| Name: | FAIRBANKS ANESTHESIA, INC. |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Non-Compliant |
| Date of registration: | 04 Nov 1994 (30 years ago) |
| Entity Number: | 54847D |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 1650 COWLES ST, FAIRBANKS, AK 99701 |
| Name | Role |
|---|---|
| William Quirk | Director |
| William Quirk | Shareholder |
| William Quirk | Treasurer |
| Steve Mancill | Director |
| Steve Mancill | Shareholder |
| Steve Mancill | Vice President |
| DAVID FLORY | Director |
| DAVID FLORY | President |
| DAVID FLORY | Shareholder |
| MELANY GROGAN | Shareholder |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAIRBANKS ANESTHESIA RETIREMENT PLAN | 2020 | 920157028 | 2021-07-02 | 15 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2021-07-02 |
| Name of individual signing | DAVE FLORY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Sponsor | FAIRBANKS ANESTHESIA, INC. |
| Business code | 339110 |
| Sponsor’s telephone number | 8018193435 |
| Plan sponsor’s address | 1650 COWLES ST, FAIRBANKS, AK, 99701 |
Signature of
| Role | Plan administrator |
| Date | 2021-12-09 |
| Name of individual signing | DAVE FLORY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Sponsor | FAIRBANKS ANESTHESIA, INC. |
| Business code | 339110 |
| Sponsor’s telephone number | 8018193435 |
| Plan sponsor’s address | 1650 COWLES ST, FAIRBANKS, AK, 99701 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-24 |
| Name of individual signing | DAVE FLORY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Sponsor | FAIRBANKS ANESTHESIA, INC. |
| Business code | 339110 |
| Sponsor’s telephone number | 8018193435 |
| Plan sponsor’s address | 1650 COWLES ST, FAIRBANKS, AK, 99701 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-18 |
| Name of individual signing | DAVE FLORY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Sponsor | FAIRBANKS ANESTHESIA, INC. |
| Business code | 339110 |
| Sponsor’s telephone number | 8019183435 |
| Plan sponsor’s address | 1650 COWLES ST, FAIRBANKS, AK, 99701 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-16 |
| Name of individual signing | DAVE FLORY |
Date of last update: 26 Aug 2024
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
