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  5. Alaska Colorectal Surgery, P.C.

Alaska Colorectal Surgery, P.C.

Contents

Company Details

Name: Alaska Colorectal Surgery, P.C.
Jurisdiction: Alaska
Legal type: Professional Corporation
Status: Good Standing
Date of registration: 10 May 2001 (24 years ago)
Entity Number: 73140D
ZIP code: 99508
County: Anchorage
Place of Formation: ALASKA
Address: 2751 DEBARR RD STE 280, ANCHORAGE, AK 99508

Officers

Name Role
JUNE GEORGE Secretary
DANIEL ROSSI Director
DANIEL ROSSI Shareholder
Rebecca Rowen Vice President
JUNE GEORGE Registered Agent
JUNE GEORGE Director
JUNE GEORGE Shareholder
Rebecca Rowen Director
DANIEL ROSSI President
Rebecca Rowen Shareholder

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2023 920177040 2024-05-30 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 99508

Signature of
Role Plan administrator
Date 2024-05-30
Name of individual signing JUNE GEORGE
Role Employer/plan sponsor
Date 2024-05-30
Name of individual signing JUNE GEORGE
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2022 920177040 2023-06-27 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing JUNE GEORGE
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2021 920177040 2022-05-25 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819

Plan administrator’s name and address
Administrator’s EIN 920177040
Plan administrator’s name ALASKA COLORECTAL SURGERY, P.C.
Plan administrator’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819
Administrator’s telephone number 9072221401

Signature of
Role Plan administrator
Date 2022-05-25
Name of individual signing JUNE GEORGE
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2020 920177040 2021-03-12 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819

Plan administrator’s name and address
Administrator’s EIN 920177040
Plan administrator’s name ALASKA COLORECTAL SURGERY, P.C.
Plan administrator’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819
Administrator’s telephone number 9072221401

Signature of
Role Plan administrator
Date 2021-03-12
Name of individual signing JUNE GEORGE
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2019 920177040 2020-03-27 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819

Plan administrator’s name and address
Administrator’s EIN 920177040
Plan administrator’s name ALASKA COLORECTAL SURGERY, P.C.
Plan administrator’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819
Administrator’s telephone number 9072221401
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2018 920177040 2019-04-30 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819

Plan administrator’s name and address
Administrator’s EIN 920177040
Plan administrator’s name ALASKA COLORECTAL SURGERY, P.C.
Plan administrator’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819
Administrator’s telephone number 9072221401
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2017 920177040 2018-05-25 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819

Plan administrator’s name and address
Administrator’s EIN 920177040
Plan administrator’s name ALASKA COLORECTAL SURGERY, P.C.
Plan administrator’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 995086819
Administrator’s telephone number 9072221401
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2016 920177040 2017-07-27 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 99508
ALASKA COLORECTAL SURGERY, P.C. RETIREMENT PLAN 2016 920177040 2017-05-31 16
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ALASKA COLORECTAL SURGERY, P.C.
Business code 621111
Sponsor’s telephone number 9072221401
Plan sponsor’s address 2751 DEBARR ROAD, SUITE 280, ANCHORAGE, AK, 99508

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Telemedicine Business Registry 159373 Active 2020-03-25 - - -

Date of last update: 10 Jan 2025

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

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