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  5. YUKON-KUSKOKWIM HEALTH CORPORATION

YUKON-KUSKOKWIM HEALTH CORPORATION

Contents

Company Details

Name: YUKON-KUSKOKWIM HEALTH CORPORATION
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 06 Oct 1969 (55 years ago)
Entity Number: 8975D
ZIP code: 99559
County: Bethel
Place of Formation: ALASKA
Address: 829 HOFFMAN HWY, BETHEL, AK 99559
Mailing Address: PO BOX 528, BETHEL, AK 99559

Activity

Line of Business

23 Construction 62 Health Care and Social Assistance

NAICS

236220 COMMERCIAL AND INSTITUTIONAL BUILDING CONSTRUCTION 622110 GENERAL MEDICAL AND SURGICAL HOSPITALS

Officers

Name Role
Bonnie Persson Treasurer
Chris Larson Director
Adolph Lewis Director
Mary Willis Director
Alton Alexie Director
Bonnie Persson Director
James Charlie Director
Sam Tinker Director
Gloria George Director
Michael Williams Director

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
L6ASCNQ2E9J6 2025-03-21 829 HOFFMAN HWY, BETHEL, AK, 99559, USA
Mailing Address P.O. BOX 528, BETHEL, AK, 99559, 0528, USA

Business Information
URL http://www.ykhc.org
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-03-25
Initial Registration Date 2003-10-29
Entity Start Date 1969-10-06
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 541620, 561990, 621112, 621399, 621420, 621999, 623220, 923120
Product and Service Codes F103, F113, Q201, Q403, R699

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TRACI MACZYNSKI
Role GRANT ADMINSTRATOR
Address P.O. BOX 528, BETHEL, AK, 99559, 0528, USA
Government Business
Title PRIMARY POC
Name DAN WINKELMAN
Role PRESIDENT/CEO
Address P.O. BOX 528, BETHEL, AK, 99559, 0528, USA
Title ALTERNATE POC
Name DAN WINKLEMAN
Address P.O. BOX 528, BETHEL, AK, 99559, 0528, USA
Past Performance -

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
YKHC WELFARE BENEFIT PLAN/EMPLOYEE GROUP BENEFITS 2009 920041414 2010-08-03 965
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1995-01-01
Sponsor YUKON-KUSKOKWIM HEALTH CORPORATION
Business code 621111
Sponsor’s telephone number 9075436060
Plan sponsor’s mailing address ATTN HUMAN RESOURCES, P.O. BOX 528, BETHEL, AK, 995590528
Plan sponsor’s address ATTN HUMAN RESOURCES, 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK, 995590528

Plan administrator’s name and address
Administrator’s EIN 920041414
Plan administrator’s name YUKON-KUSKOKWIM HEALTH CORPORATION
Plan administrator’s address ATTN HUMAN RESOURCES, P.O. BOX 528, BETHEL, AK, 995590528
Administrator’s telephone number 9075436060

Number of participants as of the end of the plan year
Active participants 1167
Retired or separated participants receiving benefits 7
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing KERRI-LEE FULTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-02
Name of individual signing VANETTA N. VANCLEAVE
Valid signature Filed with authorized/valid electronic signature
YUKON-KUSKOKWIM HEALTH CORPORATION 401(A) RETIREMENT PLAN 2009 920041414 2010-05-10 2004
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-01
Sponsor YUKON-KUSKOKWIM HEALTH CORPORATION
Business code 622000
Sponsor’s telephone number 9075436060
Plan sponsor’s mailing address ATTN HUMAN RESOURCES, P O BOX 528, BETHEL, AK, 99559
Plan sponsor’s address ATTN HUMAN RESOURCES, 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK, 99559

Plan administrator’s name and address
Administrator’s EIN 920041414
Plan administrator’s name YUKON-KUSKOKWIM HEALTH CORPORATION
Plan administrator’s address ATTN HUMAN RESOURCES, P O BOX 528, BETHEL, AK, 99559
Administrator’s telephone number 9075436060

Number of participants as of the end of the plan year
Active participants 1521
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 404
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 1355
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 87

Signature of
Role Plan administrator
Date 2010-05-10
Name of individual signing KERRILEE FULTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-10
Name of individual signing ALFRED TOMPKINS
Valid signature Filed with authorized/valid electronic signature
YUKON-KUSKOKWIM HEALTH CORPORATION 401(A) RETIREMENT PLAN 2009 920041414 2010-02-05 2004
Three-digit plan number (PN) 003
Effective date of plan 1990-10-01
Sponsor YUKON-KUSKOKWIM HEALTH CORPORATION
Business code 622000
Sponsor’s telephone number 9075436060
Plan sponsor’s mailing address ATTN HUMAN RESOURCES, P O BOX 528, BETHEL, AK, 99559
Plan sponsor’s address ATTN HUMAN RESOURCES, 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK, 99559

Plan administrator’s name and address
Administrator’s EIN 920041414
Plan administrator’s name YUKON-KUSKOKWIM HEALTH CORPORATION
Plan administrator’s address ATTN HUMAN RESOURCES, P O BOX 528, BETHEL, AK, 99559
Administrator’s telephone number 9075436060

Number of participants as of the end of the plan year
Active participants 1521
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 404
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 1355
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 87

Signature of
Role Plan administrator
Date 2010-02-05
Name of individual signing KERRILEE FULTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-02-05
Name of individual signing JOSEPH DISMOND
Valid signature Filed with authorized/valid electronic signature
YUKON-KUSKOKWIM HEALTH CORPORATION 401(A) RETIREMENT PLAN 2009 920041414 2010-02-05 1873
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-01
Sponsor YUKON-KUSKOKWIM HEALTH CORPORATION
Business code 622000
Sponsor’s telephone number 9075436060
Plan sponsor’s mailing address ATTN HUMAN RESOURCES, PO BOX 528, BETHEL, AK, 995590528
Plan sponsor’s address 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK, 995590528

Plan administrator’s name and address
Administrator’s EIN 920041414
Plan administrator’s name YUKON-KUSKOKWIM HEALTH CORPORATION
Plan administrator’s address ATTN HUMAN RESOURCES, PO BOX 528, BETHEL, AK, 995590528
Administrator’s telephone number 9075436060

Number of participants as of the end of the plan year
Active participants 1517
Other retired or separated participants entitled to future benefits 752
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
Number of participants with account balances as of the end of the plan year 1461
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 75

Signature of
Role Plan administrator
Date 2010-02-05
Name of individual signing KERRILEE FULTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-02-05
Name of individual signing JOSEPH DISMOND
Valid signature Filed with authorized/valid electronic signature
YUKON-KUSKOKWIM HEALTH CORPORATION 401(A) RETIREMENT PLAN 2009 920041414 2010-02-04 2275
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1990-10-01
Sponsor YUKON-KUSKOKWIM HEALTH CORPORATION
Business code 622000
Sponsor’s telephone number 9075436060
Plan sponsor’s mailing address ATTN HUMAN RESOURCES, PO BOX 528, BETHEL, AK, 995590528
Plan sponsor’s address 829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK, 995590528

Plan administrator’s name and address
Administrator’s EIN 920041414
Plan administrator’s name YUKON-KUSKOKWIM HEALTH CORPORATION
Plan administrator’s address ATTN HUMAN RESOURCES, PO BOX 528, BETHEL, AK, 995590528
Administrator’s telephone number 9075436060

Number of participants as of the end of the plan year
Active participants 1806
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 197
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 1277
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-02-04
Name of individual signing KERRILEE FULTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-02-04
Name of individual signing JOSEPH DISMOND
Valid signature Filed with authorized/valid electronic signature

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 121742 Active 1990-03-12 2022-12-22 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS
Business License 285898 Active 2001-10-03 2022-12-22 2024-12-31 LOB: 23 - Construction, NAICS: 236220 - COMMERCIAL AND INSTITUTIONAL BUILDING CONSTRUCTION
General Contractor With Residential Contractor Endorsement CONG28008 Active 2001-08-10 - 2025-03-31 -
Telemedicine Business Registry 160531 Active 2020-04-13 - - -

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DCA AWARD INF701816C247 2008-03-17 2009-03-31 2011-03-31
Unique Award Key CONT_AWD_INF701816C247_1448_-NONE-_-NONE-
Awarding Agency Department of the Interior
Link View Page

Description
Title AVIAN FLU SAMPLING
NAICS Code 541690: OTHER SCIENTIFIC AND TECHNICAL CONSULTING SERVICES
Product and Service Codes R499: OTHER PROFESSIONAL SERVICES

Recipient Details
Recipient YUKON-KUSKOKWIM HEALTH CORP
UEI L6ASCNQ2E9J6
Legacy DUNS 082508961
Recipient Address UNITED STATES, 829 CHEIF EDDIE HOFFMAN HIGHWAY, BETHEL, 995590528

Date of last update: 10 Jan 2025

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

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