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  5. GASTINEAU HUMAN SERVICES CORPORATION

GASTINEAU HUMAN SERVICES CORPORATION

Contents

Company Details

Name: GASTINEAU HUMAN SERVICES CORPORATION
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 23 Jan 1976 (49 years ago)
Entity Number: 15254D
ZIP code: 99801
County: Juneau
Place of Formation: ALASKA
Address: 5597 AISEK ST, JUNEAU, AK 99801

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

624230 EMERGENCY AND OTHER RELIEF SERVICES

Officers

Name Role
Forrest Clough Vice President
Pete Hudson Treasurer
Charles Carlson President
NORMAN GORSUCH Director
Venietia Bingham Secretary
Sarah Niecko Director
Alyssa Lambert Director
SIMPSON TILLINGHAST SHEEHAN, P.C. Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
VNFDDMAK9Z68 2025-01-28 5597 AISEK ST, JUNEAU, AK, 99801, 9522, USA
Mailing Address 5597 AISEK STREET, JUNEAU, AK, 99801, 9522, USA

Business Information
Doing Business As GASTINEAU HUMAN SERVICES CORP
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-02-13
Initial Registration Date 2005-12-21
Entity Start Date 1965-09-01
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 621420, 623220, 623990

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ROBERT PEARSON
Role GRANTS AND CONTRACTS SPECIALIST
Address 5597 AISEK STREET, JUNEAU, AK, 99801, 9522, USA
Title ALTERNATE POC
Name RYAN KAUZLARICH
Role FINANCE DIRECTOR
Address 5597 AISEK STREET, JUNEAU, AK, 99801, 9522, USA
Government Business
Title PRIMARY POC
Name ROBERT PEARSON
Role GRANTS AND CONTRACTS SPECIALIST
Address 5597 AISEK STREET, JUNEAU, AK, 99801, 9522, USA
Title ALTERNATE POC
Name RYAN KAUZLARICH
Role FINANCE DIRECTOR
Address 5597 AISEK STREET, JUNEAU, AK, 99801, 9522, USA
Past Performance
Title PRIMARY POC
Name ROBERT PEARSON
Role GRANTS AND CONTRACTS SPECIALIST
Address 5597 AISEK STREET, JUNEAU, AK, 99801, 9522, USA
Title ALTERNATE POC
Name RYAN KAUZLARICH
Role FINANCE DIRECTOR
Address 5597 AISEK STREET, JUNEAU, AK, 99801, 9522, USA

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
403(B) THRIFT PLAN FOR EMPLOYEES OF GASTINEAU HUMAN SERVICES CORPORATION 2022 920065232 2024-01-29 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Sponsor GASTINEAU HUMAN SERVICES CORPORATION
Business code 921000
Sponsor’s telephone number 9077803016
Plan sponsor’s address 5597 AISEK ST, JUNEAU, AK, 998019522

Signature of
Role Plan administrator
Date 2024-01-29
Name of individual signing RYAN KAUZLARICH
403(B) THRIFT PLAN OF GASTINEAU HUMAN SERVICES CORPORATION 2021 920065232 2023-04-12 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Sponsor GASTINEAU HUMAN SERVICES CORPORATION
Business code 921000
Sponsor’s telephone number 9077804338
Plan sponsor’s address 5597 AISEK ST, JUNEAU, AK, 998019522

Signature of
Role Plan administrator
Date 2023-04-12
Name of individual signing ASHLEY AEMMER
403(B) THRIFT PLAN OF GASTINEAU HUMAN SERVICES CORPORATION 2020 920065232 2022-01-26 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Sponsor GASTINEAU HUMAN SERVICES CORPORATION
Business code 921000
Sponsor’s telephone number 9077804338
Plan sponsor’s address 5597 AISEK ST, JUNEAU, AK, 998019522

Signature of
Role Plan administrator
Date 2022-01-26
Name of individual signing ASHLEY AEMMER
403(B) THRIFT PLAN OF GASTINEAU HUMAN SERVICES CORPORATION 2019 920065232 2021-01-20 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Sponsor GASTINEAU HUMAN SERVICES CORPORATION
Business code 921000
Sponsor’s telephone number 9077804338
Plan sponsor’s address 5597 AISEK ST, JUNEAU, AK, 998019522

Signature of
Role Plan administrator
Date 2021-01-20
Name of individual signing MICHAEL PELLERIN
403(B) THRIFT PLAN OF GASTINEAU HUMAN SERVICES CORPORATION 2018 920065232 2020-01-27 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Sponsor GASTINEAU HUMAN SERVICES CORPORATION
Business code 921000
Sponsor’s telephone number 9077804338
Plan sponsor’s address 5597 AISEK ST, JUNEAU, AK, 998019522

Signature of
Role Plan administrator
Date 2020-01-27
Name of individual signing MICHAEL PELLERIN
403(B) THRIFT PLAN OF GASTINEAU HUMAN SERVICES CORPORATION 2017 920065232 2019-01-02 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Sponsor GASTINEAU HUMAN SERVICES CORPORATION
Business code 921000
Sponsor’s telephone number 9077804338
Plan sponsor’s address 5597 AISEK ST, JUNEAU, AK, 998019522

Signature of
Role Plan administrator
Date 2019-01-02
Name of individual signing MICHAEL PELLERIN
403(B) THRIFT PLAN OF GASTINEAU HUMAN SERVICES CORPORATION 2009 920065232 2011-01-24 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Sponsor GASTINEAU HUMAN SERVICES CORPORATION
Business code 624310
Sponsor’s telephone number 9077804338
Plan sponsor’s address 5597 AISEK ST, JUNEAU, AK, 99801

Plan administrator’s name and address
Administrator’s EIN 920065232
Plan administrator’s name GASTINEAU HUMAN SERVICES CORPORATION
Plan administrator’s address 5597 AISEK ST, JUNEAU, AK, 99801
Administrator’s telephone number 9077804338

Signature of
Role Plan administrator
Date 2011-01-04
Name of individual signing MICHAEL PELLERIN
Role Employer/plan sponsor
Date 2011-01-04
Name of individual signing MICHAEL PELLERIN

Business Licenses

License Number Type Status Issue Date Date of renewal Expiration date Description
25829 Business License Active - 2024-12-10 2026-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 624230 - EMERGENCY AND OTHER RELIEF SERVICES

Professional Licenses

License Number Program Type Status Issue Date Effective Date Expiration Date
189387 Telemedicine Business Registry Telemedicine Business Registry Active 2022-01-20 2022-01-20 -
201225 Telemedicine Business Registry Telemedicine Business Registry Active 2022-10-14 2022-10-14 -

Date of last update: 24 Jan 2025

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

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