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Coastal Neurology and Neurosurgery, Inc.

Company Details

Name: Coastal Neurology and Neurosurgery, Inc.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 03 Jun 2011 (14 years ago)
Entity Number: 135609
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 4100 LAKE OTIS PKWY STE 320, ANCHORAGE, AK 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
COASTAL NEUROLOGY & NEUROSURGERY 401(K) PLAN 2023 452310013 2024-10-15 COASTAL NEUROLOGY AND NEUROSURGERY INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2022 452310013 2023-10-15 COASTAL NEUROLOGY AND NEUROSURGERY INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2021 452310013 2022-10-14 COASTAL NEUROLOGY AND NEUROSURGERY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing SUSANNE FIX
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2020 452310013 2021-10-07 COASTAL NEUROLOGY AND NEUROSURGERY INC 12
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2020 452310013 2021-10-22 COASTAL NEUROLOGY AND NEUROSURGERY INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2019 452310013 2020-09-11 COASTAL NEUROLOGY AND NEUROSURGERY INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

President

Name Role
Susanne E Fix President

Shareholder

Name Role
Susanne E Fix Shareholder
Scot D Hines Shareholder
Samuel Waller Shareholder

Director

Name Role
Susanne E Fix Director
Scot D Hines Director

Secretary

Name Role
Scot D Hines Secretary

Treasurer

Name Role
Scot D Hines Treasurer

Vice President

Name Role
Samuel Waller Vice President

Registered Agent

Name Role
SCOT HINES Registered Agent

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 957548 Active 2011-04-21 2024-01-03 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Date of last update: 23 Dec 2024

Sources: State of Alaska - Department of Commerce, Community, and Economic Development