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Golden Heart Emergency Physicians, PC

Contents

Company Details

Name: Golden Heart Emergency Physicians, PC
Jurisdiction: Alaska
Legal type: Professional Corporation
Status: Good Standing
Date of registration: 14 May 2007 (18 years ago)
Entity Number: 107652
ZIP code: 99709
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 3875 GEIST RD STE E#381, FAIRBANKS, AK 99709

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
CATHERINE M BUCKLEY Vice President
WILLIAM MCINTYRE Shareholder
Stanley W Robinson Director
Stanley W Robinson Shareholder
Stanley W Robinson Vice President
Stanley W Robinson Treasurer
CATHERINE M BUCKLEY Director
CATHERINE M BUCKLEY Secretary
CATHERINE M BUCKLEY Shareholder
Brian A Tansky Director

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2023 260502691 2024-10-14 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing MIKE BURTON
Valid signature Filed with authorized/valid electronic signature
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2022 260502691 2023-10-13 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing MIKE BURTON
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2021 260502691 2022-10-15 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2022-10-15
Name of individual signing MIKE BURTON
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2020 260502691 2021-10-14 20
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing MIKE BURTON
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2020 260502691 2021-11-11 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2021-11-11
Name of individual signing MIKE BURTON
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2019 260502691 2020-10-13 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing MIKE BURTON
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2018 260502691 2019-10-15 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing MIKE BURTON
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2017 260502691 2018-10-11 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing MIKE BURTON
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2016 260502691 2017-10-11 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2017-10-11
Name of individual signing MIKE BURTON
GOLDEN HEART EMERGENCY PHYSICIANS, PC 401(K) PROFIT SHARING PLAN AND TRUST 2015 260502691 2016-10-14 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor GOLDEN HEART EMERGENCY PHYSICIANS, PC
Business code 621111
Sponsor’s telephone number 9074586943
Plan sponsor’s address 3875 GEIST ROAD, SUITE E 381, FAIRBANKS, AK, 99709

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing MIKE BURTON

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 906179 Active 2007-08-07 2022-11-10 2024-12-31 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