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  5. VALLEY DERMATOLOGY CENTER, INC.

VALLEY DERMATOLOGY CENTER, INC.

Contents

Company Details

Name: VALLEY DERMATOLOGY CENTER, INC.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 30 Jul 2002 (22 years ago)
Entity Number: 77138D
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 851 E WESTPOINT DR #B-10, WASILLA, AK 99654

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
IsaMia Trust Secretary
Jeffrey Weiss Director
IsaMia Trust President
IsaMia Trust Treasurer
IsaMia Trust Shareholder
JEFFREY WEISS Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
VALLEY DERMATOLOGY CENTER 401(K) PROFIT SHARING PLAN 2023 200001682 2024-09-23 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2024-09-23
Name of individual signing JEFFREY WEISS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-23
Name of individual signing JEFFREY WEISS
Valid signature Filed with authorized/valid electronic signature
VALLEY DERMATOLOGY CENTER 401(K) PROFIT SHARING PLAN 2023 200001682 2024-09-23 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2024-09-23
Name of individual signing JEFFREY WEISS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-23
Name of individual signing JEFFREY WEISS
Valid signature Filed with authorized/valid electronic signature
VALLEY DERMATOLOGY CENTER CASH BALANCE PLAN 2023 200001682 2024-09-25 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654
VALLEY DERMATOLOGY CENTER CASH BALANCE PLAN 2023 200001682 2024-06-05 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654
VALLEY DERMATOLOGY CENTER CASH BALANCE PLAN 2022 200001682 2023-09-27 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654
VALLEY DERMATOLOGY CENTER 401(K) PROFIT SHARING PLAN 2022 200001682 2023-09-22 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing JEFFREY M WEISS
Role Employer/plan sponsor
Date 2023-09-22
Name of individual signing JEFFREY M WEISS
VALLEY DERMATOLOGY CENTER 401(K) PROFIT SHARING PLAN 2021 200001682 2022-10-13 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing JEFFREY WEISS, DO
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing JEFFREY WEISS, DO
VALLEY DERMATOLOGY CENTER CASH BALANCE PLAN 2021 200001682 2022-06-09 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654
VALLEY DERMATOLOGY CENTER 401(K) PROFIT SHARING PLAN 2020 200001682 2021-09-22 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing JEFFREY WEISS
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing JEFFREY WEISS
VALLEY DERMATOLOGY CENTER CASH BALANCE PLAN 2020 200001682 2021-08-10 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Sponsor VALLEY DERMATOLOGY CENTER, INC.
Business code 621111
Sponsor’s telephone number 9073572800
Plan sponsor’s address 851 E. WESTPOINT DR., WASILLA, AK, 99654

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 291762 Active 2002-10-25 2022-10-12 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Telemedicine Business Registry 159901 Active 2020-03-30 - - -
Telemedicine Business Registry 170042 Active 2021-04-13 - - -

Date of last update: 11 Jan 2025

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

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