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  5. David M Stieber, MD FACC, Inc.

David M Stieber, MD FACC, Inc.

Contents

Company Details

Name: David M Stieber, MD FACC, Inc.
Jurisdiction: Alaska
Legal type: Professional Corporation
Status: Good Standing
Date of registration: 03 Jan 2012 (13 years ago)
Entity Number: 10002519
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 1626 30TH AVENUE, SUITE 204, FAIRBANKS, AK 99701
Mailing Address: P.O. BOX 72382, FAIRBANKS, AK 99707

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
David M. Stieber President
David M. Stieber Secretary
David M. Stieber Treasurer
David M. Stieber Director
Jason Weiner Registered Agent
David M. Stieber Shareholder

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
DAVID M STIEBER MD FACC INC 401(K) PLAN 2023 900511703 2024-09-09 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2024-09-09
Name of individual signing DAVID STIEBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-09
Name of individual signing DAVID STIEBER
Valid signature Filed with authorized/valid electronic signature
DAVID M STIEBER MD FACC INC 401(K) PLAN 2022 900511703 2023-10-04 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing DAVID STIEBER
DAVID M STIEBER MD FACC INC 401(K) PLAN 2021 900511703 2022-07-06 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2022-07-05
Name of individual signing DAVID STIEBER
DAVID M STIEBER MD FACC INC 401(K) PLAN 2020 900511703 2021-09-01 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2021-09-01
Name of individual signing DAVID STIEBER
DAVID M. STIEBER, MD, FACC, INC. DEFINED BENEFIT PLAN 2020 900511703 2021-09-01 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2021-09-01
Name of individual signing DAVID STIEBER
DAVID M STIEBER MD FACC INC 401(K) PLAN 2019 900511703 2020-08-31 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing DAVID STIEBER
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing DAVID STIEBER
DAVID M. STIEBER, MD, FACC, INC. DEFINED BENEFIT PLAN 2019 900511703 2020-08-31 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2020-08-31
Name of individual signing DAVID STIEBER
Role Employer/plan sponsor
Date 2020-08-31
Name of individual signing DAVID STIEBER
DAVID M STIEBER MD FACC INC 401(K) PLAN 2018 900511703 2019-09-25 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing DAVID STIEBER
DAVID M. STIEBER, MD, FACC, INC. DEFINED BENEFIT PLAN 2018 900511703 2019-09-25 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing DAVID STIEBER
DAVID M STIEBER MD FACC INC 401(K) PLAN 2017 900511703 2018-09-21 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor DAVID M. STIEBER, MD, FACC, INC.
Business code 621111
Sponsor’s telephone number 9073748914
Plan sponsor’s address 1626 30TH AVE STE 204, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing DAVID STIEBER

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 969283 Active 2012-01-23 2023-10-16 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Date of last update: 11 Jan 2025

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

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