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Lifesource Biomedical, LLC

Headquarter

Contents

Company Details

Name: Lifesource Biomedical, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 02 Jun 2008 (17 years ago)
Entity Number: 116436
ZIP code: 99801
County: Juneau
Place of Formation: ALASKA
Address: 3025 CLINTON DRIVE, SUITE 140, JUNEAU, AK 99801
Mailing Address: 3025 CLINTON DR, JUNEAU, AK 99801

Officers

Name Role
Goldbelt Incorporated Manager
Goldbelt Incorporated Member
Joanne Blum Member
William Silvey Member
GOLDBELT, INCORPORATED Registered Agent

Links between entities

Type Company Name Company Number State
Headquarter of Lifesource Biomedical, LLC, New York 4000081 New York

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
LIFESOURCE BIOMEDICAL, LLC 401(K) PLAN 2012 262724516 2013-06-12 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Sponsor LIFESOURCE BIOMEDICAL, LLC
Business code 541700
Sponsor’s telephone number 9077904990
Plan sponsor’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN 262724516
Plan administrator’s name LIFESOURCE BIOMEDICAL, LLC
Plan administrator’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801
Administrator’s telephone number 9077904990

Signature of

Role Plan administrator
Date 2013-06-12
Name of individual signing VICTOR R. SCARANO
LIFESOURCE BIOMEDICAL, LLC 401(K) PLAN 2011 262724516 2012-10-14 12
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Sponsor LIFESOURCE BIOMEDICAL, LLC
Business code 541700
Sponsor’s telephone number 9077904990
Plan sponsor’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN 262724516
Plan administrator’s name LIFESOURCE BIOMEDICAL, LLC
Plan administrator’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801
Administrator’s telephone number 9077904990

Signature of

Role Plan administrator
Date 2012-10-13
Name of individual signing LISA FISHER
LIFESOURCE BIOMEDICAL, LLC 401(K) PLAN 2010 262724516 2011-09-21 9
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Sponsor LIFESOURCE BIOMEDICAL, LLC
Business code 541700
Sponsor’s telephone number 9077904990
Plan sponsor’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN 262724516
Plan administrator’s name LIFESOURCE BIOMEDICAL, LLC
Plan administrator’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801
Administrator’s telephone number 9077904990

Signature of

Role Plan administrator
Date 2011-09-21
Name of individual signing TODD HUGHES
LIFESOURCE BIOMEDICAL, LLC 401(K) PLAN 2010 262724516 2011-09-21 10
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Sponsor LIFESOURCE BIOMEDICAL, LLC
Business code 541700
Sponsor’s telephone number 9077904990
Plan sponsor’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN 262724516
Plan administrator’s name LIFESOURCE BIOMEDICAL, LLC
Plan administrator’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801
Administrator’s telephone number 9077904990

Signature of

Role Plan administrator
Date 2011-09-21
Name of individual signing TODD HUGHES
LIFESOURCE BIOMEDICAL, LLC 401(K) PLAN 2010 262724516 2011-10-31 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Sponsor LIFESOURCE BIOMEDICAL, LLC
Business code 541700
Sponsor’s telephone number 9077904990
Plan sponsor’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN 262724516
Plan administrator’s name LIFESOURCE BIOMEDICAL, LLC
Plan administrator’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801
Administrator’s telephone number 9077904990

Signature of

Role Plan administrator
Date 2011-10-31
Name of individual signing ANTHONY PANAGIOTU
LIFESOURCE BIOMEDICAL, LLC 401(K) PLAN 2010 262724516 2011-09-21 9
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Sponsor LIFESOURCE BIOMEDICAL, LLC
Business code 541700
Sponsor’s telephone number 9077904990
Plan sponsor’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN 262724516
Plan administrator’s name LIFESOURCE BIOMEDICAL, LLC
Plan administrator’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801
Administrator’s telephone number 9077904990

Signature of

Role Plan administrator
Date 2011-09-21
Name of individual signing TODD HUGHES
LIFESOURCE BIOMEDICAL, LLC 401(K) PLAN 2009 262724516 2011-10-31 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Sponsor LIFESOURCE BIOMEDICAL, LLC
Business code 541700
Sponsor’s telephone number 9077904990
Plan sponsor’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN 262724516
Plan administrator’s name LIFESOURCE BIOMEDICAL, LLC
Plan administrator’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801
Administrator’s telephone number 9077904990

Signature of

Role Plan administrator
Date 2011-10-31
Name of individual signing ANTHONY PANAGIOTU
LIFESOURCE BIOMEDICAL, LLC 401(K) PLAN 2009 262724516 2011-09-23 10
Three-digit plan number (PN) 001
Effective date of plan 2008-10-01
Sponsor LIFESOURCE BIOMEDICAL, LLC
Business code 541700
Sponsor’s telephone number 9077904990
Plan sponsor’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN 262724516
Plan administrator’s name LIFESOURCE BIOMEDICAL, LLC
Plan administrator’s address 3075 VINTAGE BLVD, SUITE 200, JUNEAU, AK, 99801
Administrator’s telephone number 9077904990

Signature of

Role Plan administrator
Date 2011-09-23
Name of individual signing TODD HUGHES

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD HHSN275201100482P 2011-09-27 2011-12-30 2011-12-30
Unique Award Key CONT_AWD_HHSN275201100482P_7529_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description

Title CONTROLLER ASSY XP
NAICS Code 334516: ANALYTICAL LABORATORY INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Legacy DUNS 828433008
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, 998017109
PURCHASE ORDER AWARD HHSN275201100483P 2011-09-27 2011-12-30 2011-12-30
Unique Award Key CONT_AWD_HHSN275201100483P_7529_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts

Obligated Amount 32270.40
Current Award Amount 32270.40
Potential Award Amount 32270.40

Description

Title LIFESOURCE BIOMEDICAL, LLC DR. TRACEY ROUAULT, BLDG- 18T, RM-101. PATIENT RECRUITMENT-1 FULL TIME STAFF FOR 4 WEEKS
NAICS Code 541990: ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES
Product and Service Codes AD21: SERVICES (BASIC)

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, JUNEAU, ALASKA, 998017109
PO AWARD HHSN275201100484P 2011-09-27 2011-12-30 2011-12-30
Unique Award Key CONT_AWD_HHSN275201100484P_7529_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description

Title ITEM # 643986 UPGRADE FL CVRSN ARIA I TO ARIA II ($70,875)
NAICS Code 334516: ANALYTICAL LABORATORY INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Legacy DUNS 828433008
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, 998017109
PURCHASE ORDER AWARD W91YU011P0760 2011-09-23 2012-09-28 2013-09-28
Unique Award Key CONT_AWD_W91YU011P0760_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts

Obligated Amount 370692.80
Current Award Amount 370692.80
Potential Award Amount 370692.80

Description

Title JPC PROJECT MANAGER
NAICS Code 541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, JUNEAU, ALASKA, 998017109
PO AWARD HHSN275201100478P 2011-09-26 2012-12-30 2012-12-30
Unique Award Key CONT_AWD_HHSN275201100478P_7529_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description

Title MICROSCOPE, LSM 780 CONFOCAL - SEE QUOTE #LSB1190 FROM LIFESOURCE
NAICS Code 334516: ANALYTICAL LABORATORY INSTRUMENT MANUFACTURING
Product and Service Codes 6640: LABORATORY EQUIPMENT AND SUPPLIES

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Legacy DUNS 828433008
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, 998017109
PURCHASE ORDER AWARD W91YTV11P0489 2011-09-19 2011-09-30 2011-09-30
Unique Award Key CONT_AWD_W91YTV11P0489_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts

Obligated Amount 51650.00
Current Award Amount 51650.00
Potential Award Amount 51650.00

Description

Title ACURI FLOW CYTOMETER C-6 SYSTEM
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6640: LABORATORY EQUIPMENT AND SUPPLIES

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Legacy DUNS 828433008
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, JUNEAU, ALASKA, 998017109
PO AWARD HHSD2002011M41403P 2011-09-22 2011-10-22 2011-10-22
Unique Award Key CONT_AWD_HHSD2002011M41403P_7523_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description

Title LAB SUPPLIES FOR CHINA
NAICS Code 325413: IN-VITRO DIAGNOSTIC SUBSTANCE MANUFACTURING
Product and Service Codes 6640: LABORATORY EQUIPMENT AND SUPPLIES

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Legacy DUNS 828433008
Recipient Address UNITED STATES OF AMERICA, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, JUNEAU, ALASKA, 99801
PO AWARD N0018911PZ920 2011-09-22 2011-11-17 2011-11-17
Unique Award Key CONT_AWD_N0018911PZ920_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description

Title 658X496.10 DEMO CAMERA SYSTEM
NAICS Code 334510: ELECTROMEDICAL AND ELECTROTHERAPEUTIC APPARATUS MANUFACTURING
Product and Service Codes 6760: PHOTOGRAPHIC EQ & ACCESSORIES

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Legacy DUNS 828433008
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, 998017109
PURCHASE ORDER AWARD FA875111P0126 2011-09-19 2011-10-19 2011-10-19
Unique Award Key CONT_AWD_FA875111P0126_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts

Obligated Amount 197800.00
Current Award Amount 197800.00
Potential Award Amount 197800.00

Description

Title OPTICAL PARAMETRIC OSCILLATOR
NAICS Code 334515: INSTRUMENT MANUFACTURING FOR MEASURING AND TESTING ELECTRICITY AND ELECTRICAL SIGNALS
Product and Service Codes 6650: OPTICAL INSTRUMENTS

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Legacy DUNS 828433008
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, JUNEAU, ALASKA, 998017109
PURCHASE ORDER AWARD FA875111P0127 2011-09-19 2011-10-19 2011-10-19
Unique Award Key CONT_AWD_FA875111P0127_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts

Obligated Amount 147600.00
Current Award Amount 147600.00
Potential Award Amount 147600.00

Description

Title MAI TAI TI:SAPPHIRE LASER
NAICS Code 334515: INSTRUMENT MANUFACTURING FOR MEASURING AND TESTING ELECTRICITY AND ELECTRICAL SIGNALS
Product and Service Codes 6695: COMBINATION & MISC INSTRUMENTS

Recipient Details

Recipient LIFESOURCE BIOMEDICAL, LLC
UEI JE6LL9BHJBB4
Legacy DUNS 828433008
Recipient Address UNITED STATES, 3075 VINTAGE BLVD., SUITE 200, JUNEAU, JUNEAU, ALASKA, 998017109

Date of last update: 11 Jan 2025

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