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Lane Family Dental, LLC

Contents

Company Details

Name: Lane Family Dental, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 14 Dec 2017 (7 years ago)
Entity Number: 10073733
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Mailing Address: 1301 E PALMER-WASILLA HWY STE 600, WASILLA, AK 99654

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621210 OFFICES OF DENTISTS

Officers

Name Role
Jason Lane Member
Jason Lane Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
LANE FAMILY DENTAL 401(K) PLAN 2023 823753358 2024-10-01 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Sponsor LANE FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9073732200
Plan sponsor’s address 1301 E. PALMER-WASILLA HIGHWAY, SUITE 600, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2024-10-01
Name of individual signing JASON M. LANE, DDS
Valid signature Filed with authorized/valid electronic signature
LANE FAMILY DENTAL 401(K) PLAN 2022 823753358 2023-06-05 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Sponsor LANE FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9073732200
Plan sponsor’s address 1301 E. PALMER-WASILLA HIGHWAY, SUITE 600, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2023-06-05
Name of individual signing JASON M. LANE, DDS
LANE FAMILY DENTAL 401(K) PLAN 2021 823753358 2022-08-18 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Sponsor LANE FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9073732200
Plan sponsor’s address 1301 E. PALMER-WASILLA HIGHWAY, SUITE 600, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2022-08-18
Name of individual signing JASON M. LANE, DDS

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 1091609 Active 2018-10-29 2022-10-10 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