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  5. Anchorage Foot & Ankle Clinic, LLC

Anchorage Foot & Ankle Clinic, LLC

Contents

Company Details

Name: Anchorage Foot & Ankle Clinic, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 10 Feb 2014 (11 years ago)
Entity Number: 10018636
ZIP code: 99515
County: Anchorage
Place of Formation: ALASKA
Address: 1000 E DIMOND BLVD, SUITE 201, SUITE 201, SUITE 201, ANCHORAGE, AK 99515
Mailing Address: 1000 E. DIMOND BLVD STE 201, ANCHORAGE, AK 99515

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621391 OFFICES OF PODIATRISTS

Officers

Name Role
Heather Kaufman Member
Heather Kaufman Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2023 464706569 2024-08-02 6
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2024-08-02
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2023 464706569 2024-08-20 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2024-08-20
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2022 464706569 2023-07-24 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2021 464706569 2022-07-26 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2020 464706569 2021-07-22 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2019 464706569 2020-07-24 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2018 463762963 2019-07-22 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing STEVEN STOUT
RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2017 463762963 2018-07-27 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 821222973
Plan administrator’s name HEALTHEQUITY RETIREMENT SERVICES, LLC
Plan administrator’s address 15 W SCENIC POINTE DR., STE 100, DRAPER, UT, 84020
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing SPENCER BARCLAY
BENEFITGUARD RETIREMENT INCOME SECURITY PLAN-ANCHORAGE FOOT & ANKLE CLINIC 2016 463762963 2017-07-28 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC, LLC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address 1000 E DIMOND BLVD., SUITE 201, ANCHORAGE, AK, 99515

Plan administrator’s name and address
Administrator’s EIN 205354793
Plan administrator’s name BENEFITGUARD, LLC
Plan administrator’s address 877 EAST 1200 SOUTH, #1272, OREM, UT, 84097
Administrator’s telephone number 8778602664

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing SPENCER BARCLAY
ANCHORAGE FOOT & ANKLE CLINIC RETIREMENT PLAN 2013 920121997 2014-04-17 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Sponsor ANCHORAGE FOOT & ANKLE CLINIC
Business code 621391
Sponsor’s telephone number 9073442155
Plan sponsor’s address PO BOX 1210, GIRDWOOD, AK, 99587

Signature of
Role Plan administrator
Date 2014-04-17
Name of individual signing GARY WILSON

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 1002722 Active 2014-03-18 2022-10-12 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621391 - OFFICES OF PODIATRISTS
Telemedicine Business Registry 168665 Active 2020-11-03 - - -

Date of last update: 11 Jan 2025

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

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