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Alaska Family Dermatology LLC

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Entity Number 10100398

Status Good Standing

NameAlaska Family Dermatology LLC

Date of registration 19 Feb 2019 (6 years ago)

Legal typeLimited Liability Company

Place of FormationALASKA

Address 3340 PROVIDENCE DR STE A358, ANCHORAGE, AK 99508

Address ZIP code 99508

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

ALASKA FAMILY DERMATOLOGY 401(K) PLAN

2023

833627993

2024-02-02

ALASKA FAMILY DERMATOLOGY, LLC

8

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Three-digit plan number (PN)001
Effective date of plan2023-01-01
Business code621111
Sponsor’s telephone number9072682067
Plan sponsor’s address3340 PROVIDENCE DR # A358, ANCHORAGE, AK, 99508

Signature of

RolePlan administrator
Date2024-02-02
Name of individual signingROBERT BROWN

Member

Name Role

Gina Brown

Member

Robert Brown

Member

Registered Agent

Name Role

Robert Brown

Registered Agent

Licenses

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

Business License

1114586

Active

2019-02-19

2022-10-03

2024-12-31

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