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UPSTREAM FAMILY MEDICINE, INC.

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Details

Entity Number 10016834

Status Good Standing

NameUPSTREAM FAMILY MEDICINE, INC.

Date of registration 26 Nov 2013 (11 years ago)

Legal typeBusiness Corporation

Place of FormationALASKA

Address 35743 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669

Address ZIP code 99669

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

UPSTREAM FAMILY MEDICINE 401(K) PLAN

2022

464221300

2023-10-04

UPSTREAM FAMILY MEDICINE INC.

12

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Three-digit plan number (PN)001
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number9072604468
Plan sponsor’s address35743 KENAI SPUR HWY, SUITE A, SOLDOTNA, AK, 99669

Signature of

RolePlan administrator
Date2023-10-04
Name of individual signingWILL LEE
RoleEmployer/plan sponsor
Date2023-10-04
Name of individual signingWILL LEE

UPSTREAM FAMILY MEDICINE 401(K) PLAN

2020

464221300

2021-10-16

UPSTREAM FAMILY MEDICINE INC.

10

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Three-digit plan number (PN)001
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number9072604468
Plan sponsor’s address35743 KENAI SPUR HWY, SUITE A, SOLDOTNA, AK, 99669

Signature of

RolePlan administrator
Date2021-10-16
Name of individual signingWILL LEE
RoleEmployer/plan sponsor
Date2021-10-16
Name of individual signingWILL LEE

UPSTREAM FAMILY MEDICINE 401(K) PLAN

2019

464221300

2020-09-09

UPSTREAM FAMILY MEDICINE INC.

9

View Page

Three-digit plan number (PN)001
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number9072604468
Plan sponsor’s address245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of

RolePlan administrator
Date2020-09-09
Name of individual signingMELISSA ROUMELL
RoleEmployer/plan sponsor
Date2020-09-09
Name of individual signingMELISSA ROUMELL

UPSTREAM FAMILY MEDICINE 401(K) PLAN

2018

464221300

2019-10-10

UPSTREAM FAMILY MEDICINE INC.

7

View Page

Three-digit plan number (PN)001
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number9072604468
Plan sponsor’s address245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of

RolePlan administrator
Date2019-10-10
Name of individual signingWILL LEE

UPSTREAM FAMILY MEDICINE 401(K) PLAN

2017

464221300

2018-09-28

UPSTREAM FAMILY MEDICINE INC.

4

View Page

Three-digit plan number (PN)001
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number9072604468
Plan sponsor’s address245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of

RolePlan administrator
Date2018-09-28
Name of individual signingWILLIAM LEE

UPSTREAM FAMILY MEDICINE 401(K) PLAN

2016

464221300

2017-10-09

UPSTREAM FAMILY MEDICINE INC

2

View Page

Three-digit plan number (PN)001
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number9072604468
Plan sponsor’s address245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of

RolePlan administrator
Date2017-10-09
Name of individual signingWILL LEE

UPSTREAM FAMILY MEDICINE 401(K) PLAN

2015

464221300

2016-08-03

UPSTREAM FAMILY MEDICINE INC

2

View Page

Three-digit plan number (PN)001
Effective date of plan2015-01-01
Business code621111
Sponsor’s telephone number9072604468
Plan sponsor’s address245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of

RolePlan administrator
Date2016-08-03
Name of individual signingWILL LEE

Director

Name Role

Kristen Lee

Director

President

Name Role

Kristen Lee

President

Shareholder

Name Role

Kristen Lee

Shareholder

Treasurer

Name Role

Kristen Lee

Treasurer

Secretary

Name Role

Kristen Lee

Secretary

Vice President

Name Role

Kristen Lee

Vice President

Registered Agent

Name Role

WILL LEE

Registered Agent

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description

Business License

999570

Active

2014-01-08

2024-03-19

2025-12-31

LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Date of last update: 26 Aug 2024

Sources

Company info