Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Kenai Peninsula
    4. ›
  4. 99669
    5. ›
  5. UPSTREAM FAMILY MEDICINE, INC.

UPSTREAM FAMILY MEDICINE, INC.

Contents

Company Details

Name: UPSTREAM FAMILY MEDICINE, INC.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 26 Nov 2013 (11 years ago)
Entity Number: 10016834
ZIP code: 99669
County: Kenai Peninsula
Place of Formation: ALASKA
Address: 35743 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Kristen Lee Director
Kristen Lee President
Kristen Lee Shareholder
Kristen Lee Treasurer
Kristen Lee Secretary
Kristen Lee Vice President
WILL LEE Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
UPSTREAM FAMILY MEDICINE 401(K) PLAN 2023 464221300 2024-09-25 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor UPSTREAM FAMILY MEDICINE INC.
Business code 621111
Sponsor’s telephone number 9072604468
Plan sponsor’s address 35743 KENAI SPUR HWY, SUITE A, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2024-09-25
Name of individual signing WILL LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-25
Name of individual signing WILL LEE
Valid signature Filed with authorized/valid electronic signature
UPSTREAM FAMILY MEDICINE 401(K) PLAN 2022 464221300 2023-10-04 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor UPSTREAM FAMILY MEDICINE INC.
Business code 621111
Sponsor’s telephone number 9072604468
Plan sponsor’s address 35743 KENAI SPUR HWY, SUITE A, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing WILL LEE
Role Employer/plan sponsor
Date 2023-10-04
Name of individual signing WILL LEE
UPSTREAM FAMILY MEDICINE 401(K) PLAN 2020 464221300 2021-10-16 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor UPSTREAM FAMILY MEDICINE INC.
Business code 621111
Sponsor’s telephone number 9072604468
Plan sponsor’s address 35743 KENAI SPUR HWY, SUITE A, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2021-10-16
Name of individual signing WILL LEE
Role Employer/plan sponsor
Date 2021-10-16
Name of individual signing WILL LEE
UPSTREAM FAMILY MEDICINE 401(K) PLAN 2019 464221300 2020-09-09 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor UPSTREAM FAMILY MEDICINE INC.
Business code 621111
Sponsor’s telephone number 9072604468
Plan sponsor’s address 245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing MELISSA ROUMELL
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing MELISSA ROUMELL
UPSTREAM FAMILY MEDICINE 401(K) PLAN 2018 464221300 2019-10-10 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor UPSTREAM FAMILY MEDICINE INC.
Business code 621111
Sponsor’s telephone number 9072604468
Plan sponsor’s address 245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing WILL LEE
UPSTREAM FAMILY MEDICINE 401(K) PLAN 2017 464221300 2018-09-28 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor UPSTREAM FAMILY MEDICINE INC.
Business code 621111
Sponsor’s telephone number 9072604468
Plan sponsor’s address 245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing WILLIAM LEE
UPSTREAM FAMILY MEDICINE 401(K) PLAN 2016 464221300 2017-10-09 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor UPSTREAM FAMILY MEDICINE INC
Business code 621111
Sponsor’s telephone number 9072604468
Plan sponsor’s address 245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing WILL LEE
UPSTREAM FAMILY MEDICINE 401(K) PLAN 2015 464221300 2016-08-03 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor UPSTREAM FAMILY MEDICINE INC
Business code 621111
Sponsor’s telephone number 9072604468
Plan sponsor’s address 245 N BINKLEY STREET, SUITE 103, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2016-08-03
Name of individual signing WILL LEE

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 999570 Active 2014-01-08 2024-03-19 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 159414 Active 2020-03-26 - - -

Date of last update: 11 Jan 2025

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

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 akorgs.com, Part of Big Data Integrated