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PEDIATRIC SPECIALISTS OF ALASKA, LLC

Contents

Company Details

Name: PEDIATRIC SPECIALISTS OF ALASKA, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 05 Sep 2001 (23 years ago)
Entity Number: 74148D
ZIP code: 99507
County: Anchorage
Place of Formation: ALASKA
Address: 10840 VOSIKOF PL, ANCHORAGE, AK 99507

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
J. ROBERT LOVRICH Manager
J. ROBERT LOVRICH Member
KIMBERLY LOVRICH Manager
KIMBERLY LOVRICH Member
J. Robert Lovrich Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
PEDATRIC SPECIALISTS OF ALASKA 401(K) PLAN 2023 920177314 2024-01-30 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Sponsor PEDIATRIC SPECIALISTS OF ALASKA, LLC
Business code 621111
Sponsor’s telephone number 9077446046
Plan sponsor’s address 10840 VOSIKOF PLACE, ANCHORAGE, AK, 99507

Signature of

Role Plan administrator
Date 2024-01-30
Name of individual signing KIMBERLY LOVRICH
Role Employer/plan sponsor
Date 2024-01-30
Name of individual signing KIMBERLY LOVRICH
PEDATRIC SPECIALISTS OF ALASKA 401(K) PLAN 2022 920177314 2023-01-31 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Sponsor PEDIATRIC SPECIALISTS OF ALASKA, LLC
Business code 621111
Sponsor’s telephone number 9077446046
Plan sponsor’s address 10840 VOSIKOF PLACE, ANCHORAGE, AK, 99507

Signature of

Role Plan administrator
Date 2023-01-31
Name of individual signing KIMBERLY LOVRICH
Role Employer/plan sponsor
Date 2023-01-31
Name of individual signing KIMBERLY LOVRICH
PEDATRIC SPECIALISTS OF ALASKA 401(K) PLAN 2021 920177314 2022-02-14 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2019-01-01
Sponsor PEDIATRIC SPECIALISTS OF ALASKA, LLC
Business code 621111
Sponsor’s telephone number 9077446046
Plan sponsor’s address 10840 VOSIKOF PLACE, ANCHORAGE, AK, 99507

Signature of

Role Plan administrator
Date 2022-02-14
Name of individual signing KIMBERLY LOVRICH
Role Employer/plan sponsor
Date 2022-02-14
Name of individual signing KIMBERLY LOVRICH

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 2104048 Active 2020-04-30 2023-10-13 2025-12-31 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