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Fairbanks Oral Surgery LLC

Contents

Company Details

Name: Fairbanks Oral Surgery LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 09 Aug 2010 (14 years ago)
Entity Number: 130096
ZIP code: 99516
County: Anchorage
Place of Formation: ALASKA
Address: 12810 GLEN ALPS ROAD, ANCHORAGE, AK 99516

Officers

Name Role
Eagle Oral and Maxillofacial Surgery, PC Member
Hartig Rhodes Hoge & Lekisch, P.C. Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
FAIRBANKS ORAL SURGERY, LLC CASH BALANCE PLAN 2021 262270638 2022-05-05 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2022-05-05
Name of individual signing SARAH J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC PROFIT SHARING PLAN 2021 262270638 2022-05-05 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2022-05-05
Name of individual signing SARA J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC PROFIT SHARING PLAN 2020 262270638 2021-10-07 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing SARA J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC CASH BALANCE PLAN 2020 262270638 2021-08-16 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2021-08-16
Name of individual signing SARAH J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC CASH BALANCE PLAN 2020 262270638 2021-10-04 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing SARAH J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC CASH BALANCE PLAN 2019 262270638 2021-08-16 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2021-08-16
Name of individual signing SARAH J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC CASH BALANCE PLAN 2019 262270638 2020-10-14 3
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing SARAH J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC PROFIT SHARING PLAN 2019 262270638 2020-10-11 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2020-10-11
Name of individual signing SARA J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC CASH BALANCE PLAN 2018 262270638 2019-10-10 2
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing SARAH J. SATOW, DMD
FAIRBANKS ORAL SURGERY, LLC PROFIT SHARING PLAN 2018 262270638 2019-10-09 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Sponsor FAIRBANKS ORAL SURGERY, LLC
Business code 621210
Sponsor’s telephone number 9074454010
Plan sponsor’s address 114 MINNIE STREET, SUITE D, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing SARA J. SATOW, DMD

Date of last update: 10 Jan 2025

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

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