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Orthopedic & Sportsmedicine Clinic of Fairbanks, LLC

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Details

Entity Number 10197482

Status Good Standing

NameOrthopedic & Sportsmedicine Clinic of Fairbanks, LLC

Date of registration 03 Jun 2022 (2 years ago)

Legal typeLimited Liability Company

Place of FormationALASKA

Address 2310 PEGER ROAD, SUITE 105, FAIRBANKS, AK 99701

Address ZIP code 99701

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

ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS 401(K) PLAN

2023

882630500

2024-05-01

ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS, LLC

10

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Three-digit plan number (PN)001
Effective date of plan2003-01-01
Business code621111
Sponsor’s telephone number9074792663
Plan sponsor’s address2310 PEGER ROAD, STE. 105, FAIRBANKS, AK, 99709

Signature of

RolePlan administrator
Date2024-04-30
Name of individual signingRICK SCHIKORA
RoleEmployer/plan sponsor
Date2024-04-30
Name of individual signingRICK SCHIKORA

Member

Name Role

NEAL EVERSON

Member

MARK A WADE

Member

Registered Agent

Name Role

Mark Wade

Registered Agent

Licenses

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

Business License

2158462

Active

2022-06-07

2023-10-13

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