| Name: | ANCHORAGE PEDIATRIC GROUP LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 28 Dec 1998 (26 years ago) |
| Entity Number: | 65652D |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 3340 PROVIDENCE DR STE A500, ANCHORAGE, AK 99508 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role | Shares |
|---|---|---|
| WILLOW MONTERROSA | Member | 33.34 |
| JOHN HEIMERL | Member | 33.33 |
| WILLOW MONTERROSA | Registered Agent | - |
| JODI ELLIOTT | Member | 33.33 |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANCHORAGE PEDIATRIC GROUP PROFIT SHARING PLAN AND TRUST | 2012 | 920022544 | 2013-06-18 | 54 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 920022544 |
| Plan administrator’s name | ANCHORAGE PEDIATRIC GROUP, LLC |
| Plan administrator’s address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
| Administrator’s telephone number | 9072223555 |
Number of participants as of the end of the plan year
| Active participants | 40 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 9 |
| 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 | 48 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-18 |
| Name of individual signing | BRICE ALEXANDER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-06-18 |
| Name of individual signing | BRICE ALEXANDER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1996-01-01 |
| Sponsor | ANCHORAGE PEDIATRIC GROUP, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9075622423 |
| Plan sponsor’s mailing address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
| Plan sponsor’s address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
Plan administrator’s name and address
| Administrator’s EIN | 920022544 |
| Plan administrator’s name | ANCHORAGE PEDIATRIC GROUP, LLC |
| Plan administrator’s address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
| Administrator’s telephone number | 9075622423 |
Number of participants as of the end of the plan year
| Active participants | 45 |
| 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 | 38 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 3 |
Signature of
| Role | Plan administrator |
| Date | 2012-05-22 |
| Name of individual signing | CHARLES RYAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1996-01-01 |
| Sponsor | ANCHORAGE PEDIATRIC GROUP, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9075622423 |
| Plan sponsor’s mailing address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
| Plan sponsor’s address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
Plan administrator’s name and address
| Administrator’s EIN | 920022544 |
| Plan administrator’s name | ANCHORAGE PEDIATRIC GROUP, LLC |
| Plan administrator’s address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
| Administrator’s telephone number | 9075622423 |
Number of participants as of the end of the plan year
| Active participants | 45 |
| 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 with account balances as of the end of the plan year | 39 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-05 |
| Name of individual signing | CHARLES RYAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1996-01-01 |
| Sponsor | ANCHORAGE PEDIATRIC GROUP, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9072223555 |
| Plan sponsor’s mailing address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
| Plan sponsor’s address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
Plan administrator’s name and address
| Administrator’s EIN | 920022544 |
| Plan administrator’s name | ANCHORAGE PEDIATRIC GROUP, LLC |
| Plan administrator’s address | 3340 PROVIDENCE DR. STE. 500, ANCHORAGE, AK, 99508 |
| Administrator’s telephone number | 9072223555 |
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 | 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 | 36 |
| 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 | 2010-08-02 |
| Name of individual signing | CHARLES RYAN MD |
| Valid signature | Filed with authorized/valid electronic signature |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 196526 | Business License | Active | - | 2024-12-03 | 2026-12-31 | 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 |
|---|---|---|---|---|---|---|
| 159165 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-20 | 2020-03-20 | - |
| Document Number | Date | Status | Index | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-002421-0 | 2025-02-12 | No data | LI - LIENS | |||||||||||||||||||||||||||||||
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| Name | SPENARD BUILDERS SUPPLY LLC |
| Role | Grantor |
| Name | DIRTWORKS, INC. |
| Role | Grantee |
| Name | JOHNSON JAYLEE D |
| Role | Grantee |
| District | 311 - Palmer |
| Description | DEED OF TRUST |
| View File | Download |
Parties
| Name | GRAVLEY HOLLAN OLAF |
| Role | Grantor |
| Name | Canopy Mortgage, LLC |
| Role | Grantee |
| District | 301 - Anchorage |
| Description | GENERAL WARRANTY DEED |
| View File | Download |
Parties
| Name | CLAPPER ENTERPRISES, INC. |
| Role | Grantor |
| Name | Zontanos Properties, LLC |
| Role | Grantee |
| District | 102 - Ketchikan |
| Description | WARRANTY DEED |
| View File | Download |
Parties
| Name | TALBOTS INC |
| Role | Grantor |
| Name | Newtown Wharf LLC |
| Role | Grantee |
| District | 500 - UCC Central |
| Description | FINANCING STATEMENT |
| View File | Download |
Parties
| Name | SNAP-ON CREDIT LLC |
| Role | Secured |
| Name | Rock Solid Pile Company LLC |
| Role | Debtor |
| District | 301 - Anchorage |
| Description | 2521552 DOT PDF |
| View File | Download |
Parties
| Name | ZERDA DILLON |
| Role | Grantor |
| Name | Raven Mortgage, LLC |
| Role | Grantee |
| District | 500 - UCC Central |
| Description | FINANCING STATEMENT |
| View File | Download |
Parties
| Name | Axiom Exploration Group LLC |
| Role | Debtor |
| Name | BDC CAPITAL INC |
| Role | Secured |
| District | 302 - Kenai |
| Description | ALASKA LAND BARONS LLC - QUITCLAIM DEED |
| View File | Download |
Parties
| Name | Alaska Land Barons, LLC |
| Role | Grantor |
| Name | MatMar Media LLC |
| Role | Grantee |
| District | 102 - Ketchikan |
| Description | DEED OF TRUST |
| View File | Download |
Parties
| Name | Newtown Wharf LLC |
| Role | Grantor |
| Name | FIRST NATIONAL BANK ALASKA |
| Role | Grantee |
| Name | ALASKA ESCROW AND TITLE INSURANCE AGENCY, INC. |
| Role | Grantee |
| District | 500 - UCC Central |
| Description | FINANCING STATEMENT |
| View File | Download |
Parties
| Name | Newtown Wharf LLC |
| Role | Debtor |
| Name | FIRST NATIONAL BANK ALASKA |
| Role | Secured |
| District | 401 - Fairbanks |
| Description | 02 11 CO25-0021 |
| View File | Download |
Parties
| Name | TALVI RYAN C |
| Role | Grantor |
| Name | Talvi Homeplace, LLC |
| Role | Grantee |
| District | 311 - Palmer |
| Description | REL OF HOSPITAL LIEN |
| View File | Download |
Parties
| Name | Professional Account Services, Inc. |
| Role | Grantor |
| Name | MAT-SU REGIONAL MEDICAL CENTER |
| Role | Grantor |
| Name | BOWER KELLI |
| Role | Grantee |
| Name | NATIONAL INTERSTATE IN |
| Role | Grantee |
| District | 311 - Palmer |
| Description | REL OF HOSPITAL LIEN |
| View File | Download |
Parties
| Name | Professional Account Services, Inc. |
| Role | Grantor |
| Name | MAT-SU REGIONAL MEDICAL CENTER |
| Role | Grantor |
| Name | BODOLOSKY HANNAH |
| Role | Grantee |
| Name | USAA |
| Role | Grantee |
| District | 311 - Palmer |
| Description | REL OF HOSPITAL LIEN |
| View File | Download |
Parties
| Name | Professional Account Services, Inc. |
| Role | Grantor |
| Name | MAT-SU REGIONAL MEDICAL CENTER |
| Role | Grantor |
| Name | GOEDICKE AYDEN |
| Role | Grantee |
| Name | USAA INSURANCE |
| Role | Grantee |
| District | 302 - Kenai |
| Description | DOCUMENT 1 |
| View File | Download |
Parties
| Name | CAROLEE N ARMFIELD A SINGLE PERSON |
| Role | Grantor |
| Name | Girdwood Properties, LLC |
| Role | Grantee |
| District | 311 - Palmer |
| Description | REL OF HOSPITAL LIEN |
| View File | Download |
Parties
| Name | MAT-SU REGIONAL MEDICAL CENTER |
| Role | Grantor |
| Name | Professional Account Services, Inc. |
| Role | Grantor |
| Name | WARD ADAM |
| Role | Grantee |
| Name | STATE FARM INSURANCE |
| Role | Grantee |
| District | 311 - Palmer |
| Description | REL OF HOSPITAL LIEN |
| View File | Download |
Parties
| Name | MAT-SU REGIONAL MEDICAL CENTER |
| Role | Grantor |
| Name | Professional Account Services, Inc. |
| Role | Grantor |
| Name | PROVO ARIA |
| Role | Grantee |
| Name | PROGRESSIVE INC. |
| Role | Grantee |
| District | 311 - Palmer |
| Description | REL OF HOSPITAL LIEN |
| View File | Download |
Parties
| Name | Professional Account Services, Inc. |
| Role | Grantor |
| Name | MAT-SU REGIONAL MEDICAL CENTER |
| Role | Grantor |
| Name | PLUMB SHELLEY |
| Role | Grantee |
| Name | ALLSTATE INSURANCE |
| Role | Grantee |
| District | 311 - Palmer |
| Description | REL OF HOSPITAL LIEN |
| View File | Download |
Parties
| Name | MAT-SU REGIONAL MEDICAL CENTER |
| Role | Grantor |
| Name | Professional Account Services, Inc. |
| Role | Grantor |
| Name | VALVERDE KYAH |
| Role | Grantee |
| Name | STATE FARM INSURANCE |
| Role | Grantee |
| District | 311 - Palmer |
| Description | REL OF HOSPITAL LIEN |
| View File | Download |
Parties
| Name | MAT-SU REGIONAL MEDICAL CENTER |
| Role | Grantor |
| Name | Professional Account Services, Inc. |
| Role | Grantor |
| Name | MULLEN LEEANNE |
| Role | Grantee |
| Name | STATE FARM INSURANCE |
| Role | Grantee |
| Title | Date | Case Type | Status | Open |
|---|---|---|---|---|
| 3AN-04-06054CI Anchorage Pediatric Group vs. Haas, Linda A SG | 2004-04-12 | Civil Superior Ct (3AN) | Closed | Open Case Link |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7485787004 | 2020-04-07 | 1084 | PPP | 3340 Providence Dr #A500, ANCHORAGE, AK, 99508-4616 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Feb 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
