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  5. Orthopaedic Surgical Associates, LLC

Orthopaedic Surgical Associates, LLC

Contents

Company Details

Name: Orthopaedic Surgical Associates, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 13 Jan 2009 (16 years ago)
Entity Number: 120116
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 1275 SADLER WAY, STE 101, STE 101A, FAIRBANKS, AK 99701
Mailing Address: 1275 SADLER WAY, STE 101A, FAIRBANKS, AK 99701

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Jimmy Tamai Member
Jimmy M. Tamai Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2023 264043789 2024-06-26 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing ELISE TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2021 264043789 2022-10-03 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing JIMMY TAMAI
Role Employer/plan sponsor
Date 2022-10-03
Name of individual signing JIMMY TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2020 264043789 2021-06-01 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2021-06-01
Name of individual signing ELISE TAMAI
Role Employer/plan sponsor
Date 2021-06-01
Name of individual signing ELISE TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2019 264043789 2020-07-21 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing ELISE TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2018 264043789 2019-07-09 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing ELISE TAMAI
Role Employer/plan sponsor
Date 2019-07-09
Name of individual signing ELISE TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2017 264043789 2018-02-20 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2018-02-20
Name of individual signing ELISE TAMAI
Role Employer/plan sponsor
Date 2018-02-20
Name of individual signing ELISE TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2016 264043789 2017-02-20 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2017-02-20
Name of individual signing ELISE TAMAI
Role Employer/plan sponsor
Date 2017-02-20
Name of individual signing ELISE TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2015 264043789 2016-04-12 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing ELISE TAMAI
Role Employer/plan sponsor
Date 2016-04-12
Name of individual signing ELISE TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES LLC 401(K) PLAN 2014 264043789 2015-07-08 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES LLC
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY SUITE 101, FAIRBANKS, AK, 997013175

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing ELISE TAMAI
Role Employer/plan sponsor
Date 2015-07-08
Name of individual signing ELISE TAMAI
ORTHOPAEDIC SURGICAL ASSOCIATES 401(K) PLAN 2013 264043789 2014-07-14 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Sponsor ORTHOPAEDIC SURGICAL ASSOCIATES
Business code 621111
Sponsor’s telephone number 9073744463
Plan sponsor’s address 1275 SADLER WAY, SUITE 101, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing ELISE TAMAI

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 925662 Active 2009-01-22 2020-10-05 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 159836 Active 2020-03-28 - - -

Date of last update: 11 Jan 2025

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

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