| Name: | Sprout Family Services |
| Jurisdiction: | Alaska |
| Legal type: | Nonprofit Corporation |
| Status: | Good Standing |
| Date of registration: | 19 Sep 1986 (38 years ago) |
| Entity Number: | 38896D |
| ZIP code: | 99603 |
| County: | Kenai Peninsula |
| Place of Formation: | ALASKA |
| Address: | 3691 BEN WALTERS LN STE 4, HOMER, AK 99603-7750 |
| Mailing Address: | 3691 BEN WALTERS LN #4, HOMER, AK 99603-7750 |
Line of Business
62 Health Care and Social AssistanceNAICS
621498 ALL OTHER OUTPATIENT CARE CENTERS| Name | Role |
|---|---|
| Andrea Konik | Secretary |
| MORGAN DWYER | Director |
| MORGAN DWYER | President |
| RUTHIE PUCKETT | Director |
| RUTHIE PUCKETT | Vice President |
| Lauren Jerew | Director |
| Lauren Jerew | Treasurer |
| MORGAN DWYER | Registered Agent |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KVCQDMHW3C67 | 2025-02-22 | 3691 BEN WALTERS LN STE 4, HOMER, AK, 99603, 7750, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | https://www.sproutalaska.org |
| Division Name | SPROUT FAMILY SERVICE |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2024-02-26 |
| Initial Registration Date | 2008-09-22 |
| Entity Start Date | 1986-10-15 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | AUDREY MORRIS |
| Role | ADMINISTRATIVE MANAGER |
| Address | 3691 BEN WALTERS LN SUITE 4, HOMER, AK, 99603, 7750, USA |
| Title | ALTERNATE POC |
| Name | AUDREY MORRIS |
| Address | 3691 BEN WALTERS LANE 4, HOMER, AK, 99603, 7750, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MORGAN DWYER |
| Role | BOD PRESIDENT |
| Address | 3691 BEN WALTERS LN SUITE 4, HOMER, AK, 99603, 7750, USA |
| Title | ALTERNATE POC |
| Name | AUDREY MORRIS |
| Address | 3691 BEN WALTERS LANE 4, HOMER, AK, 99603, 7750, USA |
| Past Performance | |
|---|---|
| Title | ALTERNATE POC |
| Name | AUDREY MORRIS |
| Address | 3691 BEN WALTERS LANE 4, HOMER, AK, 99603, USA |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 963195 | Business License | Active | 2011-09-09 | 2024-11-15 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 132666 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2018-04-18 | 2018-04-18 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
