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BRISTOL BAY AREA HEALTH CORPORATION

BRISTOL BAY AREA HEALTH CORPORATION

1. Company Details
2. Activities (2)
3. Officers (33)
4. Branches (0)
5. Unique Entity ID (1)
6. CIK Data (0)
7. CAGE Data (1)
8. LEI Data (0)
9. Form 5500 (2)
10. Licenses (4)
11. USAspending Awards (0)
12. Trademarks (0)
13. Reviews (0)
14. Related Companies by Officers (44)
15. Related Companies by Addresses (0)

Company Details

Name:	BRISTOL BAY AREA HEALTH CORPORATION
Jurisdiction:	Alaska
Legal type:	Nonprofit Corporation
Status:	Good Standing
Date of registration:	28 Jun 1973 (52 years ago)
Entity Number:	12090D
ZIP code:	99503
County:	Anchorage
Place of Formation:	ALASKA
Address:	121 W. FIREWEED LANE, SUITE 280, PO BOX 130, ANCHORAGE, AK 99503
Mailing Address:	121 W.FIREWEED LANE, SUITE 280, ANCHORAGE, AK 99503

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

622110 GENERAL MEDICAL AND SURGICAL HOSPITALS

Officers

Name	Role
SALLY MARTIN	Director
PETER APOKEDAK, III	Director
MARILYN HANSEN	Director
LOUISE "RUBY" MURPHY	Director
NICK JOHNSON SR	Director
A. DIANE SHANGIN	Director
A. DIANE SHANGIN	Secretary
Fritz Sharp	Director
JENNIFER DE WINNE	Vice President
HAROLD "GARY" ANDERSON	Director
THOMAS "TOM" TILDEN	Director
Pansy Alakayak	Director
Wassillie Andrews	Director
Pamela Mack	Director
Betty Gardiner	Director
Maurice Enright	Director
John Christensen	Director
BAXTER BRUCE & SULLIVAN P.C.	Registered Agent
Natalia Ishnook	Director
Mary Ann Johnson	Director
Jeanette Carlson	Director
ROBERT CLARK	President
Victor Seybert	Director
MARGIE COOPCHIAK	Director
Lorraine King	Director
WILLIAM PHILLIPS	Vice President
MARGIE ALOYSIUS	Director
Donny Lind	Director
SHAWN SHANIGAN	Director
NICOLE CABRERA	Director
Erin Peters	Director
Lou Adams	Director
Pamela Mack	Treasurer

Unique Entity ID

Expiration Date

Physical Address

NL5HNWNUFMK4

2024-10-24

6000 KANAKANAK RD, DILLINGHAM, AK, 99576, USA

Mailing Address

PO BOX 130, DILLINGHAM, AK, 99576, 0130, USA

Business Information

URL	www.bbahc.org
Division Name	BRISTOL BAY AREA HEALTH CORPORATION
Congressional District	00
State/Country of Incorporation	AK, USA
Activation Date	2023-10-27
Initial Registration Date	2023-10-18
Entity Start Date	1973-06-28
Fiscal Year End Close Date	Sep 30

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	ELEANOR SUESUE
Role	ASSOCIATE FINANCIAL OFFICER
Address	6000 KANAKANAK RD, DILLINGHAM, AK, 99576, 0130, USA

Title	ALTERNATE POC
Name	CHERI JOHASEN
Address	6000 KANAKANAK RD, DILLINGHAM, AK, 99576, USA

Government Business
Title	PRIMARY POC
Name	JENNIFER DEWINNE
Role	CHIEF OPERATIONS OFFICER
Address	6000 KANAKANAK RD, DILLINGHAM, AK, 99576, 0130, USA

Past Performance	-

Commercial and government entity program

CAGE number

Status

Type

Established

CAGE Update Date

CAGE Expiration

SAM Expiration

35AE5

Active

Non-Manufacturer

2005-01-12

2023-10-17

2027-09-23

Contact Information

POC	JENNIFER DE WIINE
Phone	+1 907-842-5201
Address	6000 KANAKANAK RD, DILLINGHAM, AK, 99576, 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

BRISTOL BAY AREA HEALTH CORPORATION RETIREMENT PLAN

2009

920044965

2010-07-23

File	View Page
Three-digit plan number (PN)	002
Sponsor	BRISTOL BAY AREA HEALTH CORPORATION
Plan sponsor’s mailing address	PO BOX 130, DILLINGHAM, AK, 99576
Plan sponsor’s address	PO BOX 130, DILLINGHAM, AK, 99576

Plan administrator’s name and address

Administrator’s EIN	920044965
Plan administrator’s name	ADMIN COMMITTEE FOR BRISTOL BAY AREA HEALTH CORP RETIREMENT PLAN
Plan administrator’s address	PO BOX 130, DILLINGHAM, AK, 99576

BRISTOL BAY AREA HEALTH CORPORATION 403(B) PLAN

2009

920044965

2010-08-17

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2003-01-01
Sponsor	BRISTOL BAY AREA HEALTH CORPORATION
Business code	622000
Sponsor’s telephone number	9708425201
Plan sponsor’s address	PO BOX 130, DILLINGHAM, AK, 99576

Plan administrator’s name and address

Administrator’s EIN	920044965
Plan administrator’s name	ADMIN COMMITTEE FOR BRISTOL BAY AREA HEALTH CORP RETIREMENT PLAN
Plan administrator’s address	PO BOX 130, DILLINGHAM, AK, 99576
Administrator’s telephone number	9708425201

Signature of

Role	Plan administrator
Date	2010-08-17
Name of individual signing	JOHN S. DAVIS III

Licenses

Type	License Number	Status	Date of issue	Date of renewal	Expiration date	Description
Business License	66211	Active	-	2022-10-04	2024-12-31	LOB: 62 - Health Care and Social Assistance, NAICS: 622110 - GENERAL MEDICAL AND SURGICAL HOSPITALS
Pharmacy	PHAR345	Active	2000-02-26	-	2026-06-30	-
Telemedicine Business Registry	160938	Active	2020-04-23	-	-	-
Telemedicine Business Registry	160940	Active	2020-04-23	-	-	-

Date of last update: 10 Jan 2025

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