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  5. Mat-Su Health Services, Inc.

Mat-Su Health Services, Inc.

Contents

Company Details

Name: Mat-Su Health Services, Inc.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 13 May 1977 (48 years ago)
Entity Number: 16962D
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 1363 W. SPRUCE AVE, WASILLA, AK 99654

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621498 ALL OTHER OUTPATIENT CARE CENTERS

Officers

Name Role
LAURA PIGG Director
Scott Sterling Director
Scott Sterling President
Casey Cook Director
Teresa Hurley Director
Chole Eull Director
Kevin Munson Registered Agent
Greg Parvin Vice President
Daryl Lowe Secretary
Daryl Lowe Director

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
N1NKRYV74DE1 2025-04-29 1363 W SPRUCE AVE, WASILLA, AK, 99654, 5327, USA
Mailing Address 1363 W. SPRUCE AVE., WASILLA, AK, 99654, 5327, USA

Business Information
Doing Business As MAT-SU HEALTH SERVICES INC
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-05-01
Initial Registration Date 2006-10-16
Entity Start Date 1984-07-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KEVIN MUNSON
Address 1363 W. SPRUCE AVE., WASILLA, AK, 99654, 5327, USA
Title ALTERNATE POC
Name ANGIE WARNER
Address 1363 W. SPRUCE AVE., WASILLA, AK, 99654, 5327, USA
Government Business
Title PRIMARY POC
Name KEVIN MUNSON
Address 1363 W. SPRUCE AVE., WASILLA, AK, 99654, 5327, USA
Past Performance -

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4EEP7 Obsolete Non-Manufacturer 2006-05-16 2024-05-01 - 2025-04-29

Contact Information
POC KEVIN MUNSON
Phone +1 907-352-3210
Fax +1 907-352-3363
Address 1363 W SPRUCE AVE, WASILLA, AK, 99654 5327, 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
MAT-SU HEALTH SERVICES, INC. RETIREMENT PLAN 2023 920089779 2024-07-26 110
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-07-01
Sponsor MAT-SU HEALTH SERVICES, INC.
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 WEST SPRUCE AVENUE, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2024-07-26
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES, INC. RETIREMENT PLAN 2022 920089779 2023-05-23 91
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-07-01
Sponsor MAT-SU HEALTH SERVICES, INC.
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 WEST SPRUCE AVENUE, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES, INC. RETIREMENT PLAN 2021 920089779 2022-09-12 97
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-07-01
Sponsor MAT-SU HEALTH SERVICES, INC.
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 WEST SPRUCE AVENUE, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2022-09-12
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES, INC. RETIREMENT PLAN 2020 920089779 2021-08-06 98
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-07-01
Sponsor MAT-SU HEALTH SERVICES, INC.
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 WEST SPRUCE AVENUE, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2021-08-06
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES, INC. RETIREMENT PLAN 2019 920089779 2020-04-27 94
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-07-01
Sponsor MAT-SU HEALTH SERVICES, INC.
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 WEST SPRUCE AVENUE, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES INC EMPLOYER 403(B) MATCHING ANNUITY PLAN 2018 920089779 2019-06-21 116
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Sponsor MAT-SU HEALTH SERVICES INC
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 W SPRUCE AVE, WASILLA, AK, 996545327

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES, INC. RETIREMENT PLAN 2018 920089779 2019-07-11 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-07-01
Sponsor MAT-SU HEALTH SERVICES, INC.
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 WEST SPRUCE AVENUE, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES INC EMPLOYER 403(B) MATCHING ANNUITY PLAN 2017 920089779 2018-06-26 114
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Sponsor MAT-SU HEALTH SERVICES INC
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 W SPRUCE AVE, WASILLA, AK, 996545327

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES INC EMPLOYER 403(B) MATCHING ANNUITY PLAN 2016 920089779 2017-07-28 103
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Sponsor MAT-SU HEALTH SERVICES INC
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 W SPRUCE AVE, WASILLA, AK, 996545327

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing KEVIN MUNSON
MAT-SU HEALTH SERVICES INC EMPLOYER 403(B) MATCHING ANNUITY PLAN 2015 920089779 2016-08-08 101
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2000-01-01
Sponsor MAT-SU HEALTH SERVICES INC
Business code 621498
Sponsor’s telephone number 9073762411
Plan sponsor’s address 1363 W SPRUCE AVE, WASILLA, AK, 996545327

Signature of
Role Plan administrator
Date 2016-08-08
Name of individual signing KEVIN MUNSON

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 731534 Active 2005-12-22 2022-11-08 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621420 - OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Telemedicine Business Registry 126032 Active 2017-08-24 - - -

Date of last update: 10 Jan 2025

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

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