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THE VALLEY HOSPITAL ASSOCIATION, INC.

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Details

Entity Number 2378D

Status Good Standing

NameTHE VALLEY HOSPITAL ASSOCIATION, INC.

Date of registration 19 May 1952 (72 years ago)

Legal typeNonprofit Corporation

Place of FormationALASKA

Address 777 N CRUSEY STREET, STE A201, WASILLA, AK 99654

Address ZIP code 99654

Mailing Address 777 N CRUSEY ST STE A201, WASILLA, AK 99654

Mailing Address ZIP code 99654

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621610 HOME HEALTH CARE SERVICES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address

STACAEGKYTF6

2024-12-14

777 N CRUSEY ST STE A201, WASILLA, AK, 99654, 7104, USA

777 N CRUSEY ST STE A201, WASILLA, AK, 99654, 7104, USA

Business Information

Doing Business AsMAT-SU HEALTH FOUNDATION
URLwww.healthymatsu.org
Congressional District00
State/Country of IncorporationAK, USA
Activation Date2024-01-05
Initial Registration Date2019-05-16
Entity Start Date1948-01-15
Fiscal Year End Close DateDec 31

Service Classifications

NAICS Codes622110, 813211, 813219

Points of Contacts

Electronic Business
TitlePRIMARY POC
NameVICTORIA FLINT
RoleMS.
Address777 N CRUSEY ST. SUITE A201, WASILLA, AK, 99654, USA
TitleALTERNATE POC
NameVICTORIA FLINT
RoleMS.
Address777 N CRUSEY ST., SUITE A201, WASILLA, AK, 99654, USA
Government Business
TitlePRIMARY POC
NameVICTORIA FLINT
RoleMS.
Address777 N CRUSEY ST., SUITE A201, WASILLA, AK, 99654, USA
TitleALTERNATE POC
NameVICTORIA FLINT
RoleMS.
Address777 N CRUSEY ST., SUITE A201, WASILLA, AK, 99654, USA
Past Performance
TitlePRIMARY POC
NameVICTORIA FLINT
RoleMS.
Address777 N CRUSEY ST., SUITE A201, WASILLA, AK, 99654, USA
TitleALTERNATE POC
NameVICTORIA FLINT
RoleMS.
Address777 N CRUSEY ST., SUITE A201, WASILLA, AK, 99654, USA

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at

549300D66Z5P1WFBAC37

2378D

US-AK

GENERAL

ACTIVE

Addresses

LegalC/O DWT Alaska Corp, 188 West Northern Lights Boulevard, Suite 1100, Anchorage, US-AK, US, 99503
Headquarters950 East Bogard Road, Suite 218, Wasilla, US-AK, US, 99654

Registration details

Registration Date2015-11-18
Last Update2023-08-04
StatusLAPSED
Next Renewal2016-11-15
LEI Issuer5493001KJTIIGC8Y1R12
Corroboration LevelFULLY_CORROBORATED
Data Validated As2378D

form 5500

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

VALLEY HOSPITAL ASSOCIATION, INC. DBA MAT-SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2023

920019395

2024-07-25

VALLEY HOSPITAL ASSOCIATION, INC.

32

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code622000
Sponsor’s telephone number9073522863
Plan sponsor’s DBA nameMAT-SU HEALTH FOUNDATION
Plan sponsor’s address777 N CRUSEY STREET, SUITE A201, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2024-07-25
Name of individual signingWILLIAM FINLEY
RoleEmployer/plan sponsor
Date2024-07-25
Name of individual signingWILLIAM FINLEY

VALLEY HOSPITAL ASSOCIATION, INC. DBA MAT-SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2022

920019395

2023-07-11

VALLEY HOSPITAL ASSOCIATION, INC.

28

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code622000
Sponsor’s telephone number9073522863
Plan sponsor’s DBA nameMAT-SU HEALTH FOUNDATION
Plan sponsor’s address777 N CRUSEY STREET, SUITE A201, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2023-07-11
Name of individual signingBILL FINLEY

VALLEY HOSPITAL ASSOCIATION, INC. DBA MAT-SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2021

920019395

2022-06-30

VALLEY HOSPITAL ASSOCIATION, INC.

24

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code622000
Sponsor’s telephone number9073522863
Plan sponsor’s DBA nameMAT-SU HEALTH FOUNDATION
Plan sponsor’s address777 N CRUSEY STREET, SUITE A201, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2022-06-30
Name of individual signingEVIE SHIELDS

VALLEY HOSPITAL ASSOCIATION, INC. DBA MAT-SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2020

920019395

2021-04-22

VALLEY HOSPITAL ASSOCIATION, INC.

20

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code622000
Sponsor’s telephone number9073522863
Plan sponsor’s DBA nameMAT-SU HEALTH FOUNDATION
Plan sponsor’s address777 N CRUSEY STREET, SUITE A201, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2021-04-22
Name of individual signingSHIRLEY KELLY

VALLEY HOSPITAL ASSOCIATION, INC. DBA MAT-SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2016

920019395

2017-10-10

VALLEY HOSPITAL ASSOCIATION, INC.

8

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code812190
Sponsor’s telephone number9073522863
Plan sponsor’s DBA nameDBA MAT-SU HEALTH FOUNDATION
Plan sponsor’s address950 E. BOGARD ROAD, STE 218, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2017-10-10
Name of individual signingCHRIS EMOND
RoleEmployer/plan sponsor
Date2017-10-10
Name of individual signingCHRIS EMOND

MAT SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2015

920019395

2016-05-05

VALLEY HOSPITAL ASSOCIATION, INC.

9

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code812190
Sponsor’s telephone number9073522868
Plan sponsor’s DBA nameMAT SU HEALTH FOUNDATION
Plan sponsor’s address950 E. BOGARD ROAD, STE 218, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2016-05-05
Name of individual signingELIZABETH RIPLEY

MAT SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2014

920019395

2015-09-30

VALLEY HOSPITAL ASSOCIATION, INC.

9

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code812190
Sponsor’s telephone number9073522868
Plan sponsor’s DBA nameMAT SU HEALTH FOUNDATION
Plan sponsor’s address950 E. BOGARD ROAD, STE 218, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2015-09-30
Name of individual signingELIZABETH RIPLEY

MAT SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2013

920019395

2014-08-29

VALLEY HOSPITAL ASSOCIATION, INC.

6

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code812190
Sponsor’s telephone number9073522868
Plan sponsor’s DBA nameMAT SU HEALTH FOUNDATION
Plan sponsor’s address950 E. BOGARD ROAD, STE 218, WASILLA, AK, 99654

Signature of

RolePlan administrator
Date2014-08-29
Name of individual signingELIZABETH RIPLEY

MAT SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2012

920019395

2013-10-10

VALLEY HOSPITAL ASSOCIATION, INC.

5

View Page

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code812190
Sponsor’s telephone number9073522868
Plan sponsor’s DBA nameMAT SU HEALTH FOUNDATION
Plan sponsor’s address950 E. BOGARD ROAD, STE 218, WASILLA, AK, 99654

Plan administrator’s name and address

Administrator’s EIN920019395
Plan administrator’s nameVALLEY HOSPITAL ASSOCIATION, INC.
Plan administrator’s address950 E. BOGARD ROAD, STE 218, WASILLA, AK, 99654
Administrator’s telephone number9073522868

Signature of

RolePlan administrator
Date2013-10-10
Name of individual signingELIZABETH RIPLEY

MAT SU HEALTH FOUNDATION SAFE HARBOR 401(K) PLAN

2011

920019395

2012-10-16

VALLEY HOSPITAL ASSOCIATION, INC.

4

Three-digit plan number (PN)001
Effective date of plan2009-01-01
Business code812190
Sponsor’s telephone number9073522868
Plan sponsor’s DBA nameMAT SU HEALTH FOUNDATION
Plan sponsor’s address950 E. BOGARD ROAD, STE 218, WASILLA, AK, 99654

Plan administrator’s name and address

Administrator’s EIN920019395
Plan administrator’s nameVALLEY HOSPITAL ASSOCIATION, INC.
Plan administrator’s address950 E. BOGARD ROAD, STE 218, WASILLA, AK, 99654
Administrator’s telephone number9073522868

Signature of

RolePlan administrator
Date2012-10-15
Name of individual signingDON ZOERB, III
RoleEmployer/plan sponsor
Date2012-10-15
Name of individual signingDON ZOERB, III

Director

Name Role

WILLIAM NEWCOMBE

Director

TERI NAMTVEDT

Director

LEBRON MCPHAIL

Director

GREG JONES

Director

KEITH KEHOE

Director

LISA WADE

Director

RAELYNN DANIELOWSKI

Director

SAMMYE POKRYFKI

Director

MARISA CHUD

Director

TAMMY BRUCE

Director

Secretary

Name Role

TERI NAMTVEDT

Secretary

Treasurer

Name Role

TERI NAMTVEDT

Treasurer

President

Name Role

LISA WADE

President

Vice President

Name Role

LISA SMAYDA

Vice President

Registered Agent

Name Role

ELIZABETH RIPLEY

Registered Agent

Licenses

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

Business License

3641

Active

2022-10-18

2024-12-31

LOB: 62 - Health Care and Social Assistance, NAICS: 621610 - HOME HEALTH CARE SERVICES

Date of last update: 26 Aug 2024

Sources

Company info