Entity Number 75113D
Status Good Standing
NamePeninsula Community Health Services of Alaska, Inc.
Date of registration 24 Dec 2001 (23 years ago) 24 Dec 2001
Legal typeNonprofit Corporation
Place of FormationALASKA
Address 230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
Address ZIP code 99669-7648
Mailing Address 230 E. MARYDALE AVE., SOLDOTNA, AK 99669-7648
Mailing Address ZIP code 99669-7648
Line of Business
62 Health Care and Social AssistanceNAICS
621498 ALL OTHER OUTPATIENT CARE CENTERSPDXEH5443L71
2024-08-28
230 E MARYDALE AVE, SOLDOTNA, AK, 99669, 7648, USA
230 E MARYDALE AVE, SOLDOTNA, AK, 99669, 7648, USA
Business Information
| URL | www.pchsak.org |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2023-08-31 |
| Initial Registration Date | 2004-03-30 |
| Entity Start Date | 2008-10-27 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BENJAMIN WRIGHT |
| Role | CHIEF EXECUTIVE OFFICER |
| Address | 230 MARYDALE AVENUE, SOLDOTNA, AK, 99669, 2949, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CRISTINA LEE |
| Role | COO |
| Address | 230 MARYDALE AVENUE, SOLDOTNA, AK, 99669, 2949, USA |
| Past Performance | Information not Available |
|---|
3TED8
Obsolete
Non-Manufacturer
2004-03-31
2024-07-23
2025-07-19
Contact Information
| POC | CRISTINA LEE |
| Phone | +1 907-260-7309 |
| Fax | +1 907-260-7301 |
| Address | 230 E MARYDALE AVE, SOLDOTNA, AK, 99669 7648, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC
2019
920177803
2020-07-06
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC
99
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2019-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9072607300 |
| Plan sponsor’s mailing address | PO BOX 2949, SOLDOTNA, AK, 996692949 |
| Plan sponsor’s address | 230 E MARYDALE AVE, SOLDOTNA, AK, 99669 |
Number of participants as of the end of the plan year
| Active participants | 82 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-06 |
| Name of individual signing | CORBI RHOADES |
| Valid signature | Filed with authorized/valid electronic signature |
PENINSULA COMMUNITY HEALTH SERVICES OF ALASK INC
2018
920177803
2019-07-18
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC
96
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2015-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9072607300 |
| Plan sponsor’s mailing address | PO BOX 2949, SOLDOTNA, AK, 996692949 |
| Plan sponsor’s address | 230 E MARYDALE AVE, SOLDOTNA, AK, 99669 |
Number of participants as of the end of the plan year
| Active participants | 100 |
Signature of
| Role | Plan administrator |
| Date | 2019-07-18 |
| Name of individual signing | CORBI RHOADES |
| Valid signature | Filed with authorized/valid electronic signature |
403 B THRIFT PLAN OF PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC
2017
920177803
2018-07-23
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC
170
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1992-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9072607300 |
| Plan sponsor’s mailing address | PO BOX 2949, SOLDOTNA, AK, 996692949 |
| Plan sponsor’s address | 230 E MARYDALE AVE, SOLDOTNA, AK, 99669 |
Number of participants as of the end of the plan year
| Active participants | 72 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 95 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 164 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 10 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-23 |
| Name of individual signing | CORBI RHOADES |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-07-23 |
| Name of individual signing | CORBI RHOADES |
| Valid signature | Filed with authorized/valid electronic signature |
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC
2016
920177803
2017-07-20
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC
92
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2015-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9072607300 |
| Plan sponsor’s mailing address | PO BOX 2949, SOLDOTNA, AK, 996692949 |
| Plan sponsor’s address | 230 E MARYDALE AVE, SOLDOTNA, AK, 99669 |
Number of participants as of the end of the plan year
| Active participants | 91 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-20 |
| Name of individual signing | CORBI RHOADES |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2017-07-20 |
| Name of individual signing | CORBI RHOADES |
| Valid signature | Filed with authorized/valid electronic signature |
403(B) THRIFT PLAN OF PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
2016
920177803
2017-07-20
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
167
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1992-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9072607300 |
| Plan sponsor’s mailing address | PO BOX 2949, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 230 E MARYDALE AVE, SOLDOTNA, AK, 99669 |
Number of participants as of the end of the plan year
| Active participants | 73 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 97 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 169 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 18 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-20 |
| Name of individual signing | CORBI RHOADES |
| Valid signature | Filed with authorized/valid electronic signature |
403(B) THRIFT PLAN OF PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
2010
920177803
2011-04-19
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1992-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 9072607308 |
| Plan sponsor’s mailing address | PO BOX 2949, SOLDOTNA, AK, 996692949 |
| Plan sponsor’s address | 230 E. MARYDALE AVE, STE. 3, SOLDOTNA, AK, 99669 |
Plan administrator’s name and address
| Plan administrator’s name | SAME |
Signature of
| Role | Plan administrator |
| Date | 2011-04-19 |
| Name of individual signing | PATTY EISSLER |
| Valid signature | Filed with authorized/valid electronic signature |
Mitch Michaud
Vice President
Josh Cooley
Director
Kathy Flores
Director
Linzey White
Director
Ted Wellman
Director
Charlene Tautfest
Director
Romi Haseo
Director
Donna Cotman
Director
Diane Fielden
Director
Patricia Merwin
Director
Jennifer Kreider
Director
Blaine Gilman
President
Jordan Chilson
Treasurer
Kelly Martin
Secretary
Benjamin Wright
Registered Agent
Business License
920499
Active
2008-10-01
2023-11-07
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
