| Name: | BRISTOL BAY AREA HEALTH CORPORATION |
| Jurisdiction: | Alaska |
| Legal type: | Nonprofit Corporation |
| Status: | Good Standing |
| Date of registration: | 28 Jun 1973 (51 years ago) |
| Entity Number: | 12090D |
| ZIP code: | 99503 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 121 W. FIREWEED LANE, SUITE 280, PO BOX 130, ANCHORAGE, AK 99503 |
| Mailing Address: | 121 W.FIREWEED LANE, SUITE 280, ANCHORAGE, AK 99503 |
Line of Business
62 Health Care and Social AssistanceNAICS
622110 GENERAL MEDICAL AND SURGICAL HOSPITALS| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NL5HNWNUFMK4 | 2024-10-24 | 6000 KANAKANAK RD, DILLINGHAM, AK, 99576, USA | PO BOX 130, DILLINGHAM, AK, 99576, 0130, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||
| URL | www.bbahc.org |
| Division Name | BRISTOL BAY AREA HEALTH CORPORATION |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2023-10-27 |
| Initial Registration Date | 2023-10-18 |
| Entity Start Date | 1973-06-28 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ELEANOR SUESUE |
| Role | ASSOCIATE FINANCIAL OFFICER |
| Address | 6000 KANAKANAK RD, DILLINGHAM, AK, 99576, 0130, USA |
| Title | ALTERNATE POC |
| Name | CHERI JOHASEN |
| Address | 6000 KANAKANAK RD, DILLINGHAM, AK, 99576, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JENNIFER DEWINNE |
| Role | CHIEF OPERATIONS OFFICER |
| Address | 6000 KANAKANAK RD, DILLINGHAM, AK, 99576, 0130, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 35AE5 | Active | Non-Manufacturer | 2005-01-12 | 2023-10-17 | 2027-09-23 | No data | |||||||||||||
|
|||||||||||||||||||
| POC | JENNIFER DE WIINE |
| Phone | +1 907-842-5201 |
| Address | 6000 KANAKANAK RD, DILLINGHAM, AK, 99576, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRISTOL BAY AREA HEALTH CORPORATION 403(B) PLAN | 2009 | 920044965 | 2010-08-17 | BRISTOL BAY AREA HEALTH CORPORATION | 1 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 920044965 |
| Plan administrator’s name | ADMIN COMMITTEE FOR BRISTOL BAY AREA HEALTH CORP RETIREMENT PLAN |
| Plan administrator’s address | PO BOX 130, DILLINGHAM, AK, 99576 |
| Administrator’s telephone number | 9708425201 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-17 |
| Name of individual signing | JOHN S. DAVIS III |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Plan sponsor’s mailing address | PO BOX 130, DILLINGHAM, AK, 99576 |
| Plan sponsor’s address | PO BOX 130, DILLINGHAM, AK, 99576 |
Plan administrator’s name and address
| Administrator’s EIN | 920044965 |
| Plan administrator’s name | ADMIN COMMITTEE FOR BRISTOL BAY AREA HEALTH CORP RETIREMENT PLAN |
| Plan administrator’s address | PO BOX 130, DILLINGHAM, AK, 99576 |
| Name | Role |
|---|---|
| SALLY MARTIN | Director |
| MARILYN HANSEN | Director |
| Mary Ann Johnson | Director |
| Jeanette Carlson | Director |
| Victor Seybert | Director |
| MARGIE COOPCHIAK | Director |
| Lorraine King | Director |
| MARGIE ALOYSIUS | Director |
| Donny Lind | Director |
| NICK JOHNSON SR | Director |
| Name | Role |
|---|---|
| ROBERT CLARK | President |
| Name | Role |
|---|---|
| WILLIAM PHILLIPS | Vice President |
| JENNIFER DE WINNE | Vice President |
| Name | Role |
|---|---|
| A. DIANE SHANGIN | Secretary |
| Name | Role |
|---|---|
| Pamela Mack | Treasurer |
| Name | Role |
|---|---|
| BAXTER BRUCE & SULLIVAN P.C. | Registered Agent |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 66211 | Active | No data | 2022-10-04 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 622110 - GENERAL MEDICAL AND SURGICAL HOSPITALS |
Date of last update: 23 Dec 2024
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
