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JOHN B. DEKEYSER, M.D., P.C.

Contents

Company Details

Name: JOHN B. DEKEYSER, M.D., P.C.
Jurisdiction: Alaska
Legal type: Professional Corporation
Status: Non-Compliant
Date of registration: 22 Oct 1993 (31 years ago)
Entity Number: 52513D
ZIP code: 99517
County: Anchorage
Place of Formation: ALASKA
Address: 2259 SAINT ELIAS DRIVE, ANCHORAGE, AK 99517-1248
Mailing Address: UNITED STATES

Officers

Name Role
John B Dekeyser Shareholder
John B Dekeyser Treasurer
John B Dekeyser Director
John B Dekeyser President
John B Dekeyser Secretary
JOHN DEKEYSER Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
JOHN B. DEKEYSER, M.D., P.C. PROFIT SHARING PLAN 2020 920148110 2021-10-09 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Sponsor JOHN B. DEKEYSER, M.D., P.C.
Business code 621111
Sponsor’s telephone number 9073399700
Plan sponsor’s address 1200 AIRPORT HEIGHTS DR STE 280, ANCHORAGE, AK, 995082969

Signature of

Role Plan administrator
Date 2021-10-09
Name of individual signing JOHN B. DEKEYSER
JOHN B. DEKEYSER, M.D., P.C. PROFIT SHARING PLAN 2020 920148110 2021-05-20 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Sponsor JOHN B. DEKEYSER, M.D., P.C.
Business code 621111
Sponsor’s telephone number 9073399700
Plan sponsor’s address 1200 AIRPORT HEIGHTS DR STE 280, ANCHORAGE, AK, 995082969

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing JOHN B. DEKEYSER
JOHN B. DEKEYSER, M.D., P.C. PROFIT SHARING PLAN 2020 920148110 2021-05-20 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Sponsor JOHN B. DEKEYSER, M.D., P.C.
Business code 621111
Sponsor’s telephone number 9073399700
Plan sponsor’s address 1200 AIRPORT HEIGHTS DR STE 280, ANCHORAGE, AK, 995082969

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing JOHN B. DEKEYSER
JOHN B. DEKEYSER, M.D., P.C. PROFIT SHARING PLAN 2019 920148110 2021-05-20 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Sponsor JOHN B. DEKEYSER, M.D., P.C.
Business code 621111
Sponsor’s telephone number 9073399700
Plan sponsor’s address 1200 AIRPORT HEIGHTS DR STE 280, ANCHORAGE, AK, 995082969

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing JOHN B. DEKEYSER

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Telemedicine Business Registry 161690 Active 2020-05-13 - - -

Date of last update: 10 Jan 2025

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