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BODY IN BALANCE PHYSICAL THERAPY, INC

Contents

Company Details

Name: BODY IN BALANCE PHYSICAL THERAPY, INC
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 25 Jun 2004 (21 years ago)
Entity Number: 87473D
ZIP code: 99645
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 642 SOUTH ALASKA STREET SUITE 209, PALMER, AK 99645
Mailing Address: 642 S. ALASKA ST. STE 209, AK, AK 99645

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621340 OFFICES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, AND AUDIOLOGISTS

Officers

Name Role
Anne Thomas M Thomas Vice President
Anne Thomas M Thomas Director
Anne Thomas M Thomas President
Anne Thomas M Thomas Secretary
Anne Thomas M Thomas Shareholder
Anne Thomas M Thomas Treasurer
Anne Thomas Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
BODY IN BALANCE SAFE HARBOR 401K PLAN 2016 141910179 2017-12-26 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Signature of

Role Plan administrator
Date 2017-12-26
Name of individual signing ANNE THOMAS
BODY IN BALANCE SAFE HARBOR 401(K) PLAN 2016 141910179 2017-06-13 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Signature of

Role Plan administrator
Date 2017-06-13
Name of individual signing ANNE THOMAS
BODY IN BALANCE SAFE HARBOR 401(K) PLAN 2015 141910179 2016-07-28 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN 141910179
Plan administrator’s name BODY IN BALANCE PHYSICAL THERAPY, INC.
Plan administrator’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645
Administrator’s telephone number 9077460722

Signature of

Role Plan administrator
Date 2016-07-28
Name of individual signing ANNE THOMAS
BODY IN BALANCE SAFE HARBOR 401(K) PLAN 2014 141910179 2015-10-15 4
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN 141910179
Plan administrator’s name BODY IN BALANCE PHYSICAL THERAPY, INC.
Plan administrator’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645
Administrator’s telephone number 9077460722

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing ANNE THOMAS
BODY IN BALANCE SAFE HARBOR 401(K) PLAN 2013 141910179 2014-10-15 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN 141910179
Plan administrator’s name BODY IN BALANCE PHYSICAL THERAPY, INC.
Plan administrator’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645
Administrator’s telephone number 9077460722

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing ANNE THOMAS
BODY IN BALANCE SAFE HARBOR 401(K) PLAN 2012 141910179 2013-10-14 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN 141910179
Plan administrator’s name BODY IN BALANCE PHYSICAL THERAPY, INC.
Plan administrator’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645
Administrator’s telephone number 9077460722

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing ANNE THOMAS
BODY IN BALANCE SAFE HARBOR 401(K) PLAN 2011 141910179 2012-10-13 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN 141910179
Plan administrator’s name BODY IN BALANCE PHYSICAL THERAPY, INC.
Plan administrator’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645
Administrator’s telephone number 9077460722

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing ANNE MCNEELY THOMAS
BODY IN BALANCE SAFE HARBOR 401K PLAN 2010 141910179 2011-07-21 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN 141910179
Plan administrator’s name BODY IN BALANCE PHYSICAL THERAPY, INC.
Plan administrator’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645
Administrator’s telephone number 9077460722

Signature of

Role Plan administrator
Date 2011-07-21
Name of individual signing ANNE THOMAS
BODY IN BALANCE SAFE HARBOR 401K PLAN 2009 141910179 2010-10-08 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Sponsor BODY IN BALANCE PHYSICAL THERAPY, INC.
Business code 621340
Sponsor’s telephone number 9077460722
Plan sponsor’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645

Plan administrator’s name and address

Administrator’s EIN 141910179
Plan administrator’s name BODY IN BALANCE PHYSICAL THERAPY, INC.
Plan administrator’s address 642 S. ALASKA STREET, STE. 209, PALMER, AK, 99645
Administrator’s telephone number 9077460722

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing GARY MILLER

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 432077 Active 2004-06-10 2022-12-16 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621340 - OFFICES OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, AND AUDIOLOGISTS

Date of last update: 10 Jan 2025

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