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  5. SCOTT INNES, MD, PC

SCOTT INNES, MD, PC

Contents

Company Details

Name: SCOTT INNES, MD, PC
Jurisdiction: Alaska
Legal type: Professional Corporation
Status: Good Standing
Date of registration: 15 May 2017 (8 years ago)
Entity Number: 10059694
ZIP code: 99669
County: Kenai Peninsula
Place of Formation: ALASKA
Address: 240 HOSPITAL PLACE STE 204, SOLDOTNA, AK 99669

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
DAVID SCOTT INNES Director
DAVID SCOTT INNES President
DAVID SCOTT INNES Secretary
DAVID SCOTT INNES Shareholder
DAVID SCOTT INNES Treasurer
Scott Innes, MD Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
SCOTT INNES, MD, PC 401(K) PLAN 2023 821535086 2024-06-17 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072621080
Plan sponsor’s address 240 HOSPITAL PLACT STE 204, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2024-06-17
Name of individual signing WENDY GUTHALS
SCOTT INNES MD, PC CASH BALANCE PLAN 2023 821535086 2024-09-11 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072621080
Plan sponsor’s address 240 HOSPITAL PLACE, SOLDOTNA, AK, 99669
SCOTT INNES MD, PC CASH BALANCE PLAN 2022 821535086 2023-08-03 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072529384
Plan sponsor’s address 240 HOSPITAL PLACE, SOLDOTNA, AK, 99669
SCOTT INNES, MD 401(K) PLAN 2022 821535086 2023-10-13 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072621080
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 204, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing WENDY RICE
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing DAVID SCOTT INNES
SCOTT INNES MD, PC CASH BALANCE PLAN 2021 821535086 2022-10-17 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072529384
Plan sponsor’s address 240 HOSPITAL PLACE, SOLDOTNA, AK, 99669
SCOTT INNES, MD 401(K) PLAN 2021 821535086 2022-10-07 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072621080
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 204, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing WENDY RICE
Role Employer/plan sponsor
Date 2022-10-07
Name of individual signing WENDY RICE
SCOTT INNES MD, PC CASH BALANCE PLAN 2020 821535086 2021-10-12 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072529384
Plan sponsor’s address 240 HOSPITAL PLACE, SOLDOTNA, AK, 99669
SCOTT INNES, MD 401(K) PLAN 2020 821535086 2021-08-09 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072621080
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 204, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing WENDY RICE
Role Employer/plan sponsor
Date 2021-08-09
Name of individual signing WENDY RICE
SCOTT INNES MD, PC CASH BALANCE PLAN 2019 821535086 2020-10-15 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072529384
Plan sponsor’s address 240 HOSPITAL PLACE, SOLDOTNA, AK, 99669
SCOTT INNES, MD 401(K) PLAN 2019 821535086 2020-10-15 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-07-01
Sponsor SCOTT INNES, MD, PC
Business code 621111
Sponsor’s telephone number 9072621080
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 204, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing WENDY RICE
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing WENDY RICE

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 1055541 Active 2017-06-01 2023-12-21 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Date of last update: 11 Jan 2025

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

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