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  5. GENEVA WOODS SURGICAL CENTER, INC.

GENEVA WOODS SURGICAL CENTER, INC.

Contents

Company Details

Name: GENEVA WOODS SURGICAL CENTER, INC.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 01 Apr 1986 (39 years ago)
Entity Number: 37815D
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 3730 RHONE CIRCLE #100, ANCHORAGE, AK 99508

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621999 ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES

Officers

Name Role
Matthew Guess Shareholder
Matthew Guess Director
David Zumbro Shareholder
Scott Limstrom Shareholder
Todd Parrish Shareholder
Creed Mamikunian Director
Jack Sedwick Treasurer
Carl Rosen Director
Jack Sedwick Director
Jack Sedwick Shareholder

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
GENEVA WOODS SURGICAL CENTER INC 401K PSP 2023 920120928 2024-06-07 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor GENEVA WOODS SURGICAL CENTER, INC.
Business code 621493
Sponsor’s telephone number 9075624764
Plan sponsor’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2024-06-07
Name of individual signing SCOTT STROUD
GENEVA WOODS SURGICAL CENTER, INC. 401(K) P/S PLAN 2022 920120928 2023-06-02 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor GENEVA WOODS SURGICAL CENTER, INC.
Business code 621900
Sponsor’s telephone number 9075624764
Plan sponsor’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920120928
Plan administrator’s name GENEVA WOODS SURGICAL CENTER, INC.
Plan administrator’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624764

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing DAVID STROUD
GENEVA WOODS SURGICAL CENTER, INC. 401(K) P/S PLAN 2021 920120928 2022-03-29 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor GENEVA WOODS SURGICAL CENTER, INC.
Business code 621900
Sponsor’s telephone number 9075624764
Plan sponsor’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920120928
Plan administrator’s name GENEVA WOODS SURGICAL CENTER, INC.
Plan administrator’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624764

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing SCOTT STROUD
GENEVA WOODS SURGICAL CENTER, INC. 401(K) P/S PLAN 2020 920120928 2021-06-03 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor GENEVA WOODS SURGICAL CENTER, INC.
Business code 621900
Sponsor’s telephone number 9075624764
Plan sponsor’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920120928
Plan administrator’s name GENEVA WOODS SURGICAL CENTER, INC.
Plan administrator’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624764

Signature of
Role Plan administrator
Date 2021-06-03
Name of individual signing DAVID SCOTT STROUD
GENEVA WOODS SURGICAL CENTER, INC. 401(K) P/S PLAN 2019 920120928 2020-06-09 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor GENEVA WOODS SURGICAL CENTER, INC.
Business code 621900
Sponsor’s telephone number 9075624764
Plan sponsor’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920120928
Plan administrator’s name GENEVA WOODS SURGICAL CENTER, INC.
Plan administrator’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624764

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing SCOTT STROUD
GENEVA WOODS SURGICAL CENTER, INC. 401(K) P/S PLAN 2018 920120928 2019-05-24 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor GENEVA WOODS SURGICAL CENTER, INC.
Business code 621900
Sponsor’s telephone number 9075624764
Plan sponsor’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920120928
Plan administrator’s name GENEVA WOODS SURGICAL CENTER, INC.
Plan administrator’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624764

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing BARBARA COPE
GENEVA WOODS SURGICAL CENTER, INC. 401(K) P/S PLAN 2017 920120928 2018-05-11 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor GENEVA WOODS SURGICAL CENTER, INC.
Business code 621900
Sponsor’s telephone number 9075624764
Plan sponsor’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920120928
Plan administrator’s name GENEVA WOODS SURGICAL CENTER, INC.
Plan administrator’s address 3730 RHONE CIR STE 100, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075624764

Signature of
Role Plan administrator
Date 2018-05-11
Name of individual signing BARBARA COPE

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 58236 Active - 2022-10-20 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621999 - ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Drug Room PHAG52 Active 2012-02-02 - 2026-06-30 -

Date of last update: 10 Jan 2025

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

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