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Michelle Thomas MD, Incorporated

Contents

Company Details

Name: Michelle Thomas MD, Incorporated
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 02 Dec 2008 (16 years ago)
Entity Number: 119468
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 3340 PROVIDENCE DR STE 359, 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
Michelle Thomas Shareholder
Michelle Thomas Treasurer
Michelle Thomas Director
Michelle Thomas President
Michelle Thomas Secretary
GERI LIGHTNER Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
DR. MICHELLE THOMAS 401(K) PLAN 2016 263784049 2017-05-30 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Sponsor MICHELLE THOMAS, MD
Business code 621111
Sponsor’s telephone number 9076441033
Plan sponsor’s address 3340 PROVIDENCE DRIVE, SUITE 359, ANCHORAGE, AK, 99508

Signature of

Role Plan administrator
Date 2017-05-30
Name of individual signing MICHELLE THOMAS
DR. MICHELLE THOMAS 401(K) PLAN 2015 263784049 2016-06-22 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Sponsor MICHELLE THOMAS, MD
Business code 621111
Sponsor’s telephone number 9076441033
Plan sponsor’s address 3340 PROVIDENCE DRIVE, SUITE 359, ANCHORAGE, AK, 99508

Signature of

Role Plan administrator
Date 2016-06-22
Name of individual signing MICHELLE THOMAS
DR. MICHELLE THOMAS 401(K) PLAN 2014 263784049 2015-10-15 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Sponsor MICHELLE THOMAS, MD
Business code 621111
Sponsor’s telephone number 9076441033
Plan sponsor’s address 3340 PROVIDENCE DRIVE, SUITE 359, ANCHORAGE, AK, 99508

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing MICHELLE THOMAS

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 929555 Active 2009-05-11 2022-10-25 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 161887 Active 2020-05-19 - - -

Date of last update: 11 Jan 2025

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