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  5. NINILCHIK SENIOR CITIZENS, INC.

NINILCHIK SENIOR CITIZENS, INC.

Contents

Company Details

Name: NINILCHIK SENIOR CITIZENS, INC.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 27 Mar 1981 (44 years ago)
Entity Number: 23687D
ZIP code: 99639
County: Kenai Peninsula
Place of Formation: ALASKA
Address: 66265 ASPEN AVE, NINILCHIK, AK 99639
Mailing Address: PO BOX 39422, NINILCHIK, AK 99639

Activity

Line of Business

81 Other Services (except Public Administration)

NAICS

813410 CIVIC AND SOCIAL ORGANIZATIONS

Officers

Name Role
RICHARD HAWKINS Registered Agent
JOHN MCCOMBS Director
KAYE WALDSMITH Secretary
RICHARD HAWKINS President
STEVE VANEK Vice President
CHERYL DOYLE Director
Lynn Harding Director
Viola Nordgren Treasurer

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
DMQWMH8GZBN1 2024-08-17 66265 ASPEN AVE, NINILCHIK, AK, 99639, 9760, USA
Mailing Address PO BOX 39422, NINILCHIK, AK, 99639, 0422, USA

Business Information
Doing Business As NINILCHIK SENIOR CITIZENS INC
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-08-22
Initial Registration Date 2011-11-15
Entity Start Date 1981-03-01
Fiscal Year End Close Date Jun 30

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JULIE OTTO
Address PO BOX 39422, NINILCHIK, AK, 99639, 0422, USA
Government Business
Title PRIMARY POC
Name JULIE OTTO
Address PO BOX 39422, NINILCHIK, AK, 99639, 0422, USA
Past Performance -

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6L5B9 Obsolete Non-Manufacturer 2011-11-16 2024-07-22 - 2025-07-18

Contact Information
POC JULIE OTTO
Phone +1 907-567-3988
Fax +1 907-567-3988
Address 66265 ASPEN AVE, NINILCHIK, AK, 99639 9760, 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
NINILCHIK SENIOR CITIZENS, INC. 2023 521323828 2024-07-02 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC
Business code 624200
Sponsor’s telephone number 9075673988
Plan sponsor’s address 66265 ASPEN AVE, PO BOX 39422, NINILCHIK, AK, 996390422

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing TANDRA WALLACE
NINILCHIK SENIOR CITIZENS, INC. 2022 521323828 2023-08-23 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC.
Business code 624200
Sponsor’s telephone number 9075673988
Plan sponsor’s address 66265 ASPEN AVE, PO BOX 39422, NINILCHIK, AK, 996390422

Signature of
Role Plan administrator
Date 2023-08-23
Name of individual signing TANDRA WALLACE
TAX DEFERRED ANNUITY PLAN OF NINILCHIK SENIOR CITIZENS, INC. 2021 521323828 2022-07-08 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC.
Business code 624200
Sponsor’s telephone number 9075673988
Plan sponsor’s address PO BOX 39422, NINILCHIK, AK, 996390422

Signature of
Role Plan administrator
Date 2022-07-08
Name of individual signing TANDRA WALLACE
TAX DEFERRED ANNUITY PLAN OF NINILCHIK SENIOR CITIZENS, INC. 2020 521323828 2021-07-19 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC.
Business code 624200
Sponsor’s telephone number 9075673988
Plan sponsor’s address PO BOX 39422, NINILCHIK, AK, 996390422

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing TANDRA WALLACE
TAX DEFERRED ANNUITY PLAN OF NINILCHIK SENIOR CITIZENS, INC. 2019 521323828 2020-07-21 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC.
Business code 624200
Sponsor’s telephone number 9075673988
Plan sponsor’s address PO BOX 39422, NINILCHIK, AK, 996390422

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing TANDRA WALLACE
TAX DEFERRED ANNUITY PLAN OF NINILCHIK SENIOR CITIZENS, INC. 2018 521323828 2019-07-19 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC.
Business code 624200
Sponsor’s telephone number 9075673988
Plan sponsor’s address PO BOX 39422, NINILCHIK, AK, 996390422

Signature of
Role Plan administrator
Date 2019-07-19
Name of individual signing TANDRA WALLACE
TAX DEFERRED ANNUITY PLAN OF NINILCHIK SENIOR CITIZENS INC 2017 521323828 2018-04-10 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS INC
Business code 624100
Sponsor’s telephone number 9075673988
Plan sponsor’s address PO BOX 39422, NINILCHIK, AK, 996390422

Signature of
Role Plan administrator
Date 2018-04-10
Name of individual signing JULIE OTTO
Role Employer/plan sponsor
Date 2018-04-10
Name of individual signing JULIE OTTO
TAX DEFERRED ANNUITY PLAN OF NINILCHIK SENIOR CITIZENS, INC. 2016 521323828 2017-03-28 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC.
Business code 624100
Sponsor’s telephone number 9075673988
Plan sponsor’s address PO BOX 39422, NINILCHIK, AK, 99639

Signature of
Role Plan administrator
Date 2017-03-28
Name of individual signing DIANNA SULLIVAN
Role Employer/plan sponsor
Date 2017-03-28
Name of individual signing DIANNA SULLIVAN
TAX DEFERRED ANNUITY PLAN OF NINILCHIK SENIOR CITIZENS, INC. 2015 521323828 2016-07-06 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC.
Business code 624100
Sponsor’s telephone number 9075673988
Plan sponsor’s address PO BOX 39422, NINILCHIK, AK, 99639

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing SHELLI OGREN
Role Employer/plan sponsor
Date 2016-07-06
Name of individual signing SHELLI OGREN
TAX DEFERRED ANNUITY PLAN OF NINILCHIK SENIOR CITIZENS, INC. 2014 521323828 2015-04-21 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Sponsor NINILCHIK SENIOR CITIZENS, INC.
Sponsor’s telephone number 9075673988
Plan sponsor’s address PO BOX 39422, NINILCHIK, AK, 99639

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing KATHRYN KENNEDY

Business Licenses

License Number Type Status Issue Date Date of renewal Expiration date Description
724049 Business License Active 2004-12-27 2023-10-17 2025-12-31 LOB: 81 - Other Services (except Public Administration), NAICS: 813410 - CIVIC AND SOCIAL ORGANIZATIONS

Date of last update: 24 Jan 2025

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

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