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  5. ALASKA HEALTH FAIR, INC.

ALASKA HEALTH FAIR, INC.

Contents

Company Details

Name: ALASKA HEALTH FAIR, INC.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 01 Dec 1986 (38 years ago)
Entity Number: 39253D
ZIP code: 99518
County: Anchorage
Place of Formation: ALASKA
Address: 720 W 58TH AVE UNIT J, ANCHORAGE, AK 99518

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621999 ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES

Officers

Name Role
Corlis Taylor Director
Corlis Taylor Vice President
Cara Fairbanks President
Cara Fairbanks Director
Gerhard Vierthaler Director
Gerhard Vierthaler Treasurer
Carol Lynn Senette Director
Carol Lynn Senette Secretary
Andrei Chakine Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
LN2JMD561MB6 2024-11-06 720 W 58TH AVE, STE J, ANCHORAGE, AK, 99518, 1636, USA
Mailing Address 720 W 58TH AVE STE J, ANCHORAGE, AK, 99518, 1166, USA

Business Information
Doing Business As ALASKA HEALTH FAIR
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-11-09
Initial Registration Date 2011-03-01
Entity Start Date 1980-07-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ANDREI CHAKINE
Role EXECUTIVE DIRECTOR
Address 720 W. 58TH AVENUE UNIT J, ANCHORAGE, AK, 99518, USA
Title ALTERNATE POC
Name ANDREI CHAKINE
Role EXECUTIVE DIRECTOR
Address 720 W. 58TH AVENUE UNIT J, ANCHORAGE, AK, 99518, USA
Government Business
Title PRIMARY POC
Name ANDREI CHAKINE
Role EXECUTIVE DIRECTOR
Address 720 W. 58TH AVENUE UNIT J, ANCHORAGE, AK, 99518, USA
Title ALTERNATE POC
Name ANDREI CHAKINE
Role EXECUTIVE DIRECTOR
Address 720 W. 58TH AVENUE UNIT J, ANCHORAGE, AK, 99518, USA
Past Performance
Title PRIMARY POC
Name ANDREI CHAKINE
Role EXECUTIVE DIRECTOR
Address 720 W. 58TH AVENUE UNIT J, ANCHORAGE, AK, 99518, USA
Title ALTERNATE POC
Name ANDREI CHAKINE
Role EXECUTIVE DIRECTOR
Address 720 W. 58TH AVENUE UNIT J, ANCHORAGE, AK, 99518, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6ATZ1 Obsolete Non-Manufacturer 2011-03-09 2024-10-21 - 2025-10-17

Contact Information
POC ANDREI CHAKINE
Phone +1 907-278-0234
Fax +1 907-258-1848
Address 720 W 58TH AVE, ANCHORAGE, AK, 99518 1636, 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 OF ALASKA HEALTH FAIR, INC. 2022 920118421 2024-01-25 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2024-01-25
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2024-01-25
Name of individual signing ANDREI CHAKINE
403(B) THRIFT PLAN OF ALASKA HEALTH FAIR, INC. 2021 920118421 2023-03-13 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2023-03-13
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2023-03-13
Name of individual signing ANDREI CHAKINE
403 (B) THRIFT PLAN OF ALASKA HEALTH FAIR, INC. 2020 920118421 2022-03-28 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2022-03-28
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2022-03-28
Name of individual signing ANDREI CHAKINE
403(B) THRIFT PLAN OF ALASKA HEALTH FAIR, INC. 2019 920118421 2021-08-10 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2021-08-10
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2021-08-10
Name of individual signing ANDREI CHAKINE
403(B) THRIFT PLAN OF ALASKA HEALTH FAIR, INC. 2019 920118421 2021-08-10 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2021-08-10
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2021-08-10
Name of individual signing ANDREI CHAKINE
403(B) THIRFT PLAN OF ALASKA HEALTH FAIR, INC. 2017 920118421 2019-04-05 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2019-04-05
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2019-04-05
Name of individual signing ANDREI CHAKINE
403(B) THRIFT PLAN OF ALASKA HEALTH FAIR INC. 2016 920118421 2018-04-05 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2018-04-05
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2018-04-05
Name of individual signing ANDREI CHAKINE
403(B) THRIFT PLAN OF ALASKA HELATH FAIR, INC. 2015 920118421 2016-04-14 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2016-04-14
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2016-04-14
Name of individual signing ANDREI CHAKINE
403(B) THRIFT PLAN OF ALASKA HEALTH FAIR, INC. 2015 920118421 2018-04-05 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 995181636

Signature of
Role Plan administrator
Date 2018-04-05
Name of individual signing ANDREI CHAKINE
Role Employer/plan sponsor
Date 2018-04-05
Name of individual signing ANDREI CHAKINE
403(B) THRIFT PLAN OF ALASKA HEALTH FAIR, INC. 2013 920118421 2015-01-26 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-09-01
Sponsor ALASKA HEALTH FAIR, INC.
Business code 624100
Sponsor’s telephone number 9072780234
Plan sponsor’s address 720 W 58TH AVE STE J, ANCHORAGE, AK, 99518

Signature of
Role Plan administrator
Date 2015-01-26
Name of individual signing DEBORAH J. CORKER
Role Employer/plan sponsor
Date 2015-01-26
Name of individual signing DEBORAH J. CORKER

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 93226 Active - 2023-02-24 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621999 - ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES

Date of last update: 11 Jan 2025

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

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