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  5. LATOUCHE PEDIATRICS, LLC

LATOUCHE PEDIATRICS, LLC

Contents

Company Details

Name: LATOUCHE PEDIATRICS, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 16 Mar 2001 (24 years ago)
Entity Number: 72320D
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 3340 PROVIDENCE DR., STE 452, 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
Laura Jones Member
Greg Fahl Member
Mary Blenkush Member
Tom Hepler Member
Adrian Furman Member
TOM HEPLER Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
LATOUCHE PEDIATRICS, LLC 401(K) PLAN AND TRUST 2023 920174571 2024-07-09 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Sponsor LATOUCHE PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9075622120
Plan sponsor’s address 3340 PROVIDENCE DRIVE, SUITE 452, ANCHORAGE, AK, 99508
LATOUCHE PEDIATRICS, LLC 401(K) PLAN AND TRUST 2022 920174571 2023-08-23 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Sponsor LATOUCHE PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9075622120
Plan sponsor’s address 3340 PROVIDENCE DRIVE, SUITE 452, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2023-08-23
Name of individual signing LAURA JONES
LATOUCHE PEDIATRICS, LLC 401(K) PLAN AND TRUST 2021 920174571 2022-09-23 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Sponsor LATOUCHE PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9075622120
Plan sponsor’s address 3340 PROVIDENCE DRIVE, SUITE 452, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing LAURA JONES
LATOUCHE PEDIATRICS, LLC 401(K) PLAN AND TRUST 2009 920174571 2010-10-13 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Sponsor LATOUCHE PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9075622120
Plan sponsor’s address 3340 PROVIDENCE DRIVE, SUITE 452, ANCHORAGE, AK, 99508

Plan administrator’s name and address
Administrator’s EIN 920174571
Plan administrator’s name LATOUCHE PEDIATRICS, LLC
Plan administrator’s address 3340 PROVIDENCE DRIVE, SUITE 452, ANCHORAGE, AK, 99508
Administrator’s telephone number 9075622120

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing PHYLLIS KIEHL
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing PHYLLIS KIEHL

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 281624 Active 2001-02-09 2022-11-02 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 159154 Active 2020-03-19 - - -

Date of last update: 11 Jan 2025

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

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