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PALMER SENIOR CITIZENS CENTER, INC.

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Details

Entity Number 22754D

Status Good Standing

NamePALMER SENIOR CITIZENS CENTER, INC.

Date of registration 20 Oct 1980 (44 years ago)

Legal typeNonprofit Corporation

Place of FormationALASKA

Address 1132 S CHUGACH ST, PALMER, AK 99645

Address ZIP code 99645

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

624120 SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address

GKF7E5BTL915

2024-09-17

1132 S CHUGACH ST, PALMER, AK, 99645, 6627, USA

1132 S CHUGACH ST, PALMER, AK, 99645, 6627, USA

Business Information

Doing Business AsPALMER SENIOR CITIZENS CENTER INC
URLwww.matsuseniors.com
Congressional District00
State/Country of IncorporationAK, USA
Activation Date2023-09-29
Initial Registration Date2009-04-22
Entity Start Date1980-10-20
Fiscal Year End Close DateJun 30

Service Classifications

NAICS Codes624120

Points of Contacts

Electronic Business
TitlePRIMARY POC
NameTIMOTHY PETTIT
RoleCHIEF EXECUTIVE OFFICER
Address1132 S. CHUGACH ST, PALMER, AK, 99645, 6605, USA
TitleALTERNATE POC
NameBETH WESTLAND
RoleCOO
Address1132 S. CHUGACH ST., PALMER, AK, 99645, 6605, USA
Government Business
TitlePRIMARY POC
NameTIMOTHY PETTIT
RoleCHIEF EXECUTIVE OFFICER
Address1132 S. CHUGACH ST, PALMER, AK, 99645, 6605, USA
TitleALTERNATE POC
NameBETH WESTLAND
RoleCOO
Address1132 S. CHUGACH ST., PALMER, AK, 99645, 6605, USA
Past Performance
TitlePRIMARY POC
NameTIMOTHY PETTIT
RoleCHIEF EXECUTIVE OFFICER
Address1132 S. CHUGACH ST, PALMER, AK, 99645, USA
TitleALTERNATE POC
NameBETH WESTLAND
RoleCOO
Address1132 S. CHUGACH ST., PALMER, AK, 99645, USA

form 5500

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

EMPLOYEE BENEFITS PLAN OF PALMER SENIOR CITIZEN CENTER, INC.

2009

920078503

2010-05-27

PALMER SENIOR CITIZENS CENTER

4

View Page

Three-digit plan number (PN)001
Effective date of plan2002-01-01
Business code624100
Sponsor’s telephone number9077455454
Plan sponsor’s mailing address831 S. CHUGACH STREET, PALMER, AK, 99645
Plan sponsor’s address831 S. CHUGACH STREET, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN920078503
Plan administrator’s namePALMER SENIOR CITIZENS CENTER
Plan administrator’s address831 S. CHUGACH STREET, PALMER, AK, 99645
Administrator’s telephone number9077455454

Number of participants as of the end of the plan year

Active participants4
Retired or separated participants receiving benefits0
Other retired or separated participants entitled to future benefits0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Number of participants with account balances as of the end of the plan year4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Signature of

RolePlan administrator
Date2010-05-27
Name of individual signingRICHARD TUBBS
Valid signatureFiled with authorized/valid electronic signature

TAX DEFERRED ANNUITY PLAN OF PALMER SENIOR CITIZEN'S CENTER, INC.

2009

920078503

2010-07-29

PALMER SENIOR CITIZENS CENTER, INC .

7

View Page

Three-digit plan number (PN)002
Effective date of plan2002-01-01
Business code624100
Sponsor’s telephone number9077455454
Plan sponsor’s address831 S CHUGACH ST, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN920078503
Plan administrator’s namePALMER SENIOR CITIZENS CENTER, INC .
Plan administrator’s address831 S CHUGACH ST, PALMER, AK, 99645
Administrator’s telephone number9077455454

Signature of

RolePlan administrator
Date2010-07-29
Name of individual signingRICHARD G. TUBBS
RoleEmployer/plan sponsor
Date2010-07-29
Name of individual signingRICHARD G. TUBBS

EMPLOYEE BENEFIT PLAN OF PALMER SENIOR CITIZENS CENTER INC

2009

920078503

2011-01-25

PALMER SENIOR CITIZENS CENTER INC

4

View Page

Three-digit plan number (PN)001
Effective date of plan2002-01-01
Business code624100
Sponsor’s telephone number9077455454
Plan sponsor’s address831 S CHUGACH ST, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN920078503
Plan administrator’s namePALMER SENIOR CITIZENS CENTER INC
Plan administrator’s address831 S CHUGACH ST, PALMER, AK, 99645
Administrator’s telephone number9077455454

Signature of

RolePlan administrator
Date2011-01-25
Name of individual signingRACHEL GREENBERG
RoleEmployer/plan sponsor
Date2011-01-25
Name of individual signingRACHEL GREENBERG

EMPLOYEE BENEFIT PLAN OF PALMER SENIOR CITIZENS CENTER INC

2009

920078503

2011-01-25

PALMER SENIOR CITIZENS CENTER INC

4

Three-digit plan number (PN)001
Effective date of plan2002-01-01
Business code624100
Sponsor’s telephone number9077455454
Plan sponsor’s address831 S CHUGACH ST, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN920078503
Plan administrator’s namePALMER SENIOR CITIZENS CENTER INC
Plan administrator’s address831 S CHUGACH ST, PALMER, AK, 99645
Administrator’s telephone number9077455454

Signature of

RolePlan administrator
Date2011-01-25
Name of individual signingRACHEL GREENBERG
RoleEmployer/plan sponsor
Date2011-01-25
Name of individual signingRACHEL GREENBERG

President

Name Role

Thomas Schulman

President

Vice President

Name Role

Dora Wheeler

Vice President

Director

Name Role

MEG SMITH

Director

Thomas Schulman

Director

Dora Wheeler

Director

Elda McCraw

Director

WILLIAM RUSSELL INGRAM III

Director

Phillip Munger

Director

Treasurer

Name Role

WILLIAM RUSSELL INGRAM III

Treasurer

Registered Agent

Name Role

TIM PETTIT

Registered Agent

Secretary

Name Role

Elda McCraw

Secretary

Licenses

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

Business License

261859

Active

1999-03-08

2022-11-02

2024-12-31

LOB: 72 - Accommodation and Food Services, NAICS: 722514 - CAFETERIAS, GRILL BUFFETS, AND BUFFETS

Date of last update: 26 Aug 2024

Sources

Company info