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  5. Eric Nordstrom DDS, MD INC

Eric Nordstrom DDS, MD INC

Contents

Company Details

Name: Eric Nordstrom DDS, MD INC
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 07 Aug 2015 (9 years ago)
Entity Number: 10031307
ZIP code: 99517
County: Anchorage
Place of Formation: ALASKA
Address: 2811 ILLIAMNA AVENUE, ANCHORAGE, AK 99517
Mailing Address: 3909 ARCTIC BLVD STE 404, ANCHORAGE, AK 99503

Officers

Name Role
ERIC NORDSTROM Secretary
ELOISE NORDSTROM Vice President
ERIC NORDSTROM Director
ERIC NORDSTROM President
ERIC NORDSTROM Shareholder
ELOISE NORDSTROM Treasurer
Eric Nordstrom Registered Agent

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
WJTAUM65F4Z5 2020-12-29 3909 ARCTIC BLVD STE 404, ANCHORAGE, AK, 99503, 5769, USA
Mailing Address 3909 ARCTIC BLVD STE 404, ANCHORAGE, AK, 99503, 5769, USA

Business Information
Doing Business As ALASKA CENTER FOR ORAL AND FACIAL SURGERY
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2019-12-30
Initial Registration Date 2019-12-04
Entity Start Date 2015-08-07
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ERIC NORDSTROM
Address 3909 ARCTIC BLVD #404, ANCHORAGE, AK, 99517, USA
Government Business
Title PRIMARY POC
Name ERIC NORDSTROM
Address 3909 ARCTIC BLVD #404, ANCHORAGE, AK, 99517, USA
Past Performance -

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALASKA CENTER FOR ORAL & FACIAL SURGERY CASH BALANCE PLAN 2023 475006027 2024-09-24 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 9072225052
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99517

Signature of
Role Plan administrator
Date 2024-09-24
Name of individual signing ERIC NORDSTROM
Valid signature Filed with authorized/valid electronic signature
ALASKA CENTER FOR ORAL & FACIAL SURGERY RETIREMENT PLAN 2023 475006027 2024-10-08 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 9072225052
Plan sponsor’s DBA name ALASKA CENTER FOR ORAL & FACIAL SURGERY
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99517

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing ERIC NORDSTROM
Valid signature Filed with authorized/valid electronic signature
ALASKA CENTER FOR ORAL & FACIAL SURGERY RETIREMENT PLAN 2022 475006027 2023-10-10 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 9072225052
Plan sponsor’s DBA name ALASKA CENTER FOR ORAL & FACIAL SURGERY
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99517

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing ERIC NORDSTROM
ALASKA CENTER FOR ORAL & FACIAL SURGERY CASH BALANCE PLAN 2022 475006027 2023-09-27 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 5035459249
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2023-09-27
Name of individual signing ERIC NORDSTROM
ALASKA CENTER FOR ORAL & FACIAL SURGERY CASH BALANCE PLAN 2021 475006027 2022-10-03 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 5035459249
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing ERIC NORDSTROM
ALASKA CENTER FOR ORAL & FACIAL SURGERY RETIREMENT PLAN 2021 475006027 2022-10-12 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 5035459249
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing ERIC NORDSTROM
ALASKA CENTER FOR ORAL & FACIAL SURGERY CASH BALANCE PLAN 2020 475006027 2021-10-05 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 5035459249
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing ERIC NORDSTROM
ALASKA CENTER FOR ORAL & FACIAL SURGERY RETIREMENT PLAN 2020 475006027 2021-10-07 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 5035459249
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing ERIC NORDSTROM
ALASKA CENTER FOR ORAL & FACIAL SURGERY RETIREMENT PLAN 2019 475006027 2021-10-07 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 5035459249
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing ERIC NORDSTROM
ALASKA CENTER FOR ORAL & FACIAL SURGERY RETIREMENT PLAN 2019 475006027 2020-08-03 15
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor ERIC NORDSTROM DDS, MD, INC.
Business code 621498
Sponsor’s telephone number 5035459249
Plan sponsor’s address 2811 ILLIAMNA AVENUE, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2020-08-03
Name of individual signing ERIC NORDSTROM

Date of last update: 11 Jan 2025

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

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