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Orthopedic & Sportsmedicine Clinic of Fairbanks, LLC

Contents

Company Details

Name: Orthopedic & Sportsmedicine Clinic of Fairbanks, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 03 Jun 2022 (3 years ago)
Entity Number: 10197482
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 2310 PEGER ROAD, SUITE 105, FAIRBANKS, AK 99701

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
MARK A WADE Member
Mark Wade Registered Agent
NEAL EVERSON Member

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS 401(K) PLAN 2023 882630500 2024-05-01 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Sponsor ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS, LLC
Business code 621111
Sponsor’s telephone number 9074792663
Plan sponsor’s address 2310 PEGER ROAD, STE. 105, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2024-04-30
Name of individual signing RICK SCHIKORA
Role Employer/plan sponsor
Date 2024-04-30
Name of individual signing RICK SCHIKORA

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 2158462 Active 2022-06-07 2023-10-13 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