

Secretary

Name Role Address Appointed On
MIchael Hanigan Secretary 702 SUNSET DRIVE, ONTARIO, OR 97914 2024-09-03

National Provider Identifier

NPI Number:
1437620358
Certification Date:
2020-12-02

Authorized Person:

Name:
TIM HOEKSTRA
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
283Q00000X - Psychiatric Hospital
Is Primary:
Yes

Contacts:

Fax:
5418899167

Filing

Filing Name Filing Number Filing date
Annual Report 0005877832 2024-09-03
Annual Report 0005379211 2023-09-03
Annual Report 0004965138 2022-10-31
Annual Report Amendment 0004699078 2022-04-15
Annual Report Amendment 0004431582 2021-09-30

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State