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BRISTOL BAY AREA HEALTH CORPORATION

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Details

Entity Number 12090D

Status Good Standing

NameBRISTOL BAY AREA HEALTH CORPORATION

Date of registration 28 Jun 1973 (51 years ago)

Legal typeNonprofit Corporation

Place of FormationALASKA

Address 121 W. FIREWEED LANE, SUITE 280, PO BOX 130, ANCHORAGE, AK 99503

Address ZIP code 99503

Mailing Address 121 W.FIREWEED LANE, SUITE 280, ANCHORAGE, AK 99503

Mailing Address ZIP code 99503

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

622110 GENERAL MEDICAL AND SURGICAL HOSPITALS

Unique Entity ID

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

Business Information

URLwww.bbahc.org
Division NameBRISTOL BAY AREA HEALTH CORPORATION
Congressional District00
State/Country of IncorporationAK, USA
Activation Date2023-10-27
Initial Registration Date2023-10-18
Entity Start Date1973-06-28
Fiscal Year End Close DateSep 30

Points of Contacts

Electronic Business
TitlePRIMARY POC
NameELEANOR SUESUE
RoleASSOCIATE FINANCIAL OFFICER
Address6000 KANAKANAK RD, DILLINGHAM, AK, 99576, 0130, USA
TitleALTERNATE POC
NameCHERI JOHASEN
Address6000 KANAKANAK RD, DILLINGHAM, AK, 99576, USA
Government Business
TitlePRIMARY POC
NameJENNIFER DEWINNE
RoleCHIEF OPERATIONS OFFICER
Address6000 KANAKANAK RD, DILLINGHAM, AK, 99576, 0130, USA
Past PerformanceInformation not Available

Commercial and government entity program

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

Contact Information

POCJENNIFER DE WIINE
Phone+1 907-842-5201
Address6000 KANAKANAK RD, DILLINGHAM, AK, 99576, UNITED STATES

Ownership of Offeror Information

Highest Level OwnerInformation not Available
Immediate Level OwnerInformation not Available
List of Offerors (0)Information not Available

form 5500

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

BRISTOL BAY AREA HEALTH CORPORATION RETIREMENT PLAN

2009

920044965

2010-07-23

BRISTOL BAY AREA HEALTH CORPORATION

View Page

Three-digit plan number (PN)002
Plan sponsor’s mailing addressPO BOX 130, DILLINGHAM, AK, 99576
Plan sponsor’s addressPO BOX 130, DILLINGHAM, AK, 99576

Plan administrator’s name and address

Administrator’s EIN920044965
Plan administrator’s nameADMIN COMMITTEE FOR BRISTOL BAY AREA HEALTH CORP RETIREMENT PLAN
Plan administrator’s addressPO BOX 130, DILLINGHAM, AK, 99576

BRISTOL BAY AREA HEALTH CORPORATION 403(B) PLAN

2009

920044965

2010-08-17

BRISTOL BAY AREA HEALTH CORPORATION

1

View Page

Three-digit plan number (PN)003
Effective date of plan2003-01-01
Business code622000
Sponsor’s telephone number9708425201
Plan sponsor’s addressPO BOX 130, DILLINGHAM, AK, 99576

Plan administrator’s name and address

Administrator’s EIN920044965
Plan administrator’s nameADMIN COMMITTEE FOR BRISTOL BAY AREA HEALTH CORP RETIREMENT PLAN
Plan administrator’s addressPO BOX 130, DILLINGHAM, AK, 99576
Administrator’s telephone number9708425201

Signature of

RolePlan administrator
Date2010-08-17
Name of individual signingJOHN S. DAVIS III

Director

Name Role

Lorraine King

Director

SHAWN SHANIGAN

Director

SALLY MARTIN

Director

MARGIE COOPCHIAK

Director

Jeanette Carlson

Director

Victor Seybert

Director

Mary Ann Johnson

Director

PETER APOKEDAK, III

Director

MARILYN HANSEN

Director

Donny Lind

Director

President

Name Role

ROBERT CLARK

President

Vice President

Name Role

WILLIAM PHILLIPS

Vice President

JENNIFER DE WINNE

Vice President

Secretary

Name Role

A. DIANE SHANGIN

Secretary

Treasurer

Name Role

Pamela Mack

Treasurer

Registered Agent

Name Role

BAXTER BRUCE & SULLIVAN P.C.

Registered Agent

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description

Business License

66211

Active

2022-10-04

2024-12-31

LOB: 62 - Health Care and Social Assistance, NAICS: 622110 - GENERAL MEDICAL AND SURGICAL HOSPITALS

Date of last update: 26 Aug 2024

Sources

Company info