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  5. Homer Dental Clinic, LLC

Homer Dental Clinic, LLC

Contents

Company Details

Name: Homer Dental Clinic, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 13 Feb 2017 (8 years ago)
Entity Number: 10051325
ZIP code: 99603
County: Kenai Peninsula
Place of Formation: ALASKA
Address: 4252 HOHE ST , STE A, HOMER, AK 99603
Mailing Address: 795 W TASMANIA COURT, HOMER, AK 99603

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621210 OFFICES OF DENTISTS

Officers

Name Role
William J. Marley Member
Erica Marley Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
HOMER DENTAL CLINIC 401(K) PROFIT SHARING PLAN 2023 815448562 2024-08-29 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor HOMER DENTAL CLINIC, LLC
Business code 621210
Sponsor’s telephone number 9072358909
Plan sponsor’s address 795 TASMANIA WEST CT., HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2024-08-29
Name of individual signing ERICA MARLEY
HOMER DENTAL CLINIC 401(K) PROFIT SHARING PLAN 2022 815448562 2023-09-25 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor HOMER DENTAL CLINIC, LLC
Business code 621210
Sponsor’s telephone number 9072358909
Plan sponsor’s address 795 TASMANIA WEST CT., HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2023-09-25
Name of individual signing ERICA MARLEY
HOMER DENTAL CLINIC 401(K) PROFIT SHARING PLAN 2021 815448562 2022-10-13 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor HOMER DENTAL CLINIC, LLC
Business code 621210
Sponsor’s telephone number 9072358909
Plan sponsor’s address 795 TASMANIA WEST CT., HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing ERICA MARLEY
HOMER DENTAL CLINIC 401(K) PROFIT SHARING PLAN 2020 815448562 2021-10-12 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor HOMER DENTAL CLINIC, LLC
Business code 621210
Sponsor’s telephone number 9072358909
Plan sponsor’s address 795 TASMANIA WEST CT., HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing ERICA MARLEY
HOMER DENTAL CLINIC 401(K) PROFIT SHARING PLAN 2019 815448562 2020-09-23 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor HOMER DENTAL CLINIC, LLC
Business code 621210
Sponsor’s telephone number 9072358909
Plan sponsor’s address 4252 HOHE STREET, SUITE A, HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2020-09-23
Name of individual signing ERICA MARLEY
HOMER DENTAL CLINIC 401(K) PROFIT SHARING PLAN 2018 815448562 2019-09-25 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor HOMER DENTAL CLINIC, LLC
Business code 621210
Sponsor’s telephone number 9072358909
Plan sponsor’s address 4252 HOHE STREET, SUITE A, HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing ERICA MARLEY
HOMER DENTAL CLINIC 401(K) PROFIT SHARING PLAN 2017 815448562 2018-10-04 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor HOMER DENTAL CLINIC, LLC
Business code 621210
Sponsor’s telephone number 9072358909
Plan sponsor’s address 4252 HOHE STREET, SUITE A, HOMER, AK, 99603

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing ERICA MARLEY

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 1050717 Active 2017-02-24 2022-10-20 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS

Date of last update: 11 Jan 2025

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

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