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  5. South Peninsula Haven House, Inc.

South Peninsula Haven House, Inc.

Contents

Company Details

Name: South Peninsula Haven House, Inc.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 16 Jan 1981 (44 years ago)
Entity Number: 23248D
ZIP code: 99603
County: Kenai Peninsula
Place of Formation: ALASKA
Address: 3776 LAKE ST., HOMER, AK 99603

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

624230 EMERGENCY AND OTHER RELIEF SERVICES

Officers

Name Role
Diane Borgman Secretary
GREGORY DRAIS Vice President
GREGORY DRAIS Director
MARIA WALKER Treasurer
MARIA WALKER Director
BRITTANY HUFFMAN Director
BRITTANY HUFFMAN President
Lindsey Collins Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
TKUGPWQK3M99 2024-11-06 3776 LAKE ST, STE 100, HOMER, AK, 99603, 7647, USA
Mailing Address 3776 LAKE ST, STE 100, HOMER, AK, 99603, 7647, USA

Business Information
Doing Business As SOUTH PENINSULA HAVEN HOUSE INC
URL http://www.havenhousealaska.org
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-11-09
Initial Registration Date 2006-05-24
Entity Start Date 1981-01-16
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name RHONDA LEACH
Address 3776 LAKE ST STE 100, HOMER, AK, 99603, USA
Government Business
Title PRIMARY POC
Name RHONDA LEACH
Role EXECUTIVE DIRECTOR
Address 3776 LAKE ST STE 100, HOMER, AK, 99603, USA
Past Performance -

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4ESY0 Active Non-Manufacturer 2006-05-25 2024-09-19 2029-09-19 2025-09-17

Contact Information
POC LINDSEY COLLINS
Phone +1 907-235-7720
Fax +1 907-235-2733
Address 3776 LAKE ST, HOMER, KENAI PENINSULA, AK, 99603 7647, 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 FOR EMPLOYEES OF SOUTH PENINSULA HAVEN HOUSE, INC. 2023 920080286 2024-08-21 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624200
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 996037647

Signature of
Role Plan administrator
Date 2024-08-21
Name of individual signing JAMIE MASON
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2022 920080286 2023-09-06 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624200
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 996037647

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing JAMIE MASON
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2021 920080286 2022-07-29 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624200
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 996037647

Signature of
Role Plan administrator
Date 2022-07-29
Name of individual signing JAMIE MASON
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2020 920080286 2021-10-11 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624200
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 996037647

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing JAMIE MASON
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2019 920080286 2021-01-29 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624200
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 996037647

Signature of
Role Plan administrator
Date 2021-01-29
Name of individual signing JAMIE MASON
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2018 920080286 2020-01-27 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624200
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 996037647

Signature of
Role Plan administrator
Date 2020-01-27
Name of individual signing LAURIE PALO
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2017 920080286 2019-01-29 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624200
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 996037647

Signature of
Role Plan administrator
Date 2019-01-29
Name of individual signing LAURIE PALO
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2016 920080286 2018-04-17 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624100
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2018-04-17
Name of individual signing TAMMY ACKERMAN
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2015 920080286 2017-01-20 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624100
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2017-01-20
Name of individual signing SHAY LOWNEY
Role Employer/plan sponsor
Date 2017-01-20
Name of individual signing SHAY LOWNEY
403(B) THRIFT PLAN OF SOUTH PENINSULA HAVEN HOUSE, INC. 2014 920080286 2016-01-27 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-01
Sponsor SOUTH PENINSULA HAVEN HOUSE, INC.
Business code 624100
Sponsor’s telephone number 9072357712
Plan sponsor’s address 3776 LAKE ST, HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2016-01-27
Name of individual signing SHAY LOWNEY
Role Employer/plan sponsor
Date 2016-01-27
Name of individual signing SHAY LOWNEY

Business Licenses

License Number Type Status Issue Date Date of renewal Expiration date Description
2092856 Business License Active 2019-09-25 2024-12-02 2026-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 624230 - EMERGENCY AND OTHER RELIEF SERVICES

Date of last update: 25 Jan 2025

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

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