| Name: | Alaska Facial Plastic Surgery & ENT LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 20 Apr 2020 (5 years ago) |
| Entity Number: | 10130153 |
| ZIP code: | 99654 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 3719 E MERIDIAN LOOP STE E, WASILLA, AK 99654 |
| Mailing Address: | 11101 MOUNTAIN LAKE DR, ANCHORAGE, AK 99516 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Christina Bray Magill | Member |
| Christina Bray Magill | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALASKA FACIAL PLASTIC SURGERY & ENT 401(K) | 2023 | 850843454 | 2024-10-11 | 5 | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-11 |
| Name of individual signing | CHRISTINA MAGILL |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-11 |
| Name of individual signing | CHRISTINA MAGILL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Sponsor | ALASKA FACIAL PLASTIC SURGERY & ENT |
| Business code | 621111 |
| Sponsor’s telephone number | 9076023332 |
| Plan sponsor’s address | 3719 E MERIDIAN LOOP, SUITE E, WASILLA, AK, 99654 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-11 |
| Name of individual signing | CHRISTINA MAGILL |
| Role | Employer/plan sponsor |
| Date | 2023-10-11 |
| Name of individual signing | CHRISTINA MAGILL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Sponsor | ALASKA FACIAL PLASTIC SURGERY & ENT |
| Business code | 621111 |
| Sponsor’s telephone number | 9076716017 |
| Plan sponsor’s address | 3719 E MERIDIAN LOOP, SUITE E, WASILLA, AK, 99654 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-13 |
| Name of individual signing | LINDSEY KRUSE |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2103180 | Active | 2020-04-20 | 2023-10-16 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Telemedicine Business Registry | 169614 | Active | 2020-11-19 | - | - | - |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
