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  5. Ptarmigan Pediatrics LLC

Ptarmigan Pediatrics LLC

Contents

Company Details

Name: Ptarmigan Pediatrics LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 11 Jan 2008 (17 years ago)
Entity Number: 113385
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 3543 E MERIDIAN PARK LP STE A, WASILLA, AK 99654

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Bruce W Hess Member
Laura J Peterson Member
Ronda Fisher Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2023 261967223 2024-08-28 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2024-08-28
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2022 261967223 2023-10-03 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2021 261967223 2022-10-13 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2020 261967223 2021-10-12 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2019 261967223 2020-10-13 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2018 261967223 2019-10-09 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2017 261967223 2018-10-14 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2018-10-14
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2016 261967223 2017-10-06 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2017-10-06
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2015 261967223 2016-10-11 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2014 261967223 2015-10-15 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing RONDA FISHER

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 911912 Active 2008-01-15 2022-10-06 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 158940 Active 2020-03-17 - - -

Date of last update: 11 Jan 2025

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

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