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  5. Professional Pharmacy, LLC

Professional Pharmacy, LLC

Contents

Company Details

Name: Professional Pharmacy, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 28 Sep 2010 (14 years ago)
Entity Number: 130852
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 1001 NOBLE STREET, FAIRBANKS, AK 99701
Mailing Address: 167 SANTA CLAUS LANE, NORTH POLE, AK 99705

Officers

Name Role
LEIF HOLM Member
LEIF HOLM Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALASKA FAMILY PHARMACY 401(K) PS PLAN 2023 273443861 2024-08-21 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888555
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2024-08-21
Name of individual signing LEIF HOLM
Role Employer/plan sponsor
Date 2024-08-21
Name of individual signing LEIF HOLM
ALASKA FAMILY PHARMACY 401(K) PS PLAN 2022 273443861 2023-10-03 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888555
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing LEIF HOLM
PROFESSIONAL PHARMACY 401K PLAN 2022 273443861 2023-06-29 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888555
Plan sponsor’s address 167 S SANTA CLAUS LN, NORTH POLE, AK, 997057755

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC 401K PLAN 2021 273443861 2022-05-24 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing LEIF HOLM
PROFESSIONAL PHARMACY LLC 401K PLAN 2020 273443861 2021-06-09 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2021-06-09
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC 401K PLAN 2019 273443861 2020-06-16 16
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing MCALVIN9108
PROFESSIONAL PHARMACY LLC 401K PLAN 2019 273443861 2020-06-30 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC 401K PLAN 2018 273443861 2019-11-26 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2019-11-26
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC 401K PLAN 2017 273443861 2019-11-26 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2019-11-26
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC. 401 K PROFIT SHARING PLAN TRUST 2016 273443861 2017-05-15 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074522556
Plan sponsor’s address 1001 NOBLE ST., FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing LEIF HOLM

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Pharmacy 163559 Active 2020-06-30 - 2026-06-30 -

Date of last update: 11 Jan 2025

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

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