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Coastal Neurology and Neurosurgery, Inc.

Contents

Company Details

Name: Coastal Neurology and Neurosurgery, Inc.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 03 Jun 2011 (14 years ago)
Entity Number: 135609
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 4100 LAKE OTIS PKWY STE 320, ANCHORAGE, AK 99508

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Susanne E Fix President
Susanne E Fix Shareholder
Susanne E Fix Director
Scot D Hines Secretary
Scot D Hines Director
Scot D Hines Shareholder
Scot D Hines Treasurer
Samuel Waller Shareholder
Samuel Waller Vice President
SCOT HINES Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
COASTAL NEUROLOGY & NEUROSURGERY 401(K) PLAN 2023 452310013 2024-10-15 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor COASTAL NEUROLOGY AND NEUROSURGERY INC.
Business code 621111
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2022 452310013 2023-10-15 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor COASTAL NEUROLOGY AND NEUROSURGERY INC
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2021 452310013 2022-10-14 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor COASTAL NEUROLOGY AND NEUROSURGERY INC
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing SUSANNE FIX
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2020 452310013 2021-10-07 12
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor COASTAL NEUROLOGY AND NEUROSURGERY INC
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2020 452310013 2021-10-22 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor COASTAL NEUROLOGY AND NEUROSURGERY INC
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508
COASTAL NEUROLOGY & NEUROSURGERY 401K PLAN 2019 452310013 2020-09-11 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor COASTAL NEUROLOGY AND NEUROSURGERY INC
Business code 446190
Sponsor’s telephone number 9075634810
Plan sponsor’s address 4100 LAKE OTIS PARKWAY, ANCHORAGE, AK, 99508

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 957548 Active 2011-04-21 2024-01-03 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Date of last update: 10 Jan 2025

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