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Kabo Health LLC

Contents

Company Details

Name: Kabo Health LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 10 Jan 2017 (8 years ago)
Entity Number: 10048746
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 3521 MOUNTAIN VIEW DRIVE, ANCHORAGE, AK 99508
Mailing Address: PO BOX 140968, ANCHORAGE, AK 99514

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Jonathan M. Van Ravenswaay Manager
Jonathan M. Van Ravenswaay Member
Vellum Registered Agent Inc. Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
KABO HEALTH LLC 401(K) PLAN 2023 814960228 2024-07-03 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor KABO HEALTH LLC
Business code 621493
Sponsor’s telephone number 9078681105
Plan sponsor’s address 3521 MOUNTAIN VIEW DRIVE, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing QIAN LIU
KABO HEALTH LLC 401(K) PLAN 2022 814960228 2023-05-27 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor KABO HEALTH LLC
Business code 621493
Sponsor’s telephone number 9078681105
Plan sponsor’s address 3521 MOUNTAIN VIEW DRIVE, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-26
Name of individual signing CHRISTINE RIMER
KABO HEALTH LLC 401(K) PLAN 2021 814960228 2022-10-03 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor KABO HEALTH LLC
Business code 621493
Sponsor’s telephone number 9078681105
Plan sponsor’s address 3521 MOUNTAIN VIEW DRIVE, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing CHRISTINE RIMER
KABO HEALTH LLC 401(K) PLAN 2020 814960228 2021-05-21 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor KABO HEALTH LLC
Business code 621493
Sponsor’s telephone number 9078681105
Plan sponsor’s address 3521 MOUNTAIN VIEW DRIVE, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-05-21
Name of individual signing CAROL HO
KABO HEALTH LLC 401(K) PLAN 2019 814960228 2020-06-08 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor KABO HEALTH LLC
Business code 621493
Sponsor’s telephone number 9078681105
Plan sponsor’s address 3521 MOUNTAIN VIEW DRIVE, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-06-08
Name of individual signing CAROL HO

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 1048438 Active 2017-01-12 2022-10-13 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Business License 1074774 Active 2018-06-06 2022-10-13 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 138529 Active 2018-09-25 - - -
Telemedicine Business Registry 133835 Active 2018-05-17 - - -

Date of last update: 10 Jan 2025

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

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