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  5. Summit Oral Surgery, LLC

Summit Oral Surgery, LLC

Contents

Company Details

Name: Summit Oral Surgery, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 05 Feb 2007 (18 years ago)
Entity Number: 106250
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 1700 E BOGARD RD STE B202, WASILLA, AK 99654

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621210 OFFICES OF DENTISTS

Officers

Name Role
James Wimsatt Member
JAMES WIMSATT Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
SUMMIT ORAL SURGERY, LLC 401(K) PLAN 2018 300400694 2019-10-08 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-04-15
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654
SUMMIT ORAL SURGERY, LLC 401(K) PLAN 2017 300400694 2018-09-24 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-04-15
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654
SUMMIT ORAL SURGERY, LLC DEFINED BENEFIT PENSION PLAN 2016 300400694 2017-06-02 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing MATTHEW A. MONACO
Role Employer/plan sponsor
Date 2017-06-02
Name of individual signing MATTHEW A. MONACO
SUMMIT ORAL SURGERY, LLC 401K PROFIT SHARING PLAN 2016 300400694 2017-06-07 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing MATTHEW A. MONACO
Role Employer/plan sponsor
Date 2017-06-07
Name of individual signing MATTHEW A. MONACO
SUMMIT ORAL SURGERY, LLC DEFINED BENEFIT PENSION PLAN 2015 300400694 2016-09-16 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing MATTHEW A. MONACO
Role Employer/plan sponsor
Date 2016-09-16
Name of individual signing MATTHEW A. MONACO
SUMMIT ORAL SURGERY, LLC 401K PROFIT SHARING PLAN 2015 300400694 2016-09-16 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing MATTHEW A. MONACO
Role Employer/plan sponsor
Date 2016-09-16
Name of individual signing MATTHEW A. MONACO
SUMMIT ORAL SURGERY, LLC 401K PROFIT SHARING PLAN 2014 300400694 2015-05-13 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2015-05-13
Name of individual signing MATTHEW A. MONACO
Role Employer/plan sponsor
Date 2015-05-13
Name of individual signing MATTHEW A. MONACO
SUMMIT ORAL SURGERY, LLC DEFINED BENEFIT PENSION PLAN 2014 300400694 2015-05-13 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2015-05-13
Name of individual signing MATTHEW A. MONACO
Role Employer/plan sponsor
Date 2015-05-13
Name of individual signing MATTHEW A. MONACO
SUMMIT ORAL SURGERY, LLC DEFINED BENEFIT PENSION PLAN 2013 300400694 2014-10-10 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2009-01-01
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing MATTHEW A. MONACO
Role Employer/plan sponsor
Date 2014-10-10
Name of individual signing MATTHEW A. MONACO
SUMMIT ORAL SURGERY, LLC 401K PROFIT SHARING PLAN 2013 300400694 2014-10-10 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor SUMMIT ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9073573414
Plan sponsor’s address 1700 EAST BOGARD ROAD, SUITE B-202, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing MATTHEW A. MONACO
Role Employer/plan sponsor
Date 2014-10-10
Name of individual signing MATTHEW A. MONACO

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 910833 Active 2007-12-24 2023-10-05 2025-12-31 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

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