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Nizich Family Dental, LLC

Contents

Company Details

Name: Nizich Family Dental, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 22 Sep 2006 (18 years ago)
Entity Number: 103569
ZIP code: 99801
County: Juneau
Place of Formation: ALASKA
Address: 2219 JORDAN AVENUE, JUNEAU, AK 99801

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621210 OFFICES OF DENTISTS

Officers

Name Role
Anthony F Nizich Member
DLG SERVICES, INC. Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2023 205578917 2024-06-20 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2022 205578917 2023-05-15 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2021 205578917 2022-07-27 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2020 205578917 2021-05-11 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2019 205578917 2020-06-30 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2018 205578917 2019-10-08 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2017 205578917 2018-07-25 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2016 205578917 2017-05-19 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2017-05-19
Name of individual signing ANTHONY NIZICH, DMD
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2015 205578917 2016-07-06 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2016-07-06
Name of individual signing ANTHONY NIZICH, DMD
NIZICH FAMILY DENTAL, LLC 401(K) RETIREMENT PLAN 2014 205578917 2015-10-07 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor NIZICH FAMILY DENTAL, LLC
Business code 621210
Sponsor’s telephone number 9077897001
Plan sponsor’s address 2219 JORDAN AVENUE, JUNEAU, AK, 99801

Signature of

Role Plan administrator
Date 2015-10-07
Name of individual signing ANTHONY NIZICH, DMD

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 900939 Active 2006-09-22 2023-10-05 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS

Date of last update: 10 Jan 2025

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