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  5. Aurora Plastic Surgery LLC

Aurora Plastic Surgery LLC

Contents

Company Details

Name: Aurora Plastic Surgery LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 19 Jan 2009 (16 years ago)
Entity Number: 120165
ZIP code: 99709
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 2485 CHIEF WILLIAM DR, FAIRBANKS, AK 99709

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621498 ALL OTHER OUTPATIENT CARE CENTERS

Officers

Name Role
Christopher Jonathan Jensen Registered Agent
CHRISTOPHER JENSEN Member

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
AURORA PLASTIC SURGERY 401(K) PS PLAN AND TRUST 2020 264095927 2021-10-07 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor AURORA PLASTIC SURGERY LLC
Business code 621111
Sponsor’s telephone number 6037382868
Plan sponsor’s address 2485 CHIEF WILLIAM DR, SUITE 100, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing CHRISTOPHER JENSEN MD
AURORA PLASTIC SURGERY 401(K) PS PLAN AND TRUST 2018 264095927 2019-10-09 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor AURORA PLASTIC SURGERY LLC
Business code 621111
Sponsor’s telephone number 6037382868
Plan sponsor’s address 2485 CHIEF WILLIAM DR, SUITE 100, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing CHRISTOPHER JENSEN
AURORA PLASTIC SURGERY 401(K) PS PLAN AND TRUST 2016 264095927 2017-10-11 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor AURORA PLASTIC SURGERY LLC
Business code 621111
Sponsor’s telephone number 9074575277
Plan sponsor’s address 2485 CHIEF WILLIAM DR, SUITE 100, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing CHRISTOPHER JENSEN
AURORA PLASTIC SURGERY 401(K) PS PLAN AND TRUST 2015 264095927 2016-10-14 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor AURORA PLASTIC SURGERY LLC
Business code 621111
Sponsor’s telephone number 9074575277
Plan sponsor’s address 2485 CHIEF WILLIAM DR, SUITE 100, FAIRBANKS, AK, 99709

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing CHRISTOPHER JENSEN
AURORA PLASTIC SURGERY 401(K) PS PLAN AND TRUST 2014 264095927 2015-10-06 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor AURORA PLASTIC SURGERY LLC
Business code 621111
Sponsor’s telephone number 9074575277
Plan sponsor’s address 1919 LATHROP, SUITE 101, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2015-10-06
Name of individual signing CHRISTOPHER JENSEN
AURORA PLASTIC SURGERY 401(K) PS PLAN AND TRUST 2013 264095927 2014-10-07 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor AURORA PLASTIC SURGERY LLC
Business code 621111
Sponsor’s telephone number 9074575277
Plan sponsor’s address 1919 LATHROP, SUITE 101, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing CHRISTOPHER JENSEN
AURORA PLASTIC SURGERY 401(K) PS PLAN AND TRUST 2012 264095927 2013-10-09 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor AURORA PLASTIC SURGERY, LLC.
Business code 621111
Sponsor’s telephone number 9074575277
Plan sponsor’s address 1919 LATHROP, SUITE 101, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing CHRISTOPHER JENSEN
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing CHRISTOPHER JENSEN
AURORA PLASTIC SURGERY 401(K) PS PLAN AND TRUST 2011 264095927 2012-10-09 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor AURORA PLASTIC SURGERY, LLC.
Business code 621111
Sponsor’s telephone number 9074575277
Plan sponsor’s address 1919 LATHROP, SUITE 101, FAIRBANKS, AK, 99701

Plan administrator’s name and address
Administrator’s EIN 264095927
Plan administrator’s name AURORA PLASTIC SURGERY, LLC.
Plan administrator’s address 1919 LATHROP, SUITE 101, FAIRBANKS, AK, 99701
Administrator’s telephone number 9074575277

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing CHRISTOPHER JENSEN

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 2171533 Active 2022-12-29 - 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS

Date of last update: 11 Jan 2025

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

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