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  5. Fuller Diagnostics, LLC

Fuller Diagnostics, LLC

Contents

Company Details

Name: Fuller Diagnostics, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 02 Dec 2005 (19 years ago)
Entity Number: 97527
ZIP code: 99503
County: Anchorage
Place of Formation: ALASKA
Address: 2600 DENALI STREET #450, ANCHORAGE, AK 99503

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621112 OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS

Officers

Name Role
RICHARD FULLER Member
Vellum Registered Agent Inc. Registered Agent
KRISTI FULLER Member

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
FULLER DIAGNOSTICS 401(K) PLAN 2023 203902391 2024-04-10 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2024-04-10
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401(K) PLAN 2022 203902391 2023-08-07 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2023-08-07
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401(K) PLAN 2021 203902391 2022-07-21 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401(K) PLAN 2020 203902391 2021-03-19 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2021-03-19
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401(K) PLAN 2019 203902391 2020-06-22 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401(K) PLAN 2018 203902391 2019-07-30 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401(K) PLAN 2017 203902391 2018-10-04 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401(K) PLAN 2016 203902391 2017-10-09 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401(K) PLAN 2015 203902391 2016-06-06 10
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2016-06-05
Name of individual signing KRISTI FULLER
FULLER DIAGNOSTICS 401K PLAN 2014 203902391 2015-06-04 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-03-01
Sponsor FULLER DIAGNOSTICS, LLC
Business code 621510
Sponsor’s telephone number 9075610552
Plan sponsor’s address 2600 DENALI STREET, STE 450, ANCHORAGE, AK, 99503

Signature of
Role Plan administrator
Date 2015-06-04
Name of individual signing KRISTI FULLER

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Business License 312739 Active 2005-12-20 2022-10-12 2024-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621112 - OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS

Date of last update: 10 Jan 2025

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

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