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  5. ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.

ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.

Contents

Company Details

Name: ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 18 Nov 1974 (50 years ago)
Entity Number: 13804D
ZIP code: 99503
County: Anchorage
Place of Formation: ALASKA
Address: 4951 BUSINESS PARK BOULEVARD, THIRD FLOOR, ANCHORAGE, AK 99503
Mailing Address: 4951 BUSINESS PARK BOULEVARD, ANCHORAGE, AK 99503

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Joshua Hemsath Director
Suzanne Cherot Director
Cindy Gilder Director
Michelle Nesbett Director
Karin Henriquez Director
LISA AQUINO Registered Agent
Terri Lomax President
Brandi Zeman Director
Jasmine Boyle Vice President
Larry Persily Director

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
QJ2WLMZJ7MK5 2024-08-13 4951 BUSINESS PARK BLVD, ANCHORAGE, AK, 99503, 7174, USA
Mailing Address 4951 BUSINESS PARK BLVD, ANCHORAGE, AK, 99503, 7174, USA

Business Information
Doing Business As ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC
URL http://www.anhc.org
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-08-15
Initial Registration Date 2005-12-28
Entity Start Date 1974-11-18
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LISA AQUINO
Role CEO
Address 4951 BUSINESS PARK BOULEVARD, ANCHORAGE, AK, 99503, 7174, USA
Title ALTERNATE POC
Name VADETTE FOWLER
Role CFO
Address 4951 BUSINESS PARK BLVD, ANCHORAGE, AK, 99503, USA
Government Business
Title PRIMARY POC
Name LISA AQUINO
Role CEO
Address 4951 BUSINESS PARK BLVD, ANCHORAGE, AK, 99503, 7174, USA
Title ALTERNATE POC
Name VADETTE FOWLER
Role CFO
Address 4951 BUSINESS PARK BLVD, ANCHORAGE, AK, 99503, USA
Past Performance
Title ALTERNATE POC
Name VADETTE FOWLER
Role CFO
Address 4951 BUSINESS PARK BLVD, ANCHORAGE, AK, 99503, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
48X87 Obsolete Non-Manufacturer 2005-12-29 2024-06-19 - 2025-06-17

Contact Information
POC LISA AQUINO
Phone +1 907-743-7368
Fax +1 907-743-7241
Address 4951 BUSINESS PARK BLVD, ANCHORAGE, AK, 99503 7174, 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
403(B) THRIFT PLAN OF ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC. 2013 920047965 2014-10-15 144
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Sponsor ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
Business code 624200
Sponsor’s telephone number 9077437200
Plan sponsor’s mailing address PO BOX 201849, ANCHORAGE, AK, 99520
Plan sponsor’s address PO BOX 201849, ANCHORAGE, AK, 99520

Number of participants as of the end of the plan year
Active participants 104
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 54
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 158
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 16

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing PATRICIA MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing PATRICIA MITCHELL
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC. 2009 920047965 2010-10-14 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Sponsor ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
Business code 624200
Sponsor’s telephone number 9077926562
Plan sponsor’s mailing address PO BOX 201849, ANCHORAGE, AK, 99520
Plan sponsor’s address 903 W. NORTHERN LIGHTS BLVD STE 218, ANCHORAGE, AK, 99503

Plan administrator’s name and address
Administrator’s EIN 920047965
Plan administrator’s name ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
Plan administrator’s address PO BOX 201849, ANCHORAGE, AK, 99520
Administrator’s telephone number 9077926562

Number of participants as of the end of the plan year
Active participants 79
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 33
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 112
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 2010-10-14
Name of individual signing JOAN FISHER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC. 2009 920047965 2010-10-14 114
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Sponsor ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
Business code 624200
Sponsor’s telephone number 9077926562
Plan sponsor’s mailing address PO BOX 201849, ANCHORAGE, AK, 99520
Plan sponsor’s address 903 W. NORTHERN LIGHTS BLVD STE 218, ANCHORAGE, AK, 99503

Plan administrator’s name and address
Administrator’s EIN 920047965
Plan administrator’s name ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.
Plan administrator’s address PO BOX 201849, ANCHORAGE, AK, 99520
Administrator’s telephone number 9077926562

Number of participants as of the end of the plan year
Active participants 79
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 33
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 112
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 2010-10-14
Name of individual signing JOAN FISHER
Valid signature Filed with authorized/valid electronic signature

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 91963 Active 1998-12-30 2022-12-16 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Pharmacy PHAR480 Active 2012-08-27 - 2026-06-30 -
Telemedicine Business Registry 159646 Active 2020-03-26 - - -

Date of last update: 10 Jan 2025

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

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