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LAKE OTIS PHARMACY, INC.

Contents

Company Details

Name: LAKE OTIS PHARMACY, INC.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 17 Sep 1993 (31 years ago)
Entity Number: 52337D
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 4201 LAKE OTIS PKWY, 1535 G STREET, ANCHORAGE, AK 99508
Mailing Address: 4201 LAKE OTIS PKWY, ANCHORAGE, AK 99508

Officers

Name Role
Yvonne Huber Treasurer
Yvette Vergnetti Secretary
JOSEPH VERGNETTI Shareholder
JOSEPH VERGNETTI Director
JOSEPH VERGNETTI President
Joshua D Hodes Registered Agent

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
63BS6 Active Non-Manufacturer 2010-08-06 2022-12-31 2026-12-02 2022-12-31

Contact Information

POC LAKE OTIS PHARMACY
Phone +1 907-563-7801
Fax +1 907-562-7887
Address 4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508 5214, 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
LAKE OTIS PHARMACY INC., 401(K) PLAN & TRUST 2013 920147345 2014-11-22 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Sponsor LAKE OTIS PHARMACY INC
Business code 446110
Sponsor’s telephone number 9075637878
Plan sponsor’s address 4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508
LAKE OTIS PHARMACY INC., 401(K) PLAN & TRUST 2012 920147345 2014-01-30 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Sponsor LAKE OTIS PHARMACY
Business code 446110
Sponsor’s telephone number 9075637878
Plan sponsor’s address 4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508

Signature of

Role Plan administrator
Date 2014-01-30
Name of individual signing WESLEY SUTTERLIN
Role Employer/plan sponsor
Date 2014-01-30
Name of individual signing WESLEY SUTTERLIN
LAKE OTIS PHARMACY INC., 401(K) PLAN & TRUST 2011 920147345 2013-02-22 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Sponsor LAKE OTIS PHARMACY
Business code 446110
Sponsor’s telephone number 9075637878
Plan sponsor’s address 4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508

Plan administrator’s name and address

Administrator’s EIN 920147345
Plan administrator’s name LAKE OTIS PHARMACY
Plan administrator’s address 4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075637878

Signature of

Role Plan administrator
Date 2013-02-22
Name of individual signing WESLEY SUTTERLIN
Role Employer/plan sponsor
Date 2013-02-22
Name of individual signing WESLEY SUTTERLIN
LAKE OTIS PHARMACY INC., 401(K) PLAN & TRUST 2011 920147345 2012-02-16 13
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Sponsor LAKE OTIS PHARMACY
Business code 446110
Sponsor’s telephone number 9075637878
Plan sponsor’s address 4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508

Plan administrator’s name and address

Administrator’s EIN 920147345
Plan administrator’s name LAKE OTIS PHARMACY
Plan administrator’s address 4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075637878

Signature of

Role Plan administrator
Date 2012-02-16
Name of individual signing WESLEY SUTTERLIN
Role Employer/plan sponsor
Date 2012-02-16
Name of individual signing WESLEY SUTTERLIN

Department of Natural Resources Records

Document Number Date Status Index
2011-713933-4 2011-04-01 INACTIVE FS - FINANCING STATEMENT
District 500 - UCC Central
Description FINANCING STATEMENT
View File Download

Parties

Name LAKE OTIS PHARMACY, INC.
Role Debtor
Name MCKESSON CORPORATION
Role Secured
2014-777568-1 2014-03-17 INACTIVE FS - FINANCING STATEMENT
District 500 - UCC Central
Description FINANCING STATEMENT
View File Download

Parties

Name LAKE OTIS PHARMACY, INC.
Role Debtor
Name LAKE OTIS MEDICAL SUPPLY
Role Debtor
Name AmerisourceBergen Drug Corporation
Role Secured
Name BELLCO DRUG CORP
Role Secured
2011-713941-1 2011-04-01 ACTIVE FS - FINANCING STATEMENT
District 500 - UCC Central
Description FINANCING STATEMENT
View File Download

Parties

Name LAKE OTIS PHARMACY, INC.
Role Debtor
Name MCKESSON CORPORATION
Role Secured

Court View Cases

Title Date Case Type Status Open
3AN-11-03081SC Lake Otis Pharmacy Inc vs. Barnes, Harriet UNK3AN 2011-08-10 Small Claims (3AN) Closed Open Case Link
3AN-97-03924SC LAKE OTIS PHARMACY vs. Young, Stacey L WHF 1997-10-20 Small Claims (3AN) Closed Open Case Link
3AN-96-07428CI Jones, Barbara vs. GUARDIAN PRODUCTS et al BCS 1996-09-17 Civil Superior Ct (3AN) Closed Open Case Link

Date of last update: 03 Feb 2025

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