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Coastal Neurology and Neurosurgery, Inc.

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Details

Entity Number 135609

Status Good Standing

NameCoastal Neurology and Neurosurgery, Inc.

Date of registration 03 Jun 2011 (13 years ago)

Legal typeBusiness Corporation

Place of FormationALASKA

Address 4100 LAKE OTIS PKWY STE 320, 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

COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN

2022

452310013

2023-10-15

COASTAL NEUROLOGY AND NEUROSURGERY INC

17

View Page

Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number9075634810
Plan sponsor’s address4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN

2021

452310013

2022-10-14

COASTAL NEUROLOGY AND NEUROSURGERY INC

15

View Page

Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number9075634810
Plan sponsor’s address4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

Signature of

RolePlan administrator
Date2022-10-14
Name of individual signingSUSANNE 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 plan2019-01-01
Business code446190
Sponsor’s telephone number9075634810
Plan sponsor’s address4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN

2020

452310013

2021-10-22

COASTAL NEUROLOGY AND NEUROSURGERY INC

12

View Page

Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number9075634810
Plan sponsor’s address4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN

2019

452310013

2020-09-11

COASTAL NEUROLOGY AND NEUROSURGERY INC

12

View Page

Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number9075634810
Plan sponsor’s address4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

Director

Name Role

Susanne E Fix

Director

Scot D Hines

Director

President

Name Role

Susanne E Fix

President

Shareholder

Name Role

Susanne E Fix

Shareholder

Samuel Waller

Shareholder

Scot D Hines

Shareholder

Vice President

Name Role

Samuel Waller

Vice President

Secretary

Name Role

Scot D Hines

Secretary

Treasurer

Name Role

Scot D Hines

Treasurer

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: 26 Aug 2024

Sources

Company info