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  5. GOLDBELT HERITAGE FOUNDATION

GOLDBELT HERITAGE FOUNDATION

Contents

Company Details

Name: GOLDBELT HERITAGE FOUNDATION
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 03 Oct 2001 (23 years ago)
Entity Number: 74356D
ZIP code: 99801
County: Juneau
Place of Formation: ALASKA
Address: ONE SEALASKA PLAZA, STE 201, JUNEAU, AK 99801

Activity

Line of Business

61 Educational Services

NAICS

611699 ALL OTHER MISCELLANEOUS SCHOOLS AND INSTRUCTION

Officers

Name Role
LAILANI WILSON WALKUSH Vice President
Steven McClure Director
Jacqueline Pata President
DEREK DUNCAN Director
David Russell-Jensen Secretary
Catherine Edwards Director
Taija Revels Treasurer
DESIREE JACKSON Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
CYLYU13A4YY1 2025-03-18 1 SEALASKA PLZ STE 201, JUNEAU, AK, 99801, 1245, USA
Mailing Address ONE SEALASKA PLAZA, SUITE 201, JUNEAU, AK, 99801, 1245, USA

Business Information
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-03-20
Initial Registration Date 2007-03-04
Entity Start Date 2001-09-28
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name BEN JOHNSON
Address ONE SEALASKA PLAZA, SUITE 201, JUNEAU, AK, 99801, 1245, USA
Government Business
Title PRIMARY POC
Name DESIREE JACKSON
Address ONE SEALASKA PLAZA, SUITE 201, JUNEAU, AK, 99801, 1245, USA
Past Performance
Title ALTERNATE POC
Name DEREK DUNCAN
Role DIRECTOR
Address ONE SEALASKA PLAZA, SUITE 201, JUNEAU, AK, 99801, 7109, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4PBK9 Active Non-Manufacturer 2007-03-05 2024-03-20 2029-03-20 2025-03-18

Contact Information
POC DESIREE JACKSON
Phone +1 907-790-1460
Address 1 SEALASKA PLZ STE 201, JUNEAU, AK, 99801 1245, 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
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2023 810645819 2024-10-11 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address ONE SEALASKA PLAZA, #201, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing JESSICA CONNER
Valid signature Filed with authorized/valid electronic signature
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2022 810645819 2023-10-16 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JESSICA CONNER
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2021 810645819 2022-10-14 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing JESSICA CONNER
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2020 810645819 2021-10-13 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing JESSICA CONNER
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2019 810645819 2020-10-15 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing DIONNE CADIENTE LAITI
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2018 810645819 2019-10-14 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing DIONNE CADIENTE LAITI
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2017 810645819 2018-10-13 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2018-10-13
Name of individual signing DIONNE CADIENTE LAITI
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2016 810645819 2017-10-19 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2017-10-19
Name of individual signing DIONNE CADIENTE LAITI
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2015 810645819 2016-10-17 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing DIONNE CADIENTE LAITI
GOLDBELT HERITAGE FOUNDATION 401(K) PLAN 2014 810645819 2015-07-29 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor GOLDBELT HERITAGE FOUNDATION
Business code 813000
Sponsor’s telephone number 9077901424
Plan sponsor’s address 3200 HOSPITAL DRIVE, SUITE 101, JUNEAU, AK, 99801

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing DIONNE CADIENTE LAITI

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 310584 Active 2005-04-28 2023-10-16 2024-12-31 LOB: 61 - Educational Services, NAICS: 611699 - ALL OTHER MISCELLANEOUS SCHOOLS AND INSTRUCTION

Date of last update: 11 Jan 2025

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

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