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Alpine Anesthesia LLC

Contents

Company Details

Name: Alpine Anesthesia LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 03 Mar 2010 (15 years ago)
Entity Number: 126900
ZIP code: 99577
County: Anchorage
Place of Formation: ALASKA
Address: 3831 PIPER ST STE S-110, EAGLE RIVER, AK 99577
Mailing Address: P.O. BOX 770615, EAGLE RIVER, AK 99577

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Tim Shaw Member
Tim Shaw Manager
PAMELA TODD Manager
PAMELA TODD Member
MELISSA MCCALL Manager
MELISSA MCCALL Member
Jason Sweeney Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALPINE ANESTHESIA 401(K) PROFIT SHARING PLAN 2021 272332921 2022-09-23 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2022-09-23
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA 401(K) PROFIT SHARING PLAN 2020 272332921 2021-06-01 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2021-06-01
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA DEFINED BENEFIT PENSION PLAN 2020 272332921 2021-02-11 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2021-02-11
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA 401(K) PROFIT SHARING PLAN 2019 272332921 2020-09-09 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2020-09-09
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA DEFINED BENEFIT PENSION PLAN 2019 272332921 2020-07-29 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA DEFINED BENEFIT PENSION PLAN 2018 272332921 2019-07-29 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA 401(K) PROFIT SHARING PLAN 2018 272332921 2019-07-16 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2019-07-16
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA 401(K) PROFIT SHARING PLAN 2017 272332921 2018-05-16 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2018-05-16
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA 401(K) PROFIT SHARING PLAN 2016 272332921 2017-07-18 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2017-07-18
Name of individual signing JASON SWEENEY
ALPINE ANESTHESIA 401(K) PROFIT SHARING PLAN 2015 272332921 2016-04-07 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Sponsor ALPINE ANESTHESIA, LLC
Business code 621111
Sponsor’s telephone number 9076966080
Plan sponsor’s address PO BOX 770615, EAGLE RIVER, AK, 99577

Signature of

Role Plan administrator
Date 2016-04-07
Name of individual signing JASON SWEENEY

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 941436 Active 2010-03-25 2023-12-04 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Date of last update: 11 Jan 2025

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