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  5. INTERIOR AIDS ASSOCIATION

INTERIOR AIDS ASSOCIATION

Contents

Company Details

Name: INTERIOR AIDS ASSOCIATION
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 22 Aug 1988 (36 years ago)
Entity Number: 42636D
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 710 3RD AVE, FAIRBANKS, AK 99701-4455
Mailing Address: PO BOX 71248, FAIRBANKS, AK 99707-1248

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621420 OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS

Officers

Name Role
Wade Falconburg Director
Adrian Comacho Director
Richard McMahan President
Anthony D Rickard Treasurer
Sean Rolig Vice President
Alexander Thorton Director
Christina Hommel Secretary
Michael Patton Director
Diana Puhak Director
Anna Nelson Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
F9CYUJGA5F33 2025-02-13 710 3RD AVE, FAIRBANKS, AK, 99701, 4455, USA
Mailing Address P.O. BOX 71248, FAIRBANKS, AK, 99707, 1248, USA

Business Information
URL http://www.interioraids.org
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-02-16
Initial Registration Date 2007-11-01
Entity Start Date 1988-08-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name GENEVIEVE J STONE
Role ACCOUNTS PAYABLE MANAGER
Address P.O. BOX 71248, FAIRBANKS, AK, 99707, 1248, USA
Title ALTERNATE POC
Name ANNA E NELSON
Role EXECUTIVE DIRECTOR
Address P.O. BOX 283, FAIRBANKS, AK, 99707, 1248, USA
Government Business
Title PRIMARY POC
Name KAREN M JOHNSON
Role FINANCE DIRECTOR
Address P.O. BOX 71248, FAIRBANKS, AK, 99707, 1248, USA
Title ALTERNATE POC
Name GENEVIEVE J STONE
Role ACCOUNTING SPECIALIST
Address P.O. BOX 71248, FAIRBANKS, AK, 99707, 1248, USA
Past Performance
Title PRIMARY POC
Name ANNA E. NELSON
Role MS.
Address P.O. BOX 71248, FAIRBANKS, AK, 99707, 1248, USA
Title ALTERNATE POC
Name GENEVIEVE J STONE
Role ACCOUNTING SPECIALIST
Address P.O. BOX 71248, FAIRBANKS, AK, 99707, 1248, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4WYB9 Obsolete Non-Manufacturer 2007-11-02 2024-02-16 - 2025-02-13

Contact Information
POC KAREN M. JOHNSON
Phone +1 907-452-4222
Fax +1 907-452-8176
Address 710 3RD AVE, FAIRBANKS, AK, 99701 4455, 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
TAX DEFERRED ANNUITY PLAN OF INTERIOR AIDS ASSOCIATION 2012 920127274 2013-08-29 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor INTERIOR AIDS ASSOCIATION
Business code 624100
Plan sponsor’s address P.O. BOX 71248, FAIRBANKS, AK, 99707

Signature of
Role Plan administrator
Date 2013-08-29
Name of individual signing ANNA NELSON
Role Employer/plan sponsor
Date 2013-08-29
Name of individual signing ANNA NELSON
TAX DEFERRED ANNUITY PLAN OF INTERIOR AIDS ASSOCIATION 2012 920127274 2013-07-30 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor INTERIOR AIDS ASSOCIATION
Business code 624100
Sponsor’s telephone number 9074524222
Plan sponsor’s address P.O. BOX 71248, FAIRBANKS, AK, 99707

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing ANNA NELSON
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing ANNA NELSON
TAX DEFERRED ANNUITY PLAN OF INTERIOR AIDS ASSOCIATION 2011 920127274 2012-07-24 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor INTERIOR AIDS ASSOCIATION
Business code 624100
Sponsor’s telephone number 9074524222
Plan sponsor’s address PO BOX 71248, FAIRBANKS, AK, 99707

Plan administrator’s name and address
Administrator’s EIN 920127274
Plan administrator’s name INTERIOR AIDS ASSOCIATION
Plan administrator’s address PO BOX 71248, FAIRBANKS, AK, 99707
Administrator’s telephone number 9074524222

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing ANNA NELSON
TAX DEFERRED ANNUITY PLAN OF INTERIOR AIDS ASSOCIATION 2010 920127274 2011-07-14 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor INTERIOR AIDS ASSOCIATION
Business code 624100
Sponsor’s telephone number 9074524222
Plan sponsor’s address PO BOX 71248, FAIRBANKS, AK, 99707

Plan administrator’s name and address
Administrator’s EIN 920127274
Plan administrator’s name INTERIOR AIDS ASSOCIATION
Plan administrator’s address PO BOX 71248, FAIRBANKS, AK, 99707
Administrator’s telephone number 9074524222

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing ANNA NELSON
Role Employer/plan sponsor
Date 2011-07-14
Name of individual signing ANNA NELSON
TAX DEFERRED ANNUITY PLAN OF INTERIOR AIDS ASSOCIATION 2009 920127274 2010-07-30 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor INTERIOR AIDS ASSOCIATION
Business code 624100
Sponsor’s telephone number 9074524222
Plan sponsor’s address PO BOX 71248, FAIRBANKS, AK, 99707

Plan administrator’s name and address
Administrator’s EIN 920127274
Plan administrator’s name INTERIOR AIDS ASSOCIATION
Plan administrator’s address PO BOX 71248, FAIRBANKS, AK, 99707
Administrator’s telephone number 9074524222

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing ANNA NELSON
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing ANNA NELSON

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 301795 Active 1999-12-28 2023-10-17 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621420 - OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Drug Room PHAG60 Active 2014-08-21 - 2026-06-30 -
Telemedicine Business Registry 219473 Active 2024-01-22 - - -

Date of last update: 11 Jan 2025

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

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