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Alaska Brain Center, LLC

Contents

Company Details

Name: Alaska Brain Center, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 19 Jul 2004 (21 years ago)
Entity Number: 87788D
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 4551 E BOGARD RD, -, WASILLA, AK 99654
Mailing Address: 4551 EAST BOGARD ROAD, WASILLA, AK 99654
Supporting healthcare providers fighting with COVID-19: $22,239

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Jeffrey Sponsler Member
JEFFREY SPONSLER Registered Agent

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7HM43 Obsolete Non-Manufacturer 2015-11-27 2021-11-25 2021-11-24 -

Contact Information

POC JEFFREY SPONSLER
Phone +1 907-373-6500
Address 4551 BOGARD RD, WASILLA, AK, 99654 6075, UNITED STATES

Ownership of Offeror Information

Highest Level Owner -
Immediate Level Owner -
List of Offerors (0) -

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALASKA BRAIN CENTER 401(K) PLAN 2022 571208446 2023-10-16 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Sponsor ALASKA BRAIN CENTER, LLC
Business code 621111
Sponsor’s telephone number 9073736500
Plan sponsor’s address 4551 E BOGARD RD, WASILLA, AK, 99654

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing CHARLOTTE M. NELSON

Business Licenses

License Number Type Status Issue Date Date of renewal Expiration date Description
949767 Business License Active 2010-10-21 2023-10-24 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345163919 1050210 2021-02-24 4551 EAST BOGARD ROAD, WASILLA, AK, 99654
Inspection Type Complaint
Scope Partial
Safety/Health Health
Close Conference 2021-02-24

Related Activity

Type Complaint
Activity Nr 1727351
Health Yes
Type Complaint
Activity Nr 1737656
Health Yes

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited AS 18.60.075(A)(4)
Issuance Date 2021-07-27
Abatement Due Date 2021-08-20
Current Penalty 5461.0
Initial Penalty 5461.0
Contest Date 2023-11-27
Nr Instances 1
Nr Exposed 18
Related Event Code (REC) Complaint
Gravity 10
FTA Current Penalty 0.0
344905120 1050210 2020-08-20 4551 EAST BOGARD ROAD, WASILLA, AK, 99654
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2020-08-26
Emphasis P: HEALTHCARE, S: HEALTHCARE

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19101030 C01 I
Issuance Date 2021-02-03
Abatement Due Date 2021-03-19
Current Penalty 1928.0
Initial Penalty 3856.0
Final Order 2021-03-02
Nr Instances 1
Nr Exposed 16
Gravity 5
FTA Current Penalty 0.0
Citation ID 01001B
Citaton Type Other
Standard Cited 19101030 G02 I
Issuance Date 2021-02-03
Abatement Due Date 2021-03-19
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-03-02
Nr Instances 2
Nr Exposed 16
Gravity 5
FTA Current Penalty 0.0
Citation ID 01001C
Citaton Type Other
Standard Cited 19101030 H01
Issuance Date 2021-02-03
Abatement Due Date 2021-03-19
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-03-02
Nr Instances 2
Nr Exposed 16
Gravity 5
FTA Current Penalty 0.0
Citation ID 01002A
Citaton Type Serious
Standard Cited 19101200 E01
Issuance Date 2021-02-03
Abatement Due Date 2021-03-19
Current Penalty 1928.0
Initial Penalty 3856.0
Final Order 2021-03-02
Nr Instances 1
Nr Exposed 16
Gravity 5
FTA Current Penalty 0.0
Citation ID 01002B
Citaton Type Other
Standard Cited 19101200 F06
Issuance Date 2021-02-03
Abatement Due Date 2021-03-19
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-03-02
Nr Instances 2
Nr Exposed 16
Gravity 5
FTA Current Penalty 0.0
Citation ID 01002C
Citaton Type Other
Standard Cited 19101200 H01
Issuance Date 2021-02-03
Abatement Due Date 2021-03-19
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-03-02
Nr Instances 2
Nr Exposed 16
Gravity 5
FTA Current Penalty 0.0
Citation ID 02001
Citaton Type Other
Standard Cited 19100037 B05
Issuance Date 2021-02-03
Abatement Due Date 2021-03-19
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2021-03-02
Nr Instances 1
Nr Exposed 16
FTA Current Penalty 0.0

Date of last update: 26 Jan 2025

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