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  5. MedPhysicals Plus, LLC

MedPhysicals Plus, LLC

Contents

Company Details

Name: MedPhysicals Plus, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 17 Apr 2012 (13 years ago)
Entity Number: 10004563
ZIP code: 99503
County: Anchorage
Place of Formation: ALASKA
Address: 4141 B STREET SUITE 210, ANCHORAGE, AK 99503

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621999 ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES

Officers

Name Role
Jessica C Roley Manager
Jessica C Roley Member
Vellum Registered Agent Inc. Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
LJN6K2EK4KK4 2024-08-17 4141 B STREET SUITE 210, ANCHORAGE, AK, 99503, 5939, USA
Mailing Address 4141 B ST STE 210, ANCHORAGE, AK, 99503, 5939, USA

Business Information
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2023-08-22
Initial Registration Date 2019-01-15
Entity Start Date 2012-04-17
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621610, 621999, 624190

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JESSICA ROLEY
Address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503, USA
Title ALTERNATE POC
Name DERRELL STURDIVANT
Address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503, USA
Government Business
Title PRIMARY POC
Name JESSICA ROLEY
Address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503, USA
Title ALTERNATE POC
Name DERRELL STURDIVANT
Address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503, USA
Past Performance -

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
MEDPHYSICALS PLUS, LLC 401(K) PLAN 2023 800807886 2024-10-07 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor MEDPHYSICALS PLUS, LLC
Business code 621498
Sponsor’s telephone number 9075617587
Plan sponsor’s address 4141 B. STREET, SUITE 210, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing JESSICA ROLEY
Valid signature Filed with authorized/valid electronic signature
MEDPHYSICALS PLUS, LLC 401(K) PLAN 2022 800807886 2023-10-11 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor MEDPHYSICALS PLUS, LLC
Business code 621498
Sponsor’s telephone number 9075617587
Plan sponsor’s address 4141 B. STREET, SUITE 210, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing MICHAEL VANDERFORD
MEDPHYSICALS PLUS, LLC 401(K) PLAN 2021 800807886 2022-06-02 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor MEDPHYSICALS PLUS, LLC
Business code 621399
Sponsor’s telephone number 9075617587
Plan sponsor’s address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2022-06-02
Name of individual signing JESSICA ROLEY
MEDPHYSICALS PLUS, LLC 401(K) PLAN 2020 800807886 2021-06-10 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor MEDPHYSICALS PLUS, LLC
Business code 621399
Sponsor’s telephone number 9075617587
Plan sponsor’s address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2021-06-10
Name of individual signing JESSICA ROLEY
MEDPHYSICALS PLUS, LLC 401(K) PLAN 2019 800807886 2020-09-14 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor MEDPHYSICALS PLUS, LLC
Business code 621399
Sponsor’s telephone number 9075617587
Plan sponsor’s address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing JESSICA ROLEY
MEDPHYSICALS PLUS, LLC 401(K) PLAN 2018 800807886 2019-06-19 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor MEDPHYSICALS PLUS, LLC
Business code 621399
Sponsor’s telephone number 9075617587
Plan sponsor’s address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing JESSICA ROLEY
MEDPHYSICALS PLUS, LLC 401(K) PLAN 2017 800807886 2018-08-07 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor MEDPHYSICALS PLUS, LLC
Business code 621399
Sponsor’s telephone number 9075617587
Plan sponsor’s address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2018-08-07
Name of individual signing JESSICA ROLEY
MEDPHYSICALS PLUS, LLC 401(K) PLAN 2016 800807886 2017-08-28 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor MEDPHYSICALS PLUS, LLC
Business code 621399
Sponsor’s telephone number 9075617587
Plan sponsor’s address 4141 B ST. SUITE 210, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2017-08-28
Name of individual signing JESSICA ROLEY

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 973839 Active 2012-05-09 2023-10-06 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621999 - ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES

Date of last update: 10 Jan 2025

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

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