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  5. ASHTON MEMORIAL, INC.

ASHTON MEMORIAL, INC.

Company Details

Name: ASHTON MEMORIAL, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 08 Apr 1949 (76 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 86264
Place of Formation: IDAHO
File Number: 86264
ZIP code: 83420
County: Fremont County
Mailing Address: PO BOX 838 ASHTON, ID 83420-0838

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
TLYPSR8E1JZ2 2025-02-25 700 N 2ND ST, ASHTON, ID, 83420, 5105, USA PO BOX 838, ASHTON, ID, 83420, USA

Business Information
URL ashtonmemorial.com
Division Name ASHTON MEMORIAL INC
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2024-02-28
Initial Registration Date 2021-10-08
Entity Start Date 1950-12-12
Fiscal Year End Close Date Nov 30

Service Classifications
NAICS Codes 621112, 621330, 621498, 621999, 623110, 623220, 623990, 624120

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DEBRA CLARK
Role FINANCIAL
Address PO BOX 838, 700 N 2ND ST, ASHTON, ID, 83420, USA
Government Business
Title PRIMARY POC
Name SHON SHULDBERG
Role ADMINSTRATOR
Address PO BOX 838, 700 N 2ND ST, ASHTON, ID, 83420, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASHTON MEMORIAL 401(K) PLAN 2016 820225230 2017-02-01 ASHTON MEMORIAL 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-15
Business code 623000
Sponsor’s telephone number 2086527461
Plan sponsor’s address 700 N 2ND ST, ASHTON, ID, 834205118

Signature of
Role Plan administrator
Date 2017-02-01
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-01
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
ASHTON MEMORIAL 401(K) PLAN 2015 820225230 2016-03-23 ASHTON MEMORIAL 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-15
Business code 623000
Sponsor’s telephone number 2086527461
Plan sponsor’s address 700 N 2ND ST, ASHTON, ID, 834205118

Signature of
Role Plan administrator
Date 2016-03-23
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-23
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
ASHTON MEMORIAL 401(K) PLAN 2014 820225230 2015-03-05 ASHTON MEMORIAL 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-15
Business code 623000
Sponsor’s telephone number 2086527461
Plan sponsor’s address 700 N 2ND ST, ASHTON, ID, 834205118

Signature of
Role Plan administrator
Date 2015-03-05
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-05
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
ASHTON MEMORIAL 401(K) PLAN 2013 820225230 2014-03-03 ASHTON MEMORIAL 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-15
Business code 623000
Sponsor’s telephone number 2086527461
Plan sponsor’s address 700 N 2ND ST, ASHTON, ID, 834205118

Signature of
Role Plan administrator
Date 2014-03-03
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-03
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
ASHTON MEMORIAL 401(K) PLAN 2012 820225230 2013-02-19 ASHTON MEMORIAL 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-15
Business code 623000
Sponsor’s telephone number 2086527461
Plan sponsor’s address 700 N 2ND ST, ASHTON, ID, 834205118

Signature of
Role Plan administrator
Date 2013-02-19
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-19
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
ASHTON MEMORIAL 401(K) PLAN 2011 820225230 2012-02-03 ASHTON MEMORIAL 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-15
Business code 623000
Sponsor’s telephone number 2086527461
Plan sponsor’s address 700 N 2ND ST, ASHTON, ID, 834205118

Plan administrator’s name and address
Administrator’s EIN 820225230
Plan administrator’s name ASHTON MEMORIAL
Plan administrator’s address 700 N 2ND ST, ASHTON, ID, 834205118
Administrator’s telephone number 2086527461

Signature of
Role Plan administrator
Date 2012-01-26
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-03
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
ASHTON MEMORIAL 401(K) PLAN 2010 820225230 2011-08-08 ASHTON MEMORIAL 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-03-15
Business code 623000
Sponsor’s telephone number 2086527461
Plan sponsor’s address 700 N 2ND ST, ASHTON, ID, 834205118

Plan administrator’s name and address
Administrator’s EIN 820225230
Plan administrator’s name ASHTON MEMORIAL
Plan administrator’s address 700 N 2ND ST, ASHTON, ID, 834205118
Administrator’s telephone number 2086527461

Signature of
Role Plan administrator
Date 2011-08-08
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-08
Name of individual signing SUZANNE BRADY
Valid signature Filed with authorized/valid electronic signature
ASHTON MEMORIAL 401(K) PLAN 2010 820225230 2011-07-06 ASHTON MEMORIAL 48
Three-digit plan number (PN) 001
Effective date of plan 2010-03-15
Business code 623000
Sponsor’s telephone number 2086527461
Plan sponsor’s address 700 N 2ND ST, ASHTON, ID, 834205118

Plan administrator’s name and address
Administrator’s EIN 820225230
Plan administrator’s name ASHTON MEMORIAL
Plan administrator’s address 700 N 2ND ST, ASHTON, ID, 834205118
Administrator’s telephone number 2086527461

Signature of
Role Plan administrator
Date 2011-07-06
Name of individual signing SUZANNE BRADY
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing SUZANNE BRADY
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
SHON SHULDBERG Agent 700 NORTH 2ND, ASHTON, ID 83420

President

Name Role Address Appointed On Resigned On
Michael Davidson President P.O. BOX 838, ASHTON, ID 83420 2021-04-06 2022-04-05

Director

Name Role Address Appointed On
Michael Davidson Director P.O. BOX 838, ASHTON, ID 83420 2022-04-05

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005868005 2024-08-22
Dissolution/Revocation - Administrative 0005807060 2024-07-06
Annual Report 0005141490 2023-03-07
Annual Report 0004687825 2022-04-05
Annual Report 0004236120 2021-04-06
Annual Report 0003855757 2020-04-30
Annual Report 0003500398 2019-05-01
Annual Report 0001241449 2018-04-26
Annual Report 0001241446 2017-03-08
Annual Report 0001241444 2016-02-24

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
82-0225230 Corporation Unconditional Exemption PO BOX 838, ASHTON, ID, 83420-0838 1950-10
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-11
Asset 5,000,000 to 9,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Nov
Asset Amount 5693314
Income Amount 5743733
Form 990 Revenue Amount 5743733
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name ASHTON MEMORIAL INC
EIN 82-0225230
Tax Period 202111
Filing Type E
Return Type 990
File View File
Organization Name ASHTON MEMORIAL INC
EIN 82-0225230
Tax Period 201911
Filing Type E
Return Type 990
File View File
Organization Name ASHTON MEMORIAL INC
EIN 82-0225230
Tax Period 201811
Filing Type E
Return Type 990
File View File
Organization Name ASHTON MEMORIAL INC
EIN 82-0225230
Tax Period 201711
Filing Type E
Return Type 990
File View File
Organization Name ASHTON MEMORIAL INC
EIN 82-0225230
Tax Period 201611
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6433027003 2020-04-06 1087 PPP 700 North 2nd Street, ASHTON, ID, 83420-5105
Loan Status Date 2020-12-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 533100
Loan Approval Amount (current) 533100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 20158
Servicing Lender Name Bank of Idaho
Servicing Lender Address 399 N Capital Ave, IDAHO FALLS, ID, 83402-3632
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ASHTON, FREMONT, ID, 83420-5105
Project Congressional District ID-02
Number of Employees 89
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 20158
Originating Lender Name Bank of Idaho
Originating Lender Address IDAHO FALLS, ID
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 536061.67
Forgiveness Paid Date 2020-11-03

Related by officers

Michael Davidson

Sage Hill Northwest, Inc.

Related by address

No related companies by address

Date of last update: 30 Mar 2025

Sources: Idaho Secretary of State

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