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  5. Camai Community Health Center, Inc.

Camai Community Health Center, Inc.

Contents

Company Details

Name: Camai Community Health Center, Inc.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 22 Feb 2007 (18 years ago)
Entity Number: 106731
ZIP code: 99633
County: Bristol Bay
Place of Formation: ALASKA
Address: 2 SCHOOL RD, NAKNEK, AK 99633
Mailing Address: PO BOX 211, NAKNEK, AK 99633

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621498 ALL OTHER OUTPATIENT CARE CENTERS

Officers

Name Role
Robert Lee Treasurer
Rebecca Ingalls President
Pete Caruso Vice President
Erin Peters Secretary
Taylor Kelso Director
Joseph N Levesque Registered Agent
Orion Dunn Director
David Bump Director
David Onate Director

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
ZCDFXRGRFJN5 2024-12-19 2 SCHOOL RD, NAKNEK, AK, 99633, USA
Mailing Address PO BOX 211, NAKNEK, AK, 99633, 0211, USA

Business Information
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-12-22
Initial Registration Date 2006-03-31
Entity Start Date 2007-07-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MARY SWAIN
Role EXECUTIVE DIRECTOR
Address PO BOX 211, NAKNEK, AK, 99633, 0211, USA
Title ALTERNATE POC
Name ZACKARY ASPELUND
Role CHIEF FINANCIAL OFFICER
Address PO BOX 211, 2 SCHOOL ROAD, NAKNEK, AK, 99633, 0211, USA
Government Business
Title PRIMARY POC
Name MARY SWAIN
Role EXECUTIVE DIRECTOR
Address PO BOX 211, NAKNEK, AK, 99633, 0211, USA
Title ALTERNATE POC
Name ZACKARY ASPELUND
Role CHIEF FINANCIAL OFFICER
Address PO BOX 211, 2 SCHOOL ROAD, NAKNEK, AK, 99633, 0211, USA
Past Performance -

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4CUP7 Obsolete Non-Manufacturer 2006-04-03 2023-12-22 - 2024-12-19

Contact Information
POC MARY SWAIN
Phone +1 907-246-6155
Fax +1 907-246-6158
Address 2 SCHOOL RD, NAKNEK, AK, 99633, UNITED STATES

Ownership of Offeror Information
Highest Level Owner -
Immediate Level Owner -
List of Offerors (0) -

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2023 113813698 2024-02-07 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9072466155
Plan sponsor’s address 2 SCHOOL ROAD, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2024-02-07
Name of individual signing ZACKARY ASPELUND
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2022 113813698 2023-02-28 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9072466155
Plan sponsor’s address 2 SCHOOL ROAD, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2023-02-28
Name of individual signing ZACKARY ASPELUND
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2021 113813698 2022-01-27 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9072466155
Plan sponsor’s address 2 SCHOOL ROAD, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2022-01-27
Name of individual signing ZACKARY ASPELUND
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2020 113813698 2021-02-09 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9072466155
Plan sponsor’s address 2 SCHOOL ROAD, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2021-02-09
Name of individual signing ZACKARY ASPELUND
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2019 113813698 2020-03-12 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER, INC.
Business code 621111
Sponsor’s telephone number 9072466155
Plan sponsor’s address 2 SCHOOL ROAD, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2020-03-12
Name of individual signing ZACKARY ASPELUND
CAMAI COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN & TRUST 2018 113813698 2019-07-30 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9072466155
Plan sponsor’s address PO BOX 211, NAKNEK, AK, 996330211

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing ZACKARY ASPELUND
Role Employer/plan sponsor
Date 2019-07-30
Name of individual signing ZACKARY ASPELUND
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2017 113813698 2018-05-11 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9074690401
Plan sponsor’s address 2 SCHOOL ROAD, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2018-05-11
Name of individual signing PATRICIA DESOTO
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2016 113813698 2017-05-11 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9074690401
Plan sponsor’s address 2 SCHOOL ROAD, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2017-05-11
Name of individual signing KAT BERNHARDT
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2015 113813698 2016-05-20 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9072466155
Plan sponsor’s address PO BOX 211, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2016-05-20
Name of individual signing PATRICIA DESOTO
CAMAI COMMUNITY HEALTH CENTER 401 K PROFIT SHARING PLAN TRUST 2014 113813698 2015-05-29 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor CAMAI COMMUNITY HEALTH CENTER
Business code 621111
Sponsor’s telephone number 9072466155
Plan sponsor’s address 2 SCHOOL ROAD, NAKNEK, AK, 99633

Signature of
Role Plan administrator
Date 2015-05-29
Name of individual signing KATRINA BERNHARDT

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 911656 Active 2008-01-07 2024-01-02 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS
Telemedicine Business Registry 127748 Active 2017-10-26 - - -

Date of last update: 10 Jan 2025

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

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