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  5. Alaska Children's Heart Center, LLC

Alaska Children's Heart Center, LLC

Contents

Company Details

Name: Alaska Children's Heart Center, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 15 Aug 2006 (18 years ago)
Entity Number: 102927
ZIP code: 99516
County: Anchorage
Place of Formation: ALASKA
Address: 3950 JANET LEE CIRCLE, ANCHORAGE, AK 99516
Mailing Address: 3260 PROVIDENCE DRIVE SUITE 532, ANCHORAGE, AK 99508

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Scott Wellmann Member
Scott Wellmann Registered Agent
Kathaleen Wellmann Member

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALASKA CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2023 205474121 2024-10-13 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE, SUITE 532, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2024-10-13
Name of individual signing KATHALEEN WELLMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-13
Name of individual signing KATHALEEN WELLMANN
Valid signature Filed with authorized/valid electronic signature
ALASKA CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2022 205474121 2023-10-15 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE, SUITE 532, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2023-10-15
Name of individual signing KATHALEEN WELLMANN
Role Employer/plan sponsor
Date 2023-10-15
Name of individual signing KATHALEEN WELLMANN
ALASKA'S CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2021 205474121 2022-10-12 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE, SUITE 532, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing KATHALEEN WELLMANN
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing KATHALEEN WELLMANN
ALASKA'S CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2020 205474121 2021-10-12 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE, SUITE 532, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing KATHALEEN WELLMANN
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing KATHALEEN WELLMANN
ALASKA'S CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2019 205474121 2020-10-14 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE, SUITE 532, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing KATHALEEN WELLMANN
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing KATHALEEN WELLMANN
ALASKA CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2018 205474121 2019-10-15 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE SUITE 532, ANCHORAGE, AK, 99508
ALASKA CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2017 205474121 2018-10-11 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE SUITE 532, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing KATHALEEN WELLMANN
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing KATHALEEN WELLMANN
ALASKA CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2016 205474121 2017-10-09 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE SUITE 532, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing KATHALEEN WELLMANN
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing KATHALEEN WELLMANN
ALASKA CHILDREN'S HEART CENTER, LLC 401(K) PLAN AND TRUST 2015 205474121 2016-10-12 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor ALASKA CHILDREN'S HEART CENTER, LLC
Business code 621111
Sponsor’s telephone number 9075652242
Plan sponsor’s address 3260 PROVIDENCE DRIVE SUITE 532, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing KATHALEEN WELLMANN
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing KATHALEEN WELLMANN

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 900466 Active 2006-08-16 2023-11-10 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 174849 Active 2021-02-18 - - -

Date of last update: 11 Jan 2025

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

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