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PRESBYTERIAN HOSPITALITY HOUSE, INC.

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Details

Entity Number 16777D

Status Good Standing

NamePRESBYTERIAN HOSPITALITY HOUSE, INC.

Date of registration 01 Apr 1977 (47 years ago)

Legal typeNonprofit Corporation

Place of FormationALASKA

Address 209 FORTY MILE AVENUE, SUITE 100, FAIRBANKS, AK 99701

Address ZIP code 99701

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

623990 OTHER RESIDENTIAL CARE FACILITIES

Links between entities

Type Name State

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address

GCUHVKNDJBL4

2024-08-03

209 FORTY MILE AVE, FAIRBANKS, AK, 99701, 3110, USA

209 FORTY MILE AVENUE, FAIRBANKS, AK, 99701, 3110, USA

Business Information

Congressional District00
State/Country of IncorporationAK, USA
Activation Date2023-08-08
Initial Registration Date2007-04-16
Entity Start Date1977-01-01
Fiscal Year End Close DateJun 30

Points of Contacts

Electronic Business
TitlePRIMARY POC
NameLISA ROCHA
Address209 FORTY MILE AVENUE, FAIRBANKS, AK, 99701, 3110, USA
TitleALTERNATE POC
NameAPRIL DAVISSON
RoleADMINISTRATIVE COORDINATOR
Address209 FORTY MILE AVENUE, FAIRBANKS, AK, 99701, 3110, USA
Government Business
TitlePRIMARY POC
NameTYRHEN TIGNER
Address209 FORTY MILE AVENUE, FAIRBANKS, AK, 99701, 3110, USA
TitleALTERNATE POC
NameLISA ROCHA
Address209 FORTY MILE AVENUE, FAIRBANKS, AK, 99701, 3110, USA
Past Performance
TitlePRIMARY POC
NameTYRHEN TIGNER
Address209 FORTY MILE AVENUE, FAIRBANKS, AK, 99701, 3110, USA
TitleALTERNATE POC
NameAPRIL DAVISSON
RoleADMINISTRATIVE COORDINATOR
Address209 FORTY MILE AVENUE, FAIRBANKS, AK, 99701, 3110, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration

4QLU8

Obsolete

Non-Manufacturer

2007-04-16

2024-07-17

2025-07-15

Contact Information

POCTYRHEN TIGNER
Phone+1 907-456-6445
Fax+1 907-456-6402
Address209 FORTY MILE AVE, FAIRBANKS, AK, 99701 3110, 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

PRESBYTERIAN HOSPITALITY HOUSE, INC.

2010

920022770

2012-03-10

PRESBYTERIAN HOSPITALITY HOUSE INC

23

View Page

Three-digit plan number (PN)001
Effective date of plan1990-01-01
Business code623000
Sponsor’s telephone number9074566445
Plan sponsor’s mailing address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701
Plan sponsor’s address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701

Plan administrator’s name and address

Administrator’s EIN920022770
Plan administrator’s nameDRENDA TIGNER
Plan administrator’s address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701
Administrator’s telephone number9074566445

Number of participants as of the end of the plan year

Active participants14
Other retired or separated participants entitled to future benefits10
Number of participants with account balances as of the end of the plan year24

Signature of

RolePlan administrator
Date2012-03-02
Name of individual signingDRENDA TIGNER
Valid signatureFiled with authorized/valid electronic signature

PRESBYTERIAN HOSPITALITY HOUSE, INC.

2009

920022770

2011-03-28

PRESBYTERIAN HOSPITALITY HOUSE INC

22

View Page

Three-digit plan number (PN)001
Effective date of plan1990-01-01
Business code623000
Sponsor’s telephone number9074566445
Plan sponsor’s mailing address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701
Plan sponsor’s address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701

Plan administrator’s name and address

Administrator’s EIN920022770
Plan administrator’s nameDRENDA TIGNER
Plan administrator’s address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701
Administrator’s telephone number9074566445

Number of participants as of the end of the plan year

Active participants12
Other retired or separated participants entitled to future benefits11
Number of participants with account balances as of the end of the plan year23

Signature of

RolePlan administrator
Date2011-03-22
Name of individual signingDRENDA TIGNER
Valid signatureFiled with authorized/valid electronic signature

PRESBYTERIAN HOSPITALITY HOUSE, INC.

2009

920022770

2011-03-23

PRESBYTERIAN HOSPITALITY HOUSE INC

22

Three-digit plan number (PN)001
Effective date of plan1990-01-01
Business code623000
Sponsor’s telephone number9074566445
Plan sponsor’s mailing address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701
Plan sponsor’s address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701

Plan administrator’s name and address

Administrator’s EIN920022770
Plan administrator’s nameDRENDA TIGNER
Plan administrator’s address209 FORTY MILE AVE, STE 100, FAIRBANKS, AK, 99701
Administrator’s telephone number9074566445

Number of participants as of the end of the plan year

Active participants12
Other retired or separated participants entitled to future benefits11
Number of participants with account balances as of the end of the plan year23

Signature of

RolePlan administrator
Date2011-03-22
Name of individual signingDRENDA TIGNER
Valid signatureFiled with incorrect/unrecognized electronic signature

Director

Name Role

Misty Dennis

Director

Adam Mokelke

Director

Dave Mongold

Director

Matt Cooper

Director

Becca Whitman

Director

Brian Goodlataw-George

Director

Devon Thomas

Director

Melissa Prine Crew

Director

Craig Robinson

Director

Steve Krall

Director

Vice President

Name Role

Adam Mokelke

Vice President

President

Name Role

Dave Mongold

President

Secretary

Name Role

Misty Dennis

Secretary

Treasurer

Name Role

Misty Dennis

Treasurer

Registered Agent

Name Role

Ty Tigner

Registered Agent

Licenses

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

Business License

302129

Active

2000-03-06

2023-11-29

2025-12-31

LOB: 62 - Health Care and Social Assistance, NAICS: 624190 - OTHER INDIVIDUAL AND FAMILY SERVICES

Date of last update: 26 Aug 2024

Sources

Company info