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  5. ALASKA UROLOGY, LLC

ALASKA UROLOGY, LLC

Contents

Company Details

Name: ALASKA UROLOGY, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 24 Feb 1997 (28 years ago)
Entity Number: 60331D
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 3841 PIPER ST, STE T300, 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
J. Wesley Turner Member
Zachary Posey Member
Erwin Tieva Member
Owen Aftreth Member
Andre Godet Member
Andre Godet Manager
J. Wesley Turner Manager
Laura Merriman Manager
Laura Merriman Member
Zachary Posey Manager

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2023 911779209 2024-10-01 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075506615
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2024-10-01
Name of individual signing BRYAN SHIELDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing BRYAN SHIELDS
Valid signature Filed with authorized/valid electronic signature
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2022 911779209 2023-06-22 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075506615
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing BRYAN SHIELDS
Role Employer/plan sponsor
Date 2023-06-22
Name of individual signing BRYAN SHIELDS
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2021 911779209 2022-05-26 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075506615
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing BRYAN P SHIELDS
Role Employer/plan sponsor
Date 2022-05-26
Name of individual signing BRYAN P SHIELDS
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2020 911779209 2021-06-16 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075506615
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2021-06-16
Name of individual signing BRYAN PATRICK SHIELDS
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2019 911779209 2020-06-23 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075506615
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing BRYAN SHIELDS
Role Employer/plan sponsor
Date 2020-06-23
Name of individual signing BRYAN SHIELDS
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2018 911779209 2019-06-25 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075506615
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2019-06-25
Name of individual signing BRYAN SHIELDS
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2017 911779209 2018-05-14 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075633103
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing AARON BROWN
Role Employer/plan sponsor
Date 2018-05-09
Name of individual signing AARON BROWN
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2016 911779209 2017-05-22 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075633103
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2017-05-22
Name of individual signing AARON BROWN
Role Employer/plan sponsor
Date 2017-05-22
Name of individual signing AARON BROWN
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2015 911779209 2016-04-27 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075633103
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2016-04-27
Name of individual signing AARON BROWN
ALASKA UROLOGY LLC 401(K) PROFIT SHARING PLAN 2014 911779209 2015-06-05 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Sponsor ALASKA UROLOGY, LLC
Business code 621111
Sponsor’s telephone number 9075633103
Plan sponsor’s address 3841 PIPER STREET, SUITE T300, ANCHORAGE, AK, 995084624

Signature of
Role Plan administrator
Date 2015-06-05
Name of individual signing AARON P. BROWN

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 1011418 Active 2014-10-01 2022-10-27 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Date of last update: 11 Jan 2025

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

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