Entity Number 8951D
Status Good Standing
NameSouth Peninsula Hospital, Inc.
Date of registration 01 Oct 1969 (55 years ago) 01 Oct 1969
Legal typeNonprofit Corporation
Place of FormationALASKA
Address 4300 BARTLETT ST, HOMER, AK 99603
Address ZIP code 99603
Mailing Address 4300 BARTLETT ST., HOMER, AK 99603
Mailing Address ZIP code 99603
Line of Business
62 Health Care and Social AssistanceNAICS
622110 GENERAL MEDICAL AND SURGICAL HOSPITALSSOUTH PENINSULA HOSPITAL 403(B) PLAN FOR NON-UNION EMPLOYEES
2020
920037099
2021-06-14
SOUTH PENINSULA HOSPITAL
118
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-14 |
| Name of individual signing | ANGELA HINNEGAN |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR NON-UNION EMPLOYEES
2019
920037099
2020-10-15
SOUTH PENINSULA HOSPITAL
116
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-15 |
| Name of individual signing | ANGELA HINNEGAN |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR NON-UNION EMPLOYEES
2018
920037099
2019-10-09
SOUTH PENINSULA HOSPITAL
105
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-09 |
| Name of individual signing | JAMES BASCH |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR NON-UNION EMPLOYEES
2017
920037099
2018-10-15
SOUTH PENINSULA HOSPITAL
79
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-15 |
| Name of individual signing | ANGELA HINNEGAN |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR NON-UNION EMPLOYEES
2016
920037099
2017-10-16
SOUTH PENINSULA HOSPITAL
81
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-16 |
| Name of individual signing | HOLLY TORRES |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR UNION EMPLOYEES
2016
920037099
2017-10-16
SOUTH PENINSULA HOSPITAL
39
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 2015-03-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-16 |
| Name of individual signing | HOLLY TORRES |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR NON-UNION EMPLOYEES
2015
920037099
2016-10-17
SOUTH PENINSULA HOSPITAL
71
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-17 |
| Name of individual signing | TAMMY ACKERMAN |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR UNION EMPLOYEES
2015
920037099
2016-10-17
SOUTH PENINSULA HOSPITAL
0
| Three-digit plan number (PN) | 004 |
| Effective date of plan | 2015-03-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-17 |
| Name of individual signing | TAMMY ACKERMAN |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR NON-UNION EMPLOYEES
2014
920037099
2015-09-09
SOUTH PENINSULA HOSPITAL
68
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2015-09-09 |
| Name of individual signing | LORI MEYER |
| Role | Employer/plan sponsor |
| Date | 2015-09-09 |
| Name of individual signing | LORI MEYER |
SOUTH PENINSULA HOSPITAL 403(B) PLAN FOR NON-UNION EMPLOYEES
2013
920037099
2014-01-28
SOUTH PENINSULA HOSPITAL
68
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2013-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9072358101 |
| Plan sponsor’s address | 4300 BARTLETT STREET, HOMER, AK, 996037005 |
Signature of
| Role | Plan administrator |
| Date | 2014-01-28 |
| Name of individual signing | LORI MEYER |
| Role | Employer/plan sponsor |
| Date | 2014-01-28 |
| Name of individual signing | LORI MEYER |
MATTHEW HAMBRICK
Director
Jared Baker
Director
Edson Knapp
Director
Bernadette Wilson
Director
Preston Simmons
Director
CHRISTOPHER LANDESS
Director
MATTHEW BULLARD
Director
Walter Partridge
Treasurer
AARON WEISSER
President
Melissa Jacobsen
Vice President
MARY WYTHE
Secretary
Ryan Smith
Registered Agent
Business License
192072
Active
2022-10-19
2024-12-31
LOB: 62 - Health Care and Social Assistance, NAICS: 622110 - GENERAL MEDICAL AND SURGICAL HOSPITALS
Date of last update: 26 Aug 2024
Sources
