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  5. ANCORA HOME HEALTH AND HOSPICE LLC

ANCORA HOME HEALTH AND HOSPICE LLC

Company Details

Name: ANCORA HOME HEALTH AND HOSPICE LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 18 Jan 2018 (7 years ago)
Entity Number: 10076246
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 3831 EAST BLUE LUPINE DRIVE, WASILLA, AK 99654
Mailing Address: 350 EAST 2200 NORTH, NORTH LOGAN, UT 84341

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
L6DXKW8MW7U1 2022-12-08 2851 E PALMER WASILLA HWY STE 7, WASILLA, AK, 99654, 7499, USA 2851 E PALMER WASILLA HWY STE 7, WASILLA, AK, 99654, 7499, USA

Business Information
Division Name ANCORA HOME HEALTH AND HOSPICE
Division Number ANCORA HOM
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2021-11-09
Initial Registration Date 2020-11-17
Entity Start Date 2018-09-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SANDY MORGAN
Role MANAGER
Address 258 S MAIN ST, 210, LOGAN, UT, 84321, USA
Government Business
Title PRIMARY POC
Name SANDY MORGAN
Role MANAGER
Address 258 S MAIN ST, 210, LOGAN, UT, 84321, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RETIREMENT INCOME SECURITY PLAN-ANCORA HOME HEALTH AND HOSPICE LLC 2021 824062977 2022-11-28 ANCORA HOME HEALTH AND HOSPICE LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 623000
Sponsor’s telephone number 9075619240
Plan sponsor’s address 2851 EAST PALMER WASILLA HWY, SUITE 7, WASILLA, AK, 99654

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2022-11-28
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCORA HOME HEALTH AND HOSPICE LLC 2021 824062977 2022-07-26 ANCORA HOME HEALTH AND HOSPICE LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 623000
Sponsor’s telephone number 9075619240
Plan sponsor’s address 2851 EAST PALMER WASILLA HWY, SUITE 7, WASILLA, AK, 99654

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCORA HOME HEALTH AND HOSPICE LLC 2020 824062977 2021-07-22 ANCORA HOME HEALTH AND HOSPICE LLC 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 623000
Sponsor’s telephone number 9075619240
Plan sponsor’s address 2851 EAST PALMER WASILLA HWY, SUITE 7, WASILLA, AK, 99654

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing STEVEN STOUT
ANCORA HOME HEALTH AND HOSPICE 401(K) PLAN 2019 824062977 2020-10-14 ANCORA HOME HEALTH AND HOSPICE 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 623000
Sponsor’s telephone number 9073524800
Plan sponsor’s address 950 E. BOGARD, SUITE 132, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing CHAD MAGUM
ANCORA HOME HEALTH AND HOSPICE 401(K) PLAN 2018 824062977 2019-10-03 ANCORA HOME HEALTH AND HOSPICE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 623000
Sponsor’s telephone number 9073524800
Plan sponsor’s address 950 E. BOGARD, SUITE 132, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing CHAD MAGUM

Member

Name Role
The Osirus Group Member
Mangum, Inc. Member
MARK JORGENSEN PT PC Member

Manager

Name Role
The Osirus Group Manager
Mangum, Inc. Manager

Registered Agent

Name Role
Nicholas Larsen Registered Agent

Related by officers

MARK JORGENSEN PT PC

Ancora Holdings LLC Denali Street Holdings LLC

Nicholas Larsen

Maple Springs of Palmer SNF Holdings LLC Grayling-Maple Springs Development, LLC MS Anchorage, LLC Larsen Levitation LLC Maple Springs of Wasilla ALF Holdings, LLC GN Properties LLC Turkey Land, LLC Maple Springs of Anchorage SNF Holdings, LLC Wolf Cub Aviation LLC Atlas Medical Alaska LLC

Related by address

350 EAST 2200 NORTH, NORTH LOGAN, UT 84341

MS Anchorage, LLC Turkey Land, LLC Maple Springs of Anchorage SNF Holdings, LLC Atlas Medical Alaska LLC Ancora Holdings LLC MSM Anchorage LLC Maple Springs Management, LLC AeroSpring Leasing LLC Charlie Charlie, LLC

Date of last update: 23 Dec 2024

Sources: State of Alaska - Department of Commerce, Community, and Economic Development

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