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Allen Dental Group LLC

Contents

Company Details

Name: Allen Dental Group LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 21 Dec 2012 (12 years ago)
Entity Number: 10009377
ZIP code: 99577
County: Anchorage
Place of Formation: ALASKA
Address: 8730 LAKE OTIS PKWY STE 1, EAGLE RIVER, AK 99577

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621210 OFFICES OF DENTISTS

Officers

Name Role
Bradford Allen Member
Bradford Allen Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALLEN DENTAL GROUP 401(K) PLAN 2023 461614104 2024-09-04 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor ALLEN DENTAL GROUP, LLC
Business code 621210
Sponsor’s telephone number 9076226233
Plan sponsor’s address 8730 LAKE OTIS PKWY, SUITE 1, ANCHORAGE, AK, 99507

Signature of

Role Plan administrator
Date 2024-09-04
Name of individual signing BRADFORD ALLEN
Valid signature Filed with authorized/valid electronic signature
ALLEN DENTAL GROUP 401(K) PLAN 2022 461614104 2023-07-18 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor ALLEN DENTAL GROUP, LLC
Business code 621210
Sponsor’s telephone number 9076226233
Plan sponsor’s address 17101 SNOWMOBILE LANE, SUITE 107, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing BRADFORD ALLEN
ALLEN DENTAL GROUP 401(K) PLAN 2021 461614104 2022-07-25 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor ALLEN DENTAL GROUP, LLC
Business code 621210
Sponsor’s telephone number 9076226233
Plan sponsor’s address 17101 SNOWMOBILE LANE, SUITE 107, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing BRADFORD ALLEN
ALLEN DENTAL GROUP 401(K) PLAN 2020 461614104 2021-09-23 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Sponsor ALLEN DENTAL GROUP, LLC
Business code 621210
Sponsor’s telephone number 9076226233
Plan sponsor’s address 17101 SNOWMOBILE LANE, SUITE 107, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2021-09-23
Name of individual signing BRADFORD ALLEN

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 982757 Active 2012-12-21 2022-10-22 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS

Date of last update: 11 Jan 2025

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