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Governance Register
US nonprofit · EIN 810587644 · Providence, UTiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 810587644) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe tenure.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue (us-approach-v4-clean). Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Bear Lake Community Health Center Inc's network

9 people1 organisationi9 people and 1 organisation on this map.The large node is the subject of this page. Solid lines are what the register itself records (9). Violet dotted lines (1) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

9 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 9 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Roy Bunderson ChairChair2018
8 yrs
Anna GunnBoard Member2020
6 yrs
Brent HatchBoard Member2023
3 yrs
Daren WallentineVice Chair2018
8 yrs
Jacob McBrideCompany secretary2023
3 yrs
Johnson SmithTreasurer2018
8 yrs
Randal WendlingBoard Member2023
3 yrs
Vanessa Webb-BarraganBoard Member2023
3 yrs
Yenny LopezBoard Member2018
8 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

16 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Ben P BoyerPhysician As2023
Cullen ArcherPhysiciansince 2018
David J BallinghamPhysician Assince 2018
Eric SwensenPhysiciansince 2021
Florin REX NielsenPhysiciansince 2021
Glenn RobertsonPhysiciansince 2020
Jeremy StarrPhysiciansince 2018
Jorge GarciaExec. Directsince 2021
Kathi IzattExec. Direct2023
Laval JensenExec. Directsince 2018
Lisa FraleighPharmacist2018
Michael AdamsPhysician2019
Nabi N YoussefDentist2023
REX NielsenPhysiciansince 2018
Sven PeeryDentistsince 2021
Tiffany RedmondPhysician As2020

About

Legal name
Bear Lake Community Health Center Inc
EIN
810587644
Address
517 W 100 N Ste 210, Providence, UT, 84332-9826
State
Utah
Activity (NTEE)
E30 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
8 (IRS master file code)
IRS ruling date
1 September 2003
Status
Code 01 (unconditional exemption)
Form 990 filings on record
6, latest 2023
IRS Publication 78
PC (contributions deductible)

Most connected

Longest observed on the filings

≥8years on the filingsRoy Bunderson
≥8years on the filingsDaren Wallentine
≥8years on the filingsJohnson Smith
≥8years on the filingsYenny Lopez

Filed finances

No Form 990 financial figures are held for this organisation yet (smaller organisations file a shorter return, and some filings are not yet read).