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  5. Alliance Behavioral Medicine LLC

Alliance Behavioral Medicine LLC

Contents

Company Details

Name: Alliance Behavioral Medicine LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 12 Jun 2009 (16 years ago)
Entity Number: 122421
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Mailing Address: 2221 VANDERBILT CIRCLE, ANCHORAGE, AK 99508

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621112 OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS

Officers

Name Role
Ramzi M Nassar Member
Ramzi Nassar Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALLIANCE BEHAVIORAL MEDICINE 401(K) PLAN 2023 270359222 2024-03-04 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor ALLIANCE BEHAVIORAL MEDICINE, LLC
Business code 621112
Sponsor’s telephone number 9075620001
Plan sponsor’s address 2221 VANDERBILT CIRCLE, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2024-03-04
Name of individual signing RAMZI NASSAR
ALLIANCE BEHAVIORAL MEDICINE 401(K) PLAN 2022 270359222 2023-07-20 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor ALLIANCE BEHAVIORAL MEDICINE, LLC
Business code 621112
Sponsor’s telephone number 9075620001
Plan sponsor’s address 2221 VANDERBILT CIRCLE, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing RAMZI NASSAR
ALLIANCE BEHAVIORAL MEDICINE 401(K) PLAN 2021 270359222 2022-04-05 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor ALLIANCE BEHAVIORAL MEDICINE, LLC
Business code 621112
Sponsor’s telephone number 9075620001
Plan sponsor’s address 2221 VANDERBILT CIRCLE, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2022-04-04
Name of individual signing RAMZI NASSAR
Role Employer/plan sponsor
Date 2022-04-04
Name of individual signing RAMZI NASSAR
ALLIANCE BEHAVIORAL MEDICINE 401(K) PLAN 2020 270359222 2021-04-12 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor ALLIANCE BEHAVIORAL MEDICINE, LLC
Business code 621112
Sponsor’s telephone number 9075620001
Plan sponsor’s address 2221 VANDERBILT CIRCLE, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2021-04-11
Name of individual signing RAMZI NASSAR
Role Employer/plan sponsor
Date 2021-04-11
Name of individual signing RAMZI NASSAR
ALLIANCE BEHAVIORAL MEDICINE 401(K) PLAN 2019 270359222 2020-07-07 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor ALLIANCE BEHAVIORAL MEDICINE, LLC
Business code 621112
Sponsor’s telephone number 9075620001
Plan sponsor’s address 4048 LAUREL STREET, SUITE 101, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing RAMZI NASSAR
ALLIANCE BEHAVIORAL MEDICINE 401(K) PLAN 2018 270359222 2019-05-07 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor ALLIANCE BEHAVIORAL MEDICINE, LLC
Business code 621112
Sponsor’s telephone number 9075620001
Plan sponsor’s address 4048 LAUREL STREET, SUITE 101, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2019-05-06
Name of individual signing RAMZI NASSAR
ALLIANCE BEHAVIORAL MEDICINE 401(K) PLAN 2017 270359222 2018-07-11 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor ALLIANCE BEHAVIORAL MEDICINE, LLC
Business code 621112
Sponsor’s telephone number 9075620001
Plan sponsor’s address 4048 LAUREL STREET, SUITE 305, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing RAMZI NASSAR

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 930906 Active 2009-06-18 2022-11-18 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621112 - OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS
Telemedicine Business Registry 135949 Active 2018-07-10 - - -

Date of last update: 11 Jan 2025

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

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