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Juneau Spine and Pain Center LLC

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Entity Number 125103

Status Good Standing

NameJuneau Spine and Pain Center LLC

Date of registration 26 Nov 2009 (15 years ago)

Legal typeLimited Liability Company

Place of FormationALASKA

Address 3200 HOSPITAL DRIVE SUITE 100, SUITE 100, JUNEAU, AK 99801

Address ZIP code 99801

Mailing Address 3200 HOSPITAL DRIVE, SUITE 100, JUNEAU, AK 99801

Mailing Address ZIP code 99801

form 5500

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

JUNEAU SPINE AND PAIN CENTER, LLC

2012

271378179

2013-07-17

JUNEAU SPINE AND PAIN CENTER, LLC

11

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Three-digit plan number (PN)001
Effective date of plan2011-04-01
Business code541600
Sponsor’s telephone number9075235962
Plan sponsor’s address3200 HOSPITAL DRIVE, SUITE 100, JUNEAU, AK, 99801

Signature of

RolePlan administrator
Date2013-07-17
Name of individual signingMARCO WEN
RoleEmployer/plan sponsor
Date2013-07-17
Name of individual signingMARCO WEN

JUNEAU SPINE AND PAIN CENTER, LLC

2011

271378179

2012-07-19

JUNEAU SPINE AND PAIN CENTER, LLC

0

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Three-digit plan number (PN)001
Effective date of plan2011-04-01
Business code541600
Sponsor’s telephone number9075235962
Plan sponsor’s address3200 HOSPITAL DRIVE, SUITE 100, JUNEAU, AK, 99801

Plan administrator’s name and address

Administrator’s EIN271378179
Plan administrator’s nameJUNEAU SPINE AND PAIN CENTER, LLC
Plan administrator’s address3200 HOSPITAL DRIVE, SUITE 100, JUNEAU, AK, 99801
Administrator’s telephone number9075235962

Signature of

RolePlan administrator
Date2012-07-19
Name of individual signingTONYA ISTURIS
RoleEmployer/plan sponsor
Date2012-07-19
Name of individual signingTONYA ISTURIS

Member

Name Role

Marco Wen

Member

John Bursell

Member

Registered Agent

Name Role

John Bursell

Registered Agent

Date of last update: 26 Aug 2024

Sources

Company info