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LOST RIVERS DISTRICT HOSPITAL, INC.

Company Details

Name: LOST RIVERS DISTRICT HOSPITAL, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 21 Apr 2014 (11 years ago)
Financial Date End: 30 Apr 2019
Date dissolved: 14 Jul 2019
Entity Number: 608890
Place of Formation: IDAHO
File Number: 608890
ZIP code: 83213
County: Butte County
Mailing Address: PO BOX 145 ARCO, ID 83213

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
T6TFDJ37MAB3 2024-04-30 551 HIGHLAND DR, ARCO, ID, 83213, 5003, USA PO BOX 145, ARCO, ID, 83213, 0145, USA

Business Information

Congressional District 02
Activation Date 2023-05-03
Initial Registration Date 2020-08-27
Entity Start Date 1975-12-01
Fiscal Year End Close Date Sep 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name LEEANN BETZER
Role CFO
Address 551 HIGHLAND DR, ARCO, ID, 83213, 0145, USA
Government Business
Title PRIMARY POC
Name LEEANN BETZER
Role CFO
Address 551 HIGHLAND DR, ARCO, ID, 83213, 0145, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LOST RIVERS DISTRICT HOSPITAL 403(B) PLAN 2016 820251526 2017-04-17 LOST RIVERS DISTRICT HOSPITAL 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 622000
Sponsor’s telephone number 2085278206
Plan sponsor’s address 551 HIGHLAND DRIVE, ARCO, ID, 83213

Agent

Name Role Address
LEEANN BETZER Agent 551 HIGHLAND DR, ARCO, ID 83213

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003569422 2019-07-14
Annual Report 0003278629 2018-04-24
Annual Report 0003278628 2017-04-30
Annual Report 0003278627 2016-05-23
Annual Report 0003278626 2015-02-17
Initial Filing 0000608890 2014-04-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2486487301 2020-04-29 1087 PPP 551 HIGHLAND DR, ARCO, ID, 83213
Loan Status Date 2020-11-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 634100
Loan Approval Amount (current) 634100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ARCO, BUTTE, ID, 83213-0001
Project Congressional District ID-02
Number of Employees 98
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 637470.28
Forgiveness Paid Date 2020-11-12

Date of last update: 12 Apr 2025

Sources: Idaho Secretary of State