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  5. FOUNTAINHEAD DEVELOPMENT INC.

FOUNTAINHEAD DEVELOPMENT INC.

Contents

Company Details

Name: FOUNTAINHEAD DEVELOPMENT INC.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 21 Oct 1985 (39 years ago)
Entity Number: 36844D
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 1501 QUEENS WAY, FAIRBANKS, AK 99701
Mailing Address: 1501 QUEENS WY, FAIRBANKS, AK 99701

Activity

Line of Business

72 Accommodation and Food Services

NAICS

721110 HOTELS (EXCEPT CASINO HOTELS) AND MOTELS

Officers

Name Role
TIMOTHY T CERNY President
TIMOTHY T CERNY Director
TIMOTHY T CERNY Shareholder
Robert Hanson Vice President
BARBARA CERNY Secretary
Cassandra Ferree Director
Wyatt Cerny Director
BARBARA CERNY Treasurer
TIMOTHY T CERNY Registered Agent
BARBARA CERNY Director

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
N75JQRD4XUY3 2025-03-08 1501 QUEENS WAY, FAIRBANKS, AK, 99701, 7456, USA
Mailing Address 1501 QUEENS WAY, FAIRBANKS, AK, 99701, 7456, USA

Business Information
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-03-27
Initial Registration Date 2001-07-31
Entity Start Date 1985-10-16
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 531110, 531312, 721110, 722320, 722410, 722511

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LARISA M BRADSHAW
Address 1501 QUEENS WAY, FAIRBANKS, AK, 99701, USA
Title ALTERNATE POC
Name ROBERT HANSON
Address 1501 QUEENS WAY, FAIRBANKS, AK, 99701, USA
Government Business
Title PRIMARY POC
Name LARISA M BRADSHAW
Address 1501 QUEENS WAY, FAIRBANKS, AK, 99701, USA
Title ALTERNATE POC
Name ROBERT HANSON
Address 1501 QUEENS WAY, FAIRBANKS, AK, 99701, USA
Past Performance -

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
1Q4Y3 Active Non-Manufacturer 2000-08-07 2024-03-27 2029-03-27 2025-03-08

Contact Information
POC LARISA M. BRADSHAW
Phone +1 907-456-7143
Fax +1 907-451-8347
Address 1501 QUEENS WAY, FAIRBANKS, FAIRBANKS NORTH STAR, AK, 99701 7456, 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
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2016 920112296 2017-09-23 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT, INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2017-09-23
Name of individual signing KATIE LANNING
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2015 920112296 2016-07-22 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT, INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing KATIE LANNING
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2014 920112296 2015-07-10 100
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT, INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing KATIE LANNING
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2013 920112296 2014-07-29 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT, INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing KATIE LANNING
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2012 920112296 2013-06-21 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT, INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2013-06-21
Name of individual signing KATIE LANNING
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2011 920112296 2012-08-03 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT, INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Plan administrator’s name and address
Administrator’s EIN 920112296
Plan administrator’s name FOUNTAINHEAD DEVELOPMENT, INC.
Plan administrator’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701
Administrator’s telephone number 9074567143

Signature of
Role Plan administrator
Date 2012-08-03
Name of individual signing KATIE LANNING
Role Employer/plan sponsor
Date 2012-08-03
Name of individual signing KATIE LANNING
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2010 920112296 2011-08-12 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Plan administrator’s name and address
Administrator’s EIN 920112296
Plan administrator’s name FOUNTAINHEAD DEVELOPMENT INC.
Plan administrator’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701
Administrator’s telephone number 9074567143

Signature of
Role Plan administrator
Date 2011-08-12
Name of individual signing KATHLEEN LANNING
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2009 920112296 2010-07-09 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Plan administrator’s name and address
Administrator’s EIN 920112296
Plan administrator’s name FOUNTAINHEAD DEVELOPMENT INC.
Plan administrator’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701
Administrator’s telephone number 9074567143

Signature of
Role Plan administrator
Date 2010-07-09
Name of individual signing KATHLEEN LANNING
Role Employer/plan sponsor
Date 2010-07-09
Name of individual signing KATHLEEN LANNING
FOUNTAINHEAD DEVELOPMENT, INC. 401(K) AND RETIREMENT PLAN 2009 920112296 2010-06-29 109
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Sponsor FOUNTAINHEAD DEVELOPMENT INC.
Business code 721110
Sponsor’s telephone number 9074567143
Plan sponsor’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701

Plan administrator’s name and address
Administrator’s EIN 920112296
Plan administrator’s name FOUNTAINHEAD DEVELOPMENT INC.
Plan administrator’s address 1501 QUEENS WAY, FAIRBANKS, AK, 99701
Administrator’s telephone number 9074567143

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 2151 Active - 2022-11-16 2024-12-31 LOB: 72 - Accommodation and Food Services, NAICS: 722511 - FULL-SERVICE RESTAURANTS

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD W91ZRU10P0116 2010-07-15 2010-07-30 2010-07-30
Unique Award Key CONT_AWD_W91ZRU10P0116_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description
Title LODGING
NAICS Code 721110: HOTELS (EXCEPT CASINO HOTELS) AND MOTELS
Product and Service Codes 5865: ELEC COUNTERMEASURE & QUICK REAC EQ

Recipient Details
Recipient FOUNTAINHEAD DEVELOPMENT INC.
UEI N75JQRD4XUY3
Legacy DUNS 173345604
Recipient Address UNITED STATES, 1501 QUEENS WAY, FAIRBANKS, 997017456
PO AWARD AG84M8P116017 2011-06-15 2011-06-15 2011-06-15
Unique Award Key CONT_AWD_AG84M8P116017_12C2_-NONE-_-NONE-
Awarding Agency Department of Agriculture
Link View Page

Description
Title LODGING FOR HOT SHOT CREW
NAICS Code 115310: SUPPORT ACTIVITIES FOR FORESTRY
Product and Service Codes V231: LODGING - HOTEL/MOTEL

Recipient Details
Recipient FOUNTAINHEAD DEVELOPMENT INC.
UEI N75JQRD4XUY3
Legacy DUNS 173345604
Recipient Address UNITED STATES, 1501 QUEENS WAY, FAIRBANKS, 997017456

Date of last update: 10 Jan 2025

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

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