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  5. SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED

SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED

Contents

Company Details

Name: SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 18 Apr 1986 (39 years ago)
Entity Number: 37959D
ZIP code: 99676
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 34300 S TALKEENTA SPUR RD, TALKEETNA, AK 99676
Mailing Address: HC89 BOX 8190, TALKEETNA, AK 99676-9701

Officers

Name Role
KATHRYN ERNST Registered Agent
Annie Thomas Director
Sharon Montagnino Director
Kathy Ernst Vice President
Mary Gunderson President
Melitta White Director
Mabel Quilliam Secretary
Rachel Harrison Director
Elwood Lynn Treasurer
Linda Oxley Director

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
JJBPM3SS7KU6 2025-01-23 34300 S TALKEETNA SPUR ROAD, TALKEETNA, AK, 99676, 9709, USA
Mailing Address HC 89 BOX 8190, TALKEETNA, AK, 99676, 9701, USA

Business Information
Doing Business As SUNSHINE COMMUNITY HEALTH CENTER INC
URL www.sunshineclinic.org
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-01-26
Initial Registration Date 2006-07-06
Entity Start Date 1986-04-18
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name GINA MCCULLOUGH
Role CFO
Address HC 89 BOX 8190, TALKEETNA, AK, 99676, 9701, USA
Title ALTERNATE POC
Name KYLE CRANE
Address HC 89 BOX 8190, TALKEETNA, AK, 99676, 9701, USA
Government Business
Title PRIMARY POC
Name JOSHUA GILMORE
Role CEO
Address HC 89 BOX 8190, TALKEETNA, AK, 99676, 9701, USA
Title ALTERNATE POC
Name GINA MCCULLOUGH
Role CFO
Address HC 89 BOX 8190, TALKEETNA, AK, 99676, USA
Past Performance
Title PRIMARY POC
Name KYLE CRANE
Address HC 89 BOX 8190, TALKEETNA, AK, 99676, 9701, USA
Title ALTERNATE POC
Name CATHERINE STANKOWITZ
Address HC 89 BOX 8190, TALKEETNA, AK, 99676, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4GA69 Obsolete Non-Manufacturer 2006-07-07 2024-01-26 - 2025-01-23

Contact Information
POC JOSHUA GILMORE
Phone +1 907-733-2273
Fax +1 907-733-1735
Address 34300 S TALKEETNA SPUR ROAD, TALKEETNA, AK, 99676 9709, 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
EMPLOYEE BENEFIT PLAN OF SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED 2021 920117838 2023-04-18 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED
Business code 623000
Sponsor’s telephone number 9077332273
Plan sponsor’s address HC 89 BOX 8190, TALKEETNA, AK, 996769701

Signature of
Role Plan administrator
Date 2023-04-18
Name of individual signing SKY PRIDE
EMPLOYEE BENEFIT PLAN OF SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED 2020 920117838 2022-04-08 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED
Business code 623000
Sponsor’s telephone number 9077332273
Plan sponsor’s address HC 89 BOX 8190, TALKEETNA, AK, 996769701

Signature of
Role Plan administrator
Date 2022-04-08
Name of individual signing MARY ARNETTE
EMPLOYEE BENEFIT PLAN OF SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED 2019 920117838 2020-09-09 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED
Business code 623000
Sponsor’s telephone number 9077332273
Plan sponsor’s address HC 89 BOX 8190, TALKEETNA, AK, 996769701

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing VALERA BRICKEL
EMPLOYEE BENEFIT PLAN OF SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED 2018 920117838 2019-09-20 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED
Business code 623000
Sponsor’s telephone number 9077332273
Plan sponsor’s address HC 89 BOX 8190, TALKEETNA, AK, 996769701

Signature of
Role Plan administrator
Date 2019-09-20
Name of individual signing VALERA BRICKEL
SUNSHINE COMMUNITY HEALTH CENTER 401(K) RETIREMENT PLAN 2013 920117838 2014-12-08 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER
Business code 623000
Sponsor’s telephone number 9077332273
Plan sponsor’s address HC 89 BOX 8190, TALKEETNA, AK, 996760787

Signature of
Role Plan administrator
Date 2014-12-08
Name of individual signing MELODY PALERMO
Role Employer/plan sponsor
Date 2014-12-08
Name of individual signing MELODY PALERMO
SUNSHINE COMMUNITY HEALTH CENTER 401(K) RETIREMENT PLAN 2013 920117838 2014-10-02 45
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER
Business code 623000
Sponsor’s telephone number 9077332273
Plan sponsor’s address 34300 SOUTH TALKEETNA SPUR RD, TALKEETNA, AK, 996760787

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing MELODY PALERMO
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing MELODY PALERMO
SUNSHINE COMMUNITY HEALTH CENTER 401(K) RETIREMENT PLAN 2012 920117838 2013-04-25 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER
Business code 621498
Sponsor’s telephone number 9077332273
Plan sponsor’s address 34300 SOUTH TALKEETNA SPUR RD, TALKEETNA, AK, 996760787

Signature of
Role Plan administrator
Date 2013-04-25
Name of individual signing DAVID BRYANT
Role Employer/plan sponsor
Date 2013-04-25
Name of individual signing DAVID BRYANT
SUNSHINE COMMUNITY HEALTH CENTER 401(K) RETIREMENT PLAN 2012 920117838 2013-12-16 48
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER
Business code 621498
Sponsor’s telephone number 9077332273
Plan sponsor’s address 34300 SOUTH TALKEETNA SPUR RD, TALKEETNA, AK, 996760787

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing DAVID BRYANT
Role Employer/plan sponsor
Date 2013-12-16
Name of individual signing DAVID BRYANT
SUNSHINE COMMUNITY HEALTH CENTER 401(K) RETIREMENT PLAN 2011 920117838 2012-07-16 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER
Business code 621498
Sponsor’s telephone number 9077332273
Plan sponsor’s address 34300 SOUTH TALKEETNA SPUR RD, TALKEETNA, AK, 996760787

Plan administrator’s name and address
Administrator’s EIN 920117838
Plan administrator’s name SUNSHINE COMMUNITY HEALTH CENTER
Plan administrator’s address 34300 SOUTH TALKEETNA SPUR RD, TALKEETNA, AK, 996760787
Administrator’s telephone number 9077332273

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing SHARON MONTAGNINO
Role Employer/plan sponsor
Date 2012-07-16
Name of individual signing SHARON MONTAGNINO
SUNSHINE COMMUNITY HEALTH CENTER 401(K) RETIREMENT PLAN 2010 920117838 2011-02-17 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor SUNSHINE COMMUNITY HEALTH CENTER
Business code 621498
Sponsor’s telephone number 9077332273
Plan sponsor’s address 34300 SOUTH TALKEETNA SPUR RD, TALKEETNA, AK, 996760787

Plan administrator’s name and address
Administrator’s EIN 920117838
Plan administrator’s name SUNSHINE COMMUNITY HEALTH CENTER
Plan administrator’s address 34300 SOUTH TALKEETNA SPUR RD, TALKEETNA, AK, 996760787
Administrator’s telephone number 9077332273

Signature of
Role Plan administrator
Date 2011-02-17
Name of individual signing SHARON MONTAGNINO
Role Employer/plan sponsor
Date 2011-02-17
Name of individual signing SHARON MONTAGNINO

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Telemedicine Business Registry 159736 Active 2020-03-27 - - -
Remote Pharmacy 230029 Active 2024-09-24 - 2026-06-30 -
Remote Pharmacy 230032 Active 2024-09-24 - 2026-06-30 -

Date of last update: 10 Jan 2025

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

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