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  5. NORTON SOUND HEALTH CORPORATION

NORTON SOUND HEALTH CORPORATION

Company Details

Name: NORTON SOUND HEALTH CORPORATION
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 27 Nov 1970 (54 years ago)
Entity Number: 9791D
ZIP code: 99762
County: Nome
Place of Formation: ALASKA
Address: 1000 GREG KRUSCHEK AVENUE, NOME, AK 99762
Mailing Address: PO BOX 966, NOME, AK 99762

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
T5LCB3VBM1L7 2024-06-14 1000 E GREG KRUSCHEK AVE, NOME, AK, 99762, USA PO BOX 966, NOME, AK, 99762, 0966, USA

Business Information
URL www.nortonsoundhealth.org
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-06-19
Initial Registration Date 2006-05-12
Entity Start Date 1970-11-27
Fiscal Year End Close Date Sep 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MELISSA MEADOWS
Role GRANT ADMINISTRATOR
Address P.O. BOX 966, NOME, AK, 99762, USA
Title ALTERNATE POC
Name DAN PARDEE
Address P.O. BOX 966, NOME, AK, 99762, USA
Government Business
Title PRIMARY POC
Name MELISSA MEADOWS
Address P.O. BOX 966, NOME, AK, 99762, USA
Title ALTERNATE POC
Name ANGIE GORN
Address PO BOX 966, NOME, AK, 99762, 0966, USA
Past Performance
Title PRIMARY POC
Name DAN PARDEE
Address PO BOX 966, NOME, AK, 99762, 0966, USA
Title ALTERNATE POC
Name ANGIE GORN
Address PO BOX 966, NOME, AK, 99762, 0966, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTON SOUND HEALTH CORPORATION MONEY PURCHASE PENSION PLAN AND TRUST 2012 920041488 2013-03-05 NORTON SOUND HEALTH CORPORATION 628
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 622000
Sponsor’s telephone number 9074433488
Plan sponsor’s mailing address P. O. BOX 966, NOME, AK, 997620966
Plan sponsor’s address 1000 E GREG KRUSCHEK AVENUE, NOME, AK, 99762

Number of participants as of the end of the plan year
Active participants 530
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 111
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 556
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 47

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing CHRISTOPER BOLTON
Valid signature Filed with authorized/valid electronic signature
NORTON SOUND HEALTH CORPORATION MONEY PURCHASE PENSION PLAN AND TRUST 2012 920041488 2013-03-05 NORTON SOUND HEALTH CORPORATION 540
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 622000
Sponsor’s telephone number 9074433488
Plan sponsor’s mailing address P. O. BOX 966, NOME, AK, 997620966
Plan sponsor’s address 1000 E GREG KRUSCHEK AVENUE, NOME, AK, 99762

Number of participants as of the end of the plan year
Active participants 508
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 118
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 480
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 26

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing CHRISTOPER BOLTON
Valid signature Filed with authorized/valid electronic signature
NORTON SOUND HEALTH CORPORATION MONEY PURCHASE PENSION PLAN AND TRUST 2012 920041488 2013-03-05 NORTON SOUND HEALTH CORPORATION 523
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 622000
Sponsor’s telephone number 9074433488
Plan sponsor’s mailing address P. O. BOX 966, NOME, AK, 997620966
Plan sponsor’s address 1000 E GREG KRUSCHEK AVENUE, NOME, AK, 99762

Number of participants as of the end of the plan year
Active participants 389
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 68
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 389
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 42

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing CHRISTOPER BOLTON
Valid signature Filed with authorized/valid electronic signature
NORTON SOUND HEALTH CORPORATION MONEY PURCHASE PENSION PLAN AND TRUST 2012 920041488 2013-03-05 NORTON SOUND HEALTH CORPORATION 458
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 622000
Sponsor’s telephone number 9074433488
Plan sponsor’s mailing address P. O. BOX 966, NOME, AK, 997620966
Plan sponsor’s address 1000 E GREG KRUSCHEK AVENUE, NOME, AK, 99762

Number of participants as of the end of the plan year
Active participants 345
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 72
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 366
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing CHRISTOPER BOLTON
Valid signature Filed with authorized/valid electronic signature
NORTON SOUND HEALTH CORPORATION MONEY PURCHASE PENSION PLAN AND TRUST 2011 920041488 2013-03-05 NORTON SOUND HEALTH CORPORATION 402
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 622000
Sponsor’s telephone number 9074433488
Plan sponsor’s mailing address P. O. BOX 966, NOME, AK, 997620966
Plan sponsor’s address 1000 E GREG KRUSCHEK AVENUE, NOME, AK, 99762

Plan administrator’s name and address
Administrator’s EIN 920041488
Plan administrator’s name NORTON SOUND HEALTH CORPORATION
Plan administrator’s address P. O. BOX 966, NOME, AK, 997620966
Administrator’s telephone number 9074433488

Number of participants as of the end of the plan year
Active participants 355
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 78
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 429
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing CHRISTOPER BOLTON
Valid signature Filed with authorized/valid electronic signature
NORTON SOUND HEALTH CORPORATION MONEY PURCHASE PENSION PLAN AND TRUST 2010 920041488 2013-03-05 NORTON SOUND HEALTH CORPORATION 439
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 622000
Sponsor’s telephone number 9074433488
Plan sponsor’s mailing address P. O. BOX 966, NOME, AK, 997620966
Plan sponsor’s address 1000 E GREG KRUSCHEK AVENUE, NOME, AK, 99762

Plan administrator’s name and address
Administrator’s EIN 920041488
Plan administrator’s name NORTON SOUND HEALTH CORPORATION
Plan administrator’s address P. O. BOX 966, NOME, AK, 997620966
Administrator’s telephone number 9074433488

Number of participants as of the end of the plan year
Active participants 340
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 60
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 376
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing CHRISTOPER BOLTON
Valid signature Filed with authorized/valid electronic signature
NORTON SOUND HEALTH CORPORATION MONEY PURCHASE PENSION PLAN AND TRUST 2009 920041488 2013-03-05 NORTON SOUND HEALTH CORPORATION 419
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 622000
Sponsor’s telephone number 9074433488
Plan sponsor’s mailing address P. O. BOX 966, NOME, AK, 997620966
Plan sponsor’s address 1000 E GREG KRUSCHEK AVENUE, NOME, AK, 99762

Plan administrator’s name and address
Administrator’s EIN 920041488
Plan administrator’s name NORTON SOUND HEALTH CORPORATION
Plan administrator’s address P. O. BOX 966, NOME, AK, 997620966
Administrator’s telephone number 9074433488

Number of participants as of the end of the plan year
Active participants 375
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 62
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 420
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 6

Signature of
Role Plan administrator
Date 2013-03-05
Name of individual signing CHRISTOPER BOLTON
Valid signature Filed with authorized/valid electronic signature

Vice President

Name Role
Kelly Bogart Vice President
Christopher Bolton Vice President
Daniel Pardee Vice President
Charles Cross Vice President
Kirsten Timbers Vice President

President

Name Role
Angela Gorn President

Director

Name Role
Preston Rookok Director
Heather Payenna Director
Joanne Keyes Director
Berda Willson Director
Kevin Bahnke Director
Charlie Brown Director
Angela Menadelook-kakruk Director
Anthony Haugen Director

Secretary

Name Role
Berda Willson Secretary

Treasurer

Name Role
Berda Willson Treasurer

Assistant Secretary

Name Role
Angela Menadelook-kakruk Assistant Secretary

Assistant Treasurer

Name Role
Angela Menadelook-kakruk Assistant Treasurer

Registered Agent

Name Role
Carolyn Heyman Registered Agent

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 155538 Active 1992-09-03 2023-10-04 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD HHSN271201200491P 2012-08-03 2012-08-06 2012-08-06
Unique Award Key CONT_AWD_HHSN271201200491P_7529_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title NORTON SOUND HEALTH CORPORATION:1188565 [12-009774]THE PURPOSE OF MODIFICATION 0001 IS TO CANCEL THE ORDER IN ITS ENTIRETY DUE TO A VENDOR NAME ISSUE.
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes 6640: LABORATORY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient NORTON SOUND HEALTH CORP
UEI T5LCB3VBM1L7
Legacy DUNS 010189223
Recipient Address UNITED STATES, 306 W 5TH AVE, NOME, 997620966

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Date of last update: 23 Dec 2024

Sources: State of Alaska - Department of Commerce, Community, and Economic Development

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