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Spine and Sports Injury Center, LLC

Contents

Company Details

Name: Spine and Sports Injury Center, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 11 Mar 2011 (14 years ago)
Entity Number: 133810
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 1001 E. BOGARD RD., WASILLA, AK 99654
Mailing Address: 1001 E. BOGARD RD., WASILLA, AK 99654-7114

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621498 ALL OTHER OUTPATIENT CARE CENTERS

Officers

Name Role
Kristofer Larson Member
Kristofer Daniel Larson Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2023 800694951 2024-07-15 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2022 800694951 2023-08-23 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2021 800694951 2022-09-28 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2020 800694951 2021-07-27 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2019 800694951 2020-07-27 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2018 800694951 2019-07-25 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2017 800694951 2018-06-27 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2016 800694951 2017-05-23 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654
SPINE AND SPORTS INJURY CENTER LLC 401(K) PROFIT SHARING PLAN 2015 800694951 2016-07-11 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Sponsor SPINE AND SPORTS INJURY CENTER LLC
Business code 621310
Sponsor’s telephone number 9073762225
Plan sponsor’s address 1001 E BOGARD RD, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2016-07-11
Name of individual signing KRISTOFER LARSON

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 962480 Active 2011-08-22 2022-10-18 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS
Telemedicine Business Registry 176978 Active 2021-04-29 - - -

Date of last update: 11 Jan 2025

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