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  5. SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.

SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.

Contents

Company Details

Name: SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 05 May 1977 (48 years ago)
Entity Number: 16915D
ZIP code: 99835
County: Sitka
Place of Formation: ALASKA
Address: 100 CLOTHILDE BAHOVEC WAY, SITKA, AK 99835

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

624230 EMERGENCY AND OTHER RELIEF SERVICES

Officers

Name Role
JEREMY SIMMONS Director
TERRY BUNESS President
Timothy Peterson Director
Robert Janik Director
Noble Anderson Vice President
Travis Miller Secretary
Travis Miller Treasurer
JAMES KLEINSCHMIDT Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
UGXPCAKXV4Z1 2024-10-25 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835, 9548, USA
Mailing Address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835, 9548, USA

Business Information
Doing Business As SOUTHEAST REGION EMERGENCY MEDICAL SERVICES
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-11-14
Initial Registration Date 2003-10-13
Entity Start Date 1977-05-05
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 813920

Points of Contacts
Electronic Business
Title PRIMARY POC
Name VIRGIL DAVIS
Role FINANCE MANAGER
Address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835, 9548, USA
Title ALTERNATE POC
Name ROBERTA LEICHTY
Role DIRECTOR
Address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835, 9548, USA
Government Business
Title PRIMARY POC
Name ROBERTA LEICHTY
Role DIRECTOR
Address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835, 9548, USA
Title ALTERNATE POC
Name VIRGIL G DAVIS
Role FINANCE MANAGER
Address 116 PATTERSON WAY, SITKA, AK, 99835, 9548, USA
Past Performance -

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3K5R8 Active Non-Manufacturer 2003-10-14 2023-11-14 2028-11-14 2024-10-25

Contact Information
POC ROBERTA LEICHTY
Phone +1 907-738-8008
Fax +1 907-747-1406
Address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835 9548, 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
SOUTHEAST REGION EMS COUNCIL 2011 920062787 2013-02-01 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-08
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Number of participants as of the end of the plan year
Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2013-02-01
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-01
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST REGION EMS COUNCIL 2011 920062787 2013-02-01 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-11-06
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2013-02-01
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-01
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST REGION EMS COUNCIL 2011 920062787 2013-02-01 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-11-23
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Number of participants as of the end of the plan year
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 2

Signature of
Role Plan administrator
Date 2013-02-01
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-01
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST REGION EMS COUNCIL 2010 920062787 2012-02-02 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-11-06
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 5
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2012-02-02
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST REGION EMS COUNCIL 2010 920062787 2012-02-03 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-08
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Number of participants as of the end of the plan year
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 4

Signature of
Role Plan administrator
Date 2012-02-03
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL PLAN 2010 920062787 2012-03-06 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-11-23
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Number of participants as of the end of the plan year
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 3

Signature of
Role Plan administrator
Date 2012-03-06
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST REGION EMERGENCY MEDICAL SERVICES RETIREMENT PLAN 2009 920062787 2011-02-16 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-08
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Number of participants as of the end of the plan year
Other retired or separated participants entitled to future benefits 5
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2011-02-15
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL PLAN 2009 920062787 2011-02-16 -
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-11-23
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Signature of
Role Plan administrator
Date 2011-01-31
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature
SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL PLAN 2009 920062787 2011-02-16 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-11-06
Sponsor SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Business code 624200
Sponsor’s telephone number 9077478005
Plan sponsor’s mailing address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Plan sponsor’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835

Plan administrator’s name and address
Administrator’s EIN 920062787
Plan administrator’s name SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Plan administrator’s address 100 CLOTHILDE BAHOVEC WAY, SITKA, AK, 99835
Administrator’s telephone number 9077478005

Number of participants as of the end of the plan year
Active participants 4
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 7
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-02-16
Name of individual signing DUANE WAHLMAN
Valid signature Filed with authorized/valid electronic signature

Business Licenses

License Number Type Status Issue Date Date of renewal Expiration date Description
1086713 Business License Active 2018-10-17 2023-12-13 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 624230 - EMERGENCY AND OTHER RELIEF SERVICES

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD V586U83361 2008-06-30 2008-07-10 2008-07-10
Unique Award Key CONT_AWD_V586U83361_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CPE REGRISTRATION
Product and Service Codes 9999: MISCELLANEOUS ITEMS

Recipient Details
Recipient SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
UEI UGXPCAKXV4Z1
Legacy DUNS 045410024
Recipient Address UNITED STATES, 100 CLOTHILDE BAHOVEC WAY, SITKA, 998359548
PO AWARD HSCG3509PJTG033 2009-06-24 2009-07-24 2009-07-24
Unique Award Key CONT_AWD_HSCG3509PJTG033_7008_-NONE-_-NONE-
Awarding Agency Department of Homeland Security
Link View Page

Description
Title REGISTRATION FEE'S FOR 09 MEMBERS FOR EMT-2 RECERT COURSE. SITKA ALASKA
NAICS Code 561110: OFFICE ADMINISTRATIVE SERVICES

Recipient Details
Recipient SOUTHEAST REGION EMERGENCY MEDICAL SERVICES COUNCIL, INC.
UEI UGXPCAKXV4Z1
Legacy DUNS 045410024
Recipient Address UNITED STATES, 100 CLOTHILDE BAHOVEC WAY, SITKA, 998359548

Date of last update: 24 Jan 2025

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

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