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  5. DENTAL ARTS HOLDINGS LLC

DENTAL ARTS HOLDINGS LLC

Contents

Company Details

Name: DENTAL ARTS HOLDINGS LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 01 Apr 2004 (21 years ago)
Entity Number: 85968D
ZIP code: 99503
County: Anchorage
Place of Formation: ALASKA
Address: 2600 CORDOVA STREET SUITE 200, ANCHORAGE, AK 99503

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621210 OFFICES OF DENTISTS

Officers

Name Role
KBM MANAGEMENT, INC. Member
KBM MANAGEMENT, INC. Manager
Robert Morehead Manager
Vellum Registered Agent Inc. Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN 2013 364548184 2014-10-17 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Number of participants as of the end of the plan year
Active participants 15
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 22
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2
ANCHORAGE DENTAL ARTS, LLC DEFINED BENEFIT PENSION PLAN 2013 364548184 2014-10-13 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Number of participants as of the end of the plan year
Active participants 9
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN 2013 364548184 2014-10-13 22
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Number of participants as of the end of the plan year
Active participants 15
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 23
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN 2012 364548184 2013-10-10 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Number of participants as of the end of the plan year
Active participants 22
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 25
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
ANCHORAGE DENTAL ARTS, LLC DEFINED BENEFIT PENSION PLAN 2012 364548184 2013-10-10 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
ANCHORAGE DENTAL ARTS, LLC DEFINED BENEFIT PENSION PLAN 2011 364548184 2012-10-12 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Plan administrator’s name and address
Administrator’s EIN 364548184
Plan administrator’s name ANCHORAGE DENTAL ARTS, LLC
Plan administrator’s address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Administrator’s telephone number 9072761712

Number of participants as of the end of the plan year
Active participants 20
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN 2011 364548184 2012-10-09 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Plan administrator’s name and address
Administrator’s EIN 364548184
Plan administrator’s name ANCHORAGE DENTAL ARTS, LLC
Plan administrator’s address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Administrator’s telephone number 9072761712

Number of participants as of the end of the plan year
Active participants 32
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 33
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-09
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN 2010 364548184 2012-01-10 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Plan administrator’s name and address
Administrator’s EIN 364548184
Plan administrator’s name ANCHORAGE DENTAL ARTS, LLC
Plan administrator’s address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Administrator’s telephone number 9072761712

Number of participants as of the end of the plan year
Active participants 35
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 35
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-01-10
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-01-10
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
ANCHORAGE DENTAL ARTS, LLC PROFIT SHARING PLAN 2010 364548184 2011-10-17 26
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Plan administrator’s name and address
Administrator’s EIN 364548184
Plan administrator’s name ANCHORAGE DENTAL ARTS, LLC
Plan administrator’s address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Administrator’s telephone number 9072761712

Number of participants as of the end of the plan year
Active participants 35
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 35
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
ANCHORAGE DENTAL ARTS, LLC DEFINED BENEFIT PENSION PLAN 2010 364548184 2011-10-17 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Sponsor ANCHORAGE DENTAL ARTS, LLC
Business code 621210
Sponsor’s telephone number 9072761712
Plan sponsor’s mailing address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Plan sponsor’s address SUITE 200, 2600 CORDOVA STREET, ANCHORAGE, AK, 99503

Plan administrator’s name and address
Administrator’s EIN 364548184
Plan administrator’s name ANCHORAGE DENTAL ARTS, LLC
Plan administrator’s address 2600 CORDOVA ST., STE. 200, ANCHORAGE, AK, 99503
Administrator’s telephone number 9072761712

Number of participants as of the end of the plan year
Active participants 21
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing ROBERT W. MOREHEAD
Valid signature Filed with authorized/valid electronic signature

Business Licenses

License Number Type Status Issue Date Date of renewal Expiration date Description
431442 Business License Active 2004-04-02 2023-10-17 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS
2197861 Business License Active 2024-05-03 - 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS
2203850 Business License Active 2024-09-13 - 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS

Date of last update: 25 Jan 2025

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

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