| Name: | Glacier Surgical Associates, Inc. |
| Jurisdiction: | Alaska |
| Legal type: | Business Corporation |
| Status: | Good Standing |
| Date of registration: | 23 Jul 2014 (10 years ago) |
| Entity Number: | 10022419 |
| ZIP code: | 99645 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 425 E DAHLIA AVE, SUITE J, SUITE J, PALMER, AK 99645 |
| Mailing Address: | 425 E DAHLIA AVE, SUITE J, PALMER, AK 99645 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Shannon C. Gulley | Director |
| Shannon C. Gulley | President |
| Shannon C. Gulley | Secretary |
| Shannon C. Gulley | Shareholder |
| Shannon C. Gulley | Treasurer |
| United States Corporation Agents, Inc. | Registered Agent |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HX6MPYRJQTM5 | 2024-03-08 | 425 E DAHLIA AVE, STE J, PALMER, AK, 99645, 6463, USA | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Division Name | GLACIER SURGICAL ASSOCIATES, INC |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2023-03-13 |
| Initial Registration Date | 2023-03-09 |
| Entity Start Date | 2014-03-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SARAJO DEGAGNE |
| Address | 425 E DAHLIA AVENUE, SUITE J, PALMER, AK, 99645, 6463, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SARAJO DEGAGNE |
| Address | 425 E DAHLIA AVENUE, SUITE J, PALMER, AK, 99645, 6463, USA |
| Past Performance | - |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GLACIER SURGICAL 401(K) PLAN | 2023 | 471436271 | 2024-06-12 | 7 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-06-12 |
| Name of individual signing | SHANNON GULLEY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Sponsor | GLACIER SURGICAL ASSOCIATES, INC. |
| Business code | 621111 |
| Sponsor’s telephone number | 9077461520 |
| Plan sponsor’s address | 425 E. DAHLIA AVE, STE J, PALMER, AK, 99645 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-23 |
| Name of individual signing | SHANNON GULLEY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Sponsor | GLACIER SURGICAL ASSOCIATES, INC. |
| Business code | 621111 |
| Sponsor’s telephone number | 9077461520 |
| Plan sponsor’s address | 425 E. DAHLIA AVE, STE J, PALMER, AK, 99645 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-14 |
| Name of individual signing | SHANNON GULLEY |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 1009341 | Active | 2014-08-12 | 2023-11-27 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
Date of last update: 10 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
