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CHUGACHMIUT

Contents

Company Details

Name: CHUGACHMIUT
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 18 Aug 1986 (38 years ago)
Entity Number: 38747D
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621498 ALL OTHER OUTPATIENT CARE CENTERS

Officers

Name Role
Pamela Smith Director
ARNE HATCH Director
FRANCIS NORMAN President
Larry Evanoff Vice President
James Ujioka Treasurer
Nanci Robart Director
Priscilla Evans Secretary
ANGELA VANDERPOOL Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
CCGDPLBVLMJ4 2025-03-14 1840 BRAGAW ST STE 110, ANCHORAGE, AK, 99508, 3463, USA
Mailing Address 1840 S. BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508, 3463, USA

Business Information
URL http://www.chugachmiut.org
Division Name ADMINISTRATION
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-03-18
Initial Registration Date 2004-01-06
Entity Start Date 1974-02-25
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 921150

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANDREW C GARNER
Role GRANTS ADMINISTRATOR
Address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508, 3463, USA
Title ALTERNATE POC
Name ANGELA VANDERPOOL
Role EXECUTIVE DIRECTOR
Address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508, 3439, USA
Government Business
Title PRIMARY POC
Name ANGELA VANDERPOOL
Role EXECUTIVE DIRECTOR
Address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508, 3463, USA
Title ALTERNATE POC
Name PHYLLIS WIMBERLEY
Role DEPUTY DIRECTOR
Address 1840 S BRAGAW STREET, ANCHORAGE, AK, 99508, USA
Past Performance
Title PRIMARY POC
Name MELODIE FAIR
Role TRIBAL GRANT WRITER
Address 1840 BRAGAW STREET SUITE 110, ANCHORAGE, AK, 99508, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3PBE8 Active Non-Manufacturer 2004-01-07 2024-03-18 2029-03-18 2025-03-14

Contact Information
POC ANGELA VANDERPOOL
Phone +1 907-562-4155
Fax +1 907-563-2891
Address 1840 BRAGAW ST STE 110, ANCHORAGE, AK, 99508 3463, 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
PROFIT SHARING PLAN OF CHUGACHMIUT 2011 920046614 2013-07-12 166
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Sponsor CHUGACHMIUT
Business code 813000
Sponsor’s telephone number 9075624155
Plan sponsor’s mailing address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508
Plan sponsor’s address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920046614
Plan administrator’s name CHUGACHMIUT
Plan administrator’s address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624155

Number of participants as of the end of the plan year
Active participants 90
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 82
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 173
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing PHYLLIS WIMBERLEY
Valid signature Filed with authorized/valid electronic signature
PROFIT SHARING PLAN OF CHUGACHMIUT 2010 920046614 2012-07-13 168
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Sponsor CHUGACHMIUT
Business code 813000
Sponsor’s telephone number 9075624155
Plan sponsor’s mailing address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508
Plan sponsor’s address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920046614
Plan administrator’s name CHUGACHMIUT
Plan administrator’s address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624155

Number of participants as of the end of the plan year
Active participants 91
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 74
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 166
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 10

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing PHYLLIS WIMBERLEY
Valid signature Filed with authorized/valid electronic signature
PROFIT SHARING PLAN OF CHUGACHMIUT 2009 920046614 2011-07-12 168
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Sponsor CHUGACHMIUT
Business code 813000
Sponsor’s telephone number 9075624155
Plan sponsor’s DBA name CHUGACHMIUT
Plan sponsor’s mailing address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508
Plan sponsor’s address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920046614
Plan administrator’s name CHUGACHMIUT
Plan administrator’s address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624155

Number of participants as of the end of the plan year
Active participants 97
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 70
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 168
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 8

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing PHYLLIS WIMBERLEY
Valid signature Filed with authorized/valid electronic signature
PROFIT SHARING PLAN OF CHUGACHMIUT 2009 920046614 2011-07-12 168
Three-digit plan number (PN) 001
Effective date of plan 1989-10-01
Sponsor CHUGACHMIUT
Business code 813000
Sponsor’s telephone number 9075624155
Plan sponsor’s DBA name CHUGACHMIUT
Plan sponsor’s mailing address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508
Plan sponsor’s address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920046614
Plan administrator’s name CHUGACHMIUT
Plan administrator’s address 1840 BRAGAW STREET, SUITE 110, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624155

Number of participants as of the end of the plan year
Active participants 97
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 70
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 168
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 8

Signature of
Role Plan administrator
Date 2011-07-12
Name of individual signing PHYLLIS WIMBERLEY
Valid signature Filed with authorized/valid electronic signature

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 43773 Active - 2022-10-03 2024-12-31 LOB: 92 - Public Administration, NAICS: 924110 - ADMINISTRATION OF AIR AND WATER RESOURCE AND SOLID WASTE MANAGEMENT PROGRAMS
Pharmacy PHAR411 Active 2004-09-20 - 2026-06-30 -
Telemedicine Business Registry 126249 Active 2017-09-01 - - -

Date of last update: 10 Jan 2025

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

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