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ALASKA COMMUNITY SERVICES, INC.

Contents

Company Details

Name: ALASKA COMMUNITY SERVICES, INC.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 04 Nov 1985 (39 years ago)
Entity Number: 36929D
ZIP code: 99503
County: Anchorage
Place of Formation: ALASKA
Address: 3705 ARCTIC BLVD. PMB 1399, ANCHORAGE, AK 99503

Officers

Name Role
RON DIXON Secretary
Jim Mills President
LARRY CLELAND Director
LARRY CLELAND Treasurer
JIMMY WHITE Director
JIMMY WHITE Vice President
LAW OFFICES OF TIMOTHY C. VERRETT, A PROFESSIONAL CORPORATION Registered Agent
RON DIXON Director

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
TAX DEFERRED ANNUITY PLAN OF ALASKA COMMUNITY SERVICES, INC. 2012 930909829 2013-07-03 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Sponsor ALASKA COMMUNITY SERVICES, INC.
Business code 624100
Sponsor’s telephone number 9072766472
Plan sponsor’s address 1057 W FIREWEED LN STE 103, ANCHORAGE, AK, 99503

Signature of

Role Plan administrator
Date 2013-07-03
Name of individual signing DANE MARKELL
Role Employer/plan sponsor
Date 2013-07-03
Name of individual signing DANE MARKELL
TAX DEFERRED ANNUITY PLAN OF ALASKA COMMUNITY SERVICES, INC. 2011 930909829 2012-07-12 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Sponsor ALASKA COMMUNITY SERVICES, INC.
Business code 624100
Sponsor’s telephone number 9072766472
Plan sponsor’s address 1057 W FIREWEED LN STE 103, ANCHORAGE, AK, 99503

Plan administrator’s name and address

Administrator’s EIN 930909829
Plan administrator’s name ALASKA COMMUNITY SERVICES, INC.
Plan administrator’s address 1057 W FIREWEED LN STE 103, ANCHORAGE, AK, 99503
Administrator’s telephone number 9072766472

Signature of

Role Plan administrator
Date 2012-07-12
Name of individual signing BARBARA SISSON
Role Employer/plan sponsor
Date 2012-07-12
Name of individual signing BARBARA SISSON
TAX DEFERRED ANNUITY PLAN OF ALASKA COMMUNITY SERVICES, INC. 2010 930909829 2011-08-18 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Sponsor ALASKA COMMUNITY SERVICES, INC.
Business code 624100
Sponsor’s telephone number 9072766472
Plan sponsor’s address 1057 W FIREWEED LN STE 103, ANCHORAGE, AK, 99503

Plan administrator’s name and address

Administrator’s EIN 930909829
Plan administrator’s name ALASKA COMMUNITY SERVICES, INC.
Plan administrator’s address 1057 W FIREWEED LN STE 103, ANCHORAGE, AK, 99503
Administrator’s telephone number 9072766472

Signature of

Role Plan administrator
Date 2011-08-18
Name of individual signing BARBARA SISSON
Role Employer/plan sponsor
Date 2011-08-18
Name of individual signing BARBARA SISSON
TAX DEFERRED ANNUITY PLAN OF ALASKA COMMUNITY SERVICES, INC. 2009 930909829 2010-10-14 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-11-01
Sponsor ALASKA COMMUNITY SERVICES, INC.
Business code 624100
Sponsor’s telephone number 9072766472
Plan sponsor’s address 1057 W FIREWEED LN STE 103, ANCHORAGE, AK, 99503

Plan administrator’s name and address

Administrator’s EIN 930909829
Plan administrator’s name ALASKA COMMUNITY SERVICES, INC.
Plan administrator’s address 1057 W FIREWEED LN STE 103, ANCHORAGE, AK, 99503
Administrator’s telephone number 9072766472

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing MICHAEL SAVILLE
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing MICHAEL SAVILLE

Date of last update: 10 Jan 2025

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