Department of Commerce, Community, and Economic Development
Division of Corporations, Business, and Professional Licensing
PO Box 110806, Juneau, AK 99811-0806
(907) 465-2550 • Email: corporations@alaska.gov
Website: corporations.alaska.gov
Domestic Nonprofit Corporation
2021 Biennial Report
For the period ending June 30, 2021
Due Date: This report along with its fees are due by July 2, 2021
Fees: If postmarked before August 2, 2021, the fee is $25.00.
If postmarked on or after August 2, 2021 then this report is delinquent and the fee is $30.00.
Entity Name: Alaska Primary Care Association, Inc. Alaska Registered Statutes, Agent to information update or change cannot the be Registered changed on Agent this form. Per
Entity Number: 55470D information this entity must submit the Statement of Change form
Home Country: UNITED STATES for this entity type along with its filing fee.
Home State/Prov.: ALASKA Name: NANCY MERRIMAN
Physical Address: 3111 C STREET, SUITE 500, Physical Address: ANCHORAGE, 1231 GAM BELL AK ST 99501 STE 200,
ANCHORAGE, AK 99503
Mailing Address: 3111 C STREET, SUITE 500, Mailing Address: ANCHORAGE, 1231 GAM BELL AK ST 99501 STE 200,
ANCHORAGE, AK 99503
Entity #: 55470D Page 1 of 3
Date AK Entity Filed: #: 04/20/2021 55470D
State of Alaska, DCCED
FOR DIM.-
Web -4/20/2021 3.20.06 PM
ANCHORAGE,
AK
1231 GAM BELL ST STE 200,
99501
NANCY MERRIMAN
ANCHORAGE,
AK
3111 C STREET, SUITE 500,
99503
Alaska Primary Care Association, Inc.
55470D 55470D
UNITED STATES ALASKA
Nonprofit Corporation Domestic
04/20/2021
July 2, 2021
$25.00. $30.00.
2021 Biennial Report
corporations@alaska.gov
corporations.alaska.gov