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  5. PALMER SENIOR CITIZENS CENTER, INC.

PALMER SENIOR CITIZENS CENTER, INC.

Contents

Company Details

Name: PALMER SENIOR CITIZENS CENTER, INC.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 20 Oct 1980 (44 years ago)
Entity Number: 22754D
ZIP code: 99645
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 1132 S CHUGACH ST, PALMER, AK 99645

Activity

Line of Business

72 Accommodation and Food Services

NAICS

722514 CAFETERIAS, GRILL BUFFETS, AND BUFFETS

Officers

Name Role
Elda McCraw Director
VICKI RANDOLPH Director
Phillip Munger Treasurer
Dora Wheeler Vice President
WILLIAM RUSSELL INGRAM III Director
Dora Wheeler Director
Elda McCraw Secretary
WILLIAM RUSSELL INGRAM III President
Phillip Munger Director
TIM PETTIT Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
GKF7E5BTL915 2024-09-17 1132 S CHUGACH ST, PALMER, AK, 99645, 6627, USA
Mailing Address 1132 S CHUGACH ST, PALMER, AK, 99645, 6627, USA

Business Information
Doing Business As PALMER SENIOR CITIZENS CENTER INC
URL www.matsuseniors.com
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-09-29
Initial Registration Date 2009-04-22
Entity Start Date 1980-10-20
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 624120

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TIMOTHY PETTIT
Role CHIEF EXECUTIVE OFFICER
Address 1132 S. CHUGACH ST, PALMER, AK, 99645, 6605, USA
Title ALTERNATE POC
Name BETH WESTLAND
Role COO
Address 1132 S. CHUGACH ST., PALMER, AK, 99645, 6605, USA
Government Business
Title PRIMARY POC
Name TIMOTHY PETTIT
Role CHIEF EXECUTIVE OFFICER
Address 1132 S. CHUGACH ST, PALMER, AK, 99645, 6605, USA
Title ALTERNATE POC
Name BETH WESTLAND
Role COO
Address 1132 S. CHUGACH ST., PALMER, AK, 99645, 6605, USA
Past Performance
Title PRIMARY POC
Name TIMOTHY PETTIT
Role CHIEF EXECUTIVE OFFICER
Address 1132 S. CHUGACH ST, PALMER, AK, 99645, USA
Title ALTERNATE POC
Name BETH WESTLAND
Role COO
Address 1132 S. CHUGACH ST., PALMER, AK, 99645, USA

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
EMPLOYEE BENEFITS PLAN OF PALMER SENIOR CITIZEN CENTER, INC. 2009 920078503 2010-05-27 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor PALMER SENIOR CITIZENS CENTER
Business code 624100
Sponsor’s telephone number 9077455454
Plan sponsor’s mailing address 831 S. CHUGACH STREET, PALMER, AK, 99645
Plan sponsor’s address 831 S. CHUGACH STREET, PALMER, AK, 99645

Plan administrator’s name and address
Administrator’s EIN 920078503
Plan administrator’s name PALMER SENIOR CITIZENS CENTER
Plan administrator’s address 831 S. CHUGACH STREET, PALMER, AK, 99645
Administrator’s telephone number 9077455454

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
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 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-05-27
Name of individual signing RICHARD TUBBS
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF PALMER SENIOR CITIZEN'S CENTER, INC. 2009 920078503 2010-07-29 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Sponsor PALMER SENIOR CITIZENS CENTER, INC .
Business code 624100
Sponsor’s telephone number 9077455454
Plan sponsor’s address 831 S CHUGACH ST, PALMER, AK, 99645

Plan administrator’s name and address
Administrator’s EIN 920078503
Plan administrator’s name PALMER SENIOR CITIZENS CENTER, INC .
Plan administrator’s address 831 S CHUGACH ST, PALMER, AK, 99645
Administrator’s telephone number 9077455454

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing RICHARD G. TUBBS
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing RICHARD G. TUBBS
EMPLOYEE BENEFIT PLAN OF PALMER SENIOR CITIZENS CENTER INC 2009 920078503 2011-01-25 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor PALMER SENIOR CITIZENS CENTER INC
Business code 624100
Sponsor’s telephone number 9077455454
Plan sponsor’s address 831 S CHUGACH ST, PALMER, AK, 99645

Plan administrator’s name and address
Administrator’s EIN 920078503
Plan administrator’s name PALMER SENIOR CITIZENS CENTER INC
Plan administrator’s address 831 S CHUGACH ST, PALMER, AK, 99645
Administrator’s telephone number 9077455454

Signature of
Role Plan administrator
Date 2011-01-25
Name of individual signing RACHEL GREENBERG
Role Employer/plan sponsor
Date 2011-01-25
Name of individual signing RACHEL GREENBERG
EMPLOYEE BENEFIT PLAN OF PALMER SENIOR CITIZENS CENTER INC 2009 920078503 2011-01-25 4
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Sponsor PALMER SENIOR CITIZENS CENTER INC
Business code 624100
Sponsor’s telephone number 9077455454
Plan sponsor’s address 831 S CHUGACH ST, PALMER, AK, 99645

Plan administrator’s name and address
Administrator’s EIN 920078503
Plan administrator’s name PALMER SENIOR CITIZENS CENTER INC
Plan administrator’s address 831 S CHUGACH ST, PALMER, AK, 99645
Administrator’s telephone number 9077455454

Signature of
Role Plan administrator
Date 2011-01-25
Name of individual signing RACHEL GREENBERG
Role Employer/plan sponsor
Date 2011-01-25
Name of individual signing RACHEL GREENBERG

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 261859 Active 1999-03-08 2022-11-02 2024-12-31 LOB: 72 - Accommodation and Food Services, NAICS: 722514 - CAFETERIAS, GRILL BUFFETS, AND BUFFETS

Date of last update: 10 Jan 2025

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

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