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  5. COLLEGE VILLAGE ANIMAL CLINIC, INC.

COLLEGE VILLAGE ANIMAL CLINIC, INC.

Contents

Company Details

Name: COLLEGE VILLAGE ANIMAL CLINIC, INC.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 26 Mar 1998 (27 years ago)
Entity Number: 63413D
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 2036 E NORTHERN LTS BLVD, ANCHORAGE, AK 99508

Activity

Line of Business

54 Professional, Scientific and Technical Services

NAICS

541940 VETERINARY SERVICES

Officers

Name Role
Dr. Jon E. Basler Shareholder
Pamela Basler Secretary
Jon Basler Registered Agent
Pamela Basler Treasurer
Dr. Jon E. Basler President
Dr. Jon E. Basler Director
Pamela Basler Director

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2023 920163279 2024-09-11 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2024-09-11
Name of individual signing JON BASLER
Valid signature Filed with authorized/valid electronic signature
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2022 920163279 2023-09-07 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing JON BASLER
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2021 920163279 2022-07-13 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing JON BASLER
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2020 920163279 2021-07-10 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2021-07-10
Name of individual signing JON BASLER
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2019 920163279 2020-10-11 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2020-10-11
Name of individual signing JON BASLER
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2018 920163279 2019-07-28 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2019-07-28
Name of individual signing JON BASLER
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2017 920163279 2018-05-25 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2018-05-25
Name of individual signing JON BASLER
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2016 920163279 2017-09-26 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2017-09-26
Name of individual signing JON BASLER
COLLEGE VILLAGE ANIMAL CLINIC, INC. 401(K) PLAN 2015 920163279 2016-10-14 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing JON BASLER
COLLEGE VILLAGE ANIMAL CLINIC INC 401K PLAN 2014 920163279 2015-09-28 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor COLLEGE VILLAGE ANIMAL CLINIC, INC
Business code 541940
Sponsor’s telephone number 9072745623
Plan sponsor’s address 2036 E. NORTHERN LIGHTS BLVD, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2015-09-28
Name of individual signing JON BASLER

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 257048 Active 1998-03-31 2023-12-28 2024-12-31 LOB: 54 - Professional, Scientific and Technical Services, NAICS: 541940 - VETERINARY SERVICES

Date of last update: 11 Jan 2025

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

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