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ANCORA HOME HEALTH AND HOSPICE LLC

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Details

Entity Number 10076246

Status Good Standing

NameANCORA HOME HEALTH AND HOSPICE LLC

Date of registration 18 Jan 2018 (7 years ago)

Legal typeLimited Liability Company

Place of FormationALASKA

Address 3831 EAST BLUE LUPINE DRIVE, WASILLA, AK 99654

Address ZIP code 99654

Mailing Address 350 EAST 2200 NORTH, NORTH LOGAN, UT 84341

Mailing Address ZIP code 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 NameANCORA HOME HEALTH AND HOSPICE
Division NumberANCORA HOM
Congressional District00
State/Country of IncorporationAK, USA
Activation Date2021-11-09
Initial Registration Date2020-11-17
Entity Start Date2018-09-01
Fiscal Year End Close DateDec 31

Points of Contacts

Electronic Business
TitlePRIMARY POC
NameSANDY MORGAN
RoleMANAGER
Address258 S MAIN ST, 210, LOGAN, UT, 84321, USA
Government Business
TitlePRIMARY POC
NameSANDY MORGAN
RoleMANAGER
Address258 S MAIN ST, 210, LOGAN, UT, 84321, USA
Past PerformanceInformation not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

RETIREMENT INCOME SECURITY PLAN-ANCORA HOME HEALTH AND HOSPICE LLC

2021

824062977

2022-11-28

ANCORA HOME HEALTH AND HOSPICE LLC

43

View Page

Three-digit plan number (PN)001
Effective date of plan2018-10-01
Business code623000
Sponsor’s telephone number9075619240
Plan sponsor’s address2851 EAST PALMER WASILLA HWY, SUITE 7, WASILLA, AK, 99654

Plan administrator’s name and address

Administrator’s EIN821222973
Plan administrator’s nameHEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number8778602664

Signature of

RolePlan administrator
Date2022-11-28
Name of individual signingSTEVEN STOUT

RETIREMENT INCOME SECURITY PLAN-ANCORA HOME HEALTH AND HOSPICE LLC

2021

824062977

2022-07-26

ANCORA HOME HEALTH AND HOSPICE LLC

51

View Page

Three-digit plan number (PN)001
Effective date of plan2018-10-01
Business code623000
Sponsor’s telephone number9075619240
Plan sponsor’s address2851 EAST PALMER WASILLA HWY, SUITE 7, WASILLA, AK, 99654

Plan administrator’s name and address

Administrator’s EIN821222973
Plan administrator’s nameHEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number8778602664

Signature of

RolePlan administrator
Date2022-07-26
Name of individual signingSTEVEN STOUT

RETIREMENT INCOME SECURITY PLAN-ANCORA HOME HEALTH AND HOSPICE LLC

2020

824062977

2021-07-22

ANCORA HOME HEALTH AND HOSPICE LLC

84

View Page

Three-digit plan number (PN)001
Effective date of plan2018-10-01
Business code623000
Sponsor’s telephone number9075619240
Plan sponsor’s address2851 EAST PALMER WASILLA HWY, SUITE 7, WASILLA, AK, 99654

Plan administrator’s name and address

Administrator’s EIN821222973
Plan administrator’s nameHEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number8778602664

Signature of

RolePlan administrator
Date2021-07-22
Name of individual signingSTEVEN STOUT

ANCORA HOME HEALTH AND HOSPICE 401(K) PLAN

2019

824062977

2020-10-14

ANCORA HOME HEALTH AND HOSPICE

37

View Page

Three-digit plan number (PN)001
Effective date of plan2018-10-01
Business code623000
Sponsor’s telephone number9073524800
Plan sponsor’s address950 E. BOGARD, SUITE 132, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2020-10-14
Name of individual signingCHAD MAGUM

ANCORA HOME HEALTH AND HOSPICE 401(K) PLAN

2018

824062977

2019-10-03

ANCORA HOME HEALTH AND HOSPICE

25

View Page

Three-digit plan number (PN)001
Effective date of plan2018-10-01
Business code623000
Sponsor’s telephone number9073524800
Plan sponsor’s address950 E. BOGARD, SUITE 132, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2019-10-03
Name of individual signingCHAD 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

Date of last update: 26 Aug 2024

Sources

Company info