| Name: | ANCHORAGE BARIATRICS, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 25 Feb 2016 (9 years ago) |
| Entity Number: | 10036176 |
| ZIP code: | 99503 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 3909 ARCTIC BLVD STE 101, ANCHORAGE, AK 99503 |
| Supporting healthcare providers fighting with COVID-19: | $5,844 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Justin Clark | Member |
| SEAN LEE | Member |
| JUSTIN CLARK | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANCHORAGE BARIATRICS 401(K) PLAN | 2023 | 811634305 | 2024-06-12 | 15 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-06-12 |
| Name of individual signing | JUSTIN JAMES CLARK |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Sponsor | ANCHORAGE BARIATRICS, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9076448446 |
| Plan sponsor’s address | 3909 ARCTIC BOULEVARD, SUITE 101, ANCHORAGE, AK, 99503 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-22 |
| Name of individual signing | JUSTIN JAMES CLARK |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Sponsor | ANCHORAGE BARIATRICS, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9076448446 |
| Plan sponsor’s address | 3909 ARCTIC BLVD., STE. 101, ANCHORAGE, AK, 99503 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-14 |
| Name of individual signing | JUSTIN JAMES CLARK |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Sponsor | ANCHORAGE BARIATRICS, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9076448446 |
| Plan sponsor’s address | 3909 ARCTIC BOULEVARD,, SUITE 101, ANCHORAGE, AK, 99503 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-08 |
| Name of individual signing | JUSTIN CLARK |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Sponsor | ANCHORAGE BARIATRICS, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9076448446 |
| Plan sponsor’s address | 3909 ARCTIC BOULEVARD, SUITE 101, ANCHORAGE, AK, 99503 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-26 |
| Name of individual signing | JUSTIN CLARK |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1033013 | Business License | Active | 2016-02-26 | 2023-10-16 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 159655 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-26 | 2020-03-26 | - |
Date of last update: 27 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
