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  5. Fairbanks Cancer Care Physicians, P.C.

Fairbanks Cancer Care Physicians, P.C.

Contents

Company Details

Name: Fairbanks Cancer Care Physicians, P.C.
Jurisdiction: Alaska
Legal type: Professional Corporation
Status: Good Standing
Date of registration: 22 Dec 2008 (16 years ago)
Entity Number: 120284
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 1640 COWLES ST SUITE 1, FAIRBANKS CANCER CARE PHYSICIA, FAIRBANKS, AK, AK 99701
Mailing Address: 1640 COWLES ST STE 1, 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
JACQUELINE A. COX Director
JACQUELINE A. COX Secretary
JACQUELINE A. COX Shareholder
JACQUELINE A. COX Treasurer
W. WILLIAM COX Director
W. WILLIAM COX President
W. WILLIAM COX Shareholder
JACQUELINE A. COX Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
FAIRBANKS CANCER CARE PHYSICIANS, P. C. CASH BALANCE PLAN 2023 263902803 2024-07-11 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2023-01-01
Sponsor FAIRBANKS CANCER CARE PHYSICIANS, P.C.
Business code 621111
Sponsor’s telephone number 9074524768
Plan sponsor’s address 1640 COWLES STREET, SUITE 1, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing DR. JACQUELINE COX
Role Employer/plan sponsor
Date 2024-07-11
Name of individual signing DR. JACQUELINE COX
FAIRBANKS CANCER CARE PHYSICIANS, P.C. RETIREMENT PLAN AND TRUST 2023 263902803 2024-07-11 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Sponsor FAIRBANKS CANCER CARE PHYSICIANS, P.C.
Business code 621111
Sponsor’s telephone number 9074524768
Plan sponsor’s address 1640 COWLES STREET, SUITE 1, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing DR. JACQUELINE COX
Role Employer/plan sponsor
Date 2024-07-11
Name of individual signing DR. JACQUELINE COX
FAIRBANKS CANCER CARE PHYSICIANS, P.C. RETIREMENT PLAN AND TRUST 2022 263902803 2023-05-04 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Sponsor FAIRBANKS CANCER CARE PHYSICIANS, P.C.
Business code 621111
Sponsor’s telephone number 9074524768
Plan sponsor’s address 1640 COWLES STREET, SUITE 1, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2023-05-04
Name of individual signing DR. JACQUELINE COX
Role Employer/plan sponsor
Date 2023-05-04
Name of individual signing DR. JACQUELINE COX
FAIRBANKS CANCER CARE PHYSICIANS, P.C. RETIREMENT PLAN AND TRUST 2021 263902803 2022-04-28 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Sponsor FAIRBANKS CANCER CARE PHYSICIANS, P.C.
Business code 621111
Sponsor’s telephone number 9074524768
Plan sponsor’s address 1640 COWLES STREET, SUITE 1, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing DR. JACQUELINE COX
Role Employer/plan sponsor
Date 2022-04-28
Name of individual signing DR. JACQUELINE COX
FAIRBANKS CANCER CARE PHYSICIANS, P.C. RETIREMENT PLAN AND TRUST 2020 263902803 2021-04-26 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Sponsor FAIRBANKS CANCER CARE PHYSICIANS, P.C.
Business code 621111
Sponsor’s telephone number 9074524768
Plan sponsor’s address 1640 COWLES STREET, SUITE 1, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing DR. JACQUELINE COX
Role Employer/plan sponsor
Date 2021-04-26
Name of individual signing DR. JACQUELINE COX
FAIRBANKS CANCER CARE PHYSICIANS, P.C. RETIREMENT PLAN AND TRUST 2019 263902803 2020-04-08 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Sponsor FAIRBANKS CANCER CARE PHYSICIANS, P.C.
Business code 621111
Sponsor’s telephone number 9074524768
Plan sponsor’s address 1640 COWLES STREET, SUITE 1, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing DR. JACQUELINE COX
Role Employer/plan sponsor
Date 2020-04-08
Name of individual signing DR. JACQUELINE COX
FAIRBANKS CANCER CARE PHYSICIANS, P.C. RETIREMENT PLAN AND TRUST 2018 263902803 2019-06-19 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Sponsor FAIRBANKS CANCER CARE PHYSICIANS, P.C.
Business code 621111
Sponsor’s telephone number 9074524768
Plan sponsor’s address 1640 COWLES STREET, SUITE 1, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2019-06-19
Name of individual signing DR. JACQUELINE COX
Role Employer/plan sponsor
Date 2019-06-19
Name of individual signing DR. JACQUELINE COX

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 926150 Active 2009-02-24 2023-10-04 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 159931 Active 2020-03-31 - - -

Date of last update: 11 Jan 2025

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

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