PZ - St. Luke Health System - Annual Report Amendment bd
CD
Q0
0005212374 1
�r•T, Eat STATE OF IDAHO For Office use only CD
�¢ Ito °•� Office of the secretary of state, Phil McGrane o
y C ANNUAL REPORT AMENDMENT -FILED- CD
M Idaho Secretary of State CD
s� tigQ PO Box 83720 File#:0005212374 p
ATE o� Boise, ID 83720-0080 Date Filed:4/26/2023 4:42:33 PM \
(208)334-2301 N
Filing Fee:$0.00
N
CD
N
Entity Name and Mailing Address: W
Entity Name: ST. LUKE'S HEALTH SYSTEM, LTD. X,
The file number of this entity on the records of the Idaho 0000502251
Secretary of State is:
N
Address 190 E BANNOCK ST
BOISE, ID 83712-6241
Entity Details:
Entity Status Active-Good Standing
This entity is organized under the laws of: IDAHO n
N
If applicable, the old file number of this entity on the records of C165588 N
the Idaho Secretary of State was: C
N
The registered agent on record is:
Registered Agent CHRISTINE NEUHOFF
Registered Agent
Physical Address
O
815 E PARK BLVD
BOISE, ID 83712 r-h
Mailing Address ~
0
83712 (p
Corporate Officers and Directors: p
Name Title Business Address
Chris Roth President 190 E. BANNOCK rt
BOISE, ID 83712
(D
Bob Lokken Director 190 E. BANNOCK H
BOISE, ID 83712
Christine Neuhoff Secretary 190 E BANNOCK ST
BOISE, ID 83712 0
Brigette Bilyeu Director 190 E. BANNOCK
BOISE, ID 83712
C)
Tom Corrick Director 190 E. BANNOCK
N
BOISE, ID 83712 �r
Lucie DiMaggio, MD Director 190 E. BANNOCK I j
BOISE, ID 83712 'C
Mark Durcan Director 190 E. BANNOCK O
BOISE, ID 83712 F-h
Lisa Grow Director 190 E. BANNOCK
BOISE, ID 83712 W
c-t
Dan Krahn Director 190 E. BANNOCK �p
BOISE, ID 83712
Allan Korn, MD Director 190 E. BANNOCK
BOISE, ID 83712
Page 1 of 2 Page 1 of 2
W
0
Q0
rn
I
Rich Raimondi Director 190 E. BANNOCK O1
BOISE, ID 83712 0
0
Andy Scoggin Director 190 E. BANNOCK ~
BOISE, ID 83712 0
Bill Whitacre Director 190 E. BANNOCK
BOISE, ID 83712 [v
rn
Emily Baker Director 190 E. BANNOCK
BOISE, ID 83712 N
0
Rosa Davila Director 190 E. BANNOCK N
BOISE, ID 83712 W
X,
Bill Gilbert Director 190 E. BANNOCK ..
BOISE, ID 83712
N
Kate Fowler Treasurer 190 E. BANNOCK
BOISE, ID 83712
The annual report must be signed by an authorized signer of the entity.
Job Title: Executive Assistant n
N
IJ-
Caro/ Wiimes 0412612023
m
Sign Here Date
O
tfi
tfi
C)
(D
O
tfi
ct
(D
H
Q1
O
to
(D
C)
n
N
c-t
ri
O
tfi
M
c-r
c-t
(D
Page 2 of 2 Page 2 of 2