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INTERIOR COMMUNITY HEALTH CENTER

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Details

Entity Number 51691D

Status Good Standing

NameINTERIOR COMMUNITY HEALTH CENTER

Date of registration 17 May 1993 (31 years ago)

Legal typeNonprofit Corporation

Place of FormationALASKA

Address 1606 23RD AVENUE, 23RD AVENUE, FAIRBANKS, AK 99701

Address ZIP code 99701

Mailing Address 1606 23RD AVE, FAIRBANKS, AK 99701

Mailing Address ZIP code 99701

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621498 ALL OTHER OUTPATIENT CARE CENTERS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address

ZYHNNEX43KA6

2024-11-08

1606 23RD AVE, FAIRBANKS, AK, 99701, 6407, USA

1606 23RD AVE, FAIRBANKS, AK, 99701, 6407, USA

Business Information

URLwww.interiorcommunityhealth.org
Congressional District00
State/Country of IncorporationAK, USA
Activation Date2023-11-13
Initial Registration Date2018-01-25
Entity Start Date1993-05-17
Fiscal Year End Close DateJun 30

Points of Contacts

Electronic Business
TitlePRIMARY POC
NameTRACI YECKLEY
RoleCFO
Address1606 23RD AVE, FAIRBANKS, AK, 99701, USA
TitleALTERNATE POC
NameCHERYL KILGORE
RoleCEO
Address1606 23RD AVE, FAIRBANKS, AK, 99701, USA
Government Business
TitlePRIMARY POC
NameCHERYL KILGORE
RoleCEO
Address1606 23RD AVE, FAIRBANKS, AK, 99701, USA
Past PerformanceInformation not Available

form 5500

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

INTERIOR CHC 401(K) RETIREMENT PLAN

2022

920147354

2023-11-13

INTERIOR COMMUNITY HEALTH CENTER

36

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2023-11-13
Name of individual signingTRACI YECKLEY
RoleEmployer/plan sponsor
Date2023-11-13
Name of individual signingTRACI YECKLEY

INTERIOR CHC 401(K) RETIREMENT PLAN

2021

920147354

2023-01-19

INTERIOR COMMUNITY HEALTH CENTER

38

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2023-01-19
Name of individual signingTHOMAS MARTIN
RoleEmployer/plan sponsor
Date2023-01-19
Name of individual signingTHOMAS MARTIN

INTERIOR CHC 401(K) RETIREMENT PLAN

2020

920147354

2022-03-17

INTERIOR COMMUNITY HEALTH CENTER

39

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2022-03-17
Name of individual signingTHOMAS MARTIN

INTERIOR CHC 401(K) RETIREMENT PLAN

2019

920147354

2021-01-06

INTERIOR COMMUNITY HEALTH CENTER

39

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2021-01-06
Name of individual signingTHOMAS MARTIN

INTERIOR CHC 401(K) RETIREMENT PLAN

2018

920147354

2019-12-20

INTERIOR COMMUNITY HEALTH CENTER

35

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2019-12-20
Name of individual signingTHOMAS MARTIN
RoleEmployer/plan sponsor
Date2019-12-20
Name of individual signingTHOMAS MARTIN

INTERIOR CHC 401(K) RETIREMENT PLAN

2017

920147354

2018-11-28

INTERIOR COMMUNITY HEALTH CENTER

39

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2018-11-28
Name of individual signingTHOMAS MARTIN
RoleEmployer/plan sponsor
Date2018-11-28
Name of individual signingTHOMAS MARTIN

INTERIOR CHC 401(K) RETIREMENT PLAN

2016

920147354

2018-04-18

INTERIOR COMMUNITY HEALTH CENTER

40

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2018-04-18
Name of individual signingTHOMAS MARTIN
RoleEmployer/plan sponsor
Date2018-04-18
Name of individual signingTHOMAS MARTIN

INTERIOR CHC 401(K) RETIREMENT PLAN

2016

920147354

2018-01-09

INTERIOR COMMUNITY HEALTH CENTER

40

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2018-01-09
Name of individual signingTHOMAS MARTIN
RoleEmployer/plan sponsor
Date2018-01-09
Name of individual signingTHOMAS MARTIN

INTERIOR CHC 401(K) RETIREMENT PLAN

2015

920147354

2016-12-16

INTERIOR COMMUNITY HEALTH CENTER

42

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2016-12-16
Name of individual signingTHOMAS MARTIN
RoleEmployer/plan sponsor
Date2016-12-16
Name of individual signingTHOMAS MARTIN

INTERIOR CHC 401(K) RETIREMENT PLAN

2014

920147354

2015-12-30

INTERIOR COMMUNITY HEALTH CENTER

38

View Page

Three-digit plan number (PN)001
Effective date of plan1995-09-01
Business code621111
Sponsor’s telephone number9074554567
Plan sponsor’s address1606 23RD AVE, FAIRBANKS, AK, 997016407

Signature of

RolePlan administrator
Date2015-12-30
Name of individual signingTHOMAS MARTIN
RoleEmployer/plan sponsor
Date2015-12-30
Name of individual signingTHOMAS MARTIN

Vice President

Name Role

Joan Stepovich

Vice President

Director

Name Role

FANTA LEE-SANKOH

Director

JUSTIN BORGEN

Director

ALLIE SCHAFER

Director

AMY MAY

Director

MAMIE BROWN

Director

Scott Kawasaki

Director

Registered Agent

Name Role

Cheryl Kilgore

Registered Agent

Secretary

Name Role

LaVada Bush

Secretary

Treasurer

Name Role

Nakeda Allen

Treasurer

President

Name Role

Ellen Ganley

President

Licenses

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

Business License

292292

Active

2002-11-29

2024-03-12

2025-12-31

LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS

Date of last update: 26 Aug 2024

Sources

Company info