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  5. CARY S. KELLER, M.D., P.C.

CARY S. KELLER, M.D., P.C.

Contents

  • 1. Company Details
  • 2. Activities (0)
  • 3. Officers (5)
  • 4. Branches (0)
  • 5. Unique Entity ID (0)
  • 6. CIK Data (0)
  • 7. CAGE Data (0)
  • 8. LEI Data (0)
  • 9. Form 5500 (10)
  • 10. Business Licenses (0)
  • 11. Professional Licenses (0)
  • 12. Property Fairbanks (0)
  • 13. Property Ketchikan (0)
  • 14. Department of Natural Resources Records (0)
  • 15. Court Cases (0)
  • 16. Court Cases Opinions (0)
  • 17. Court View Cases (0)
  • 18. USAspending Awards (0)
  • 19. Trademarks (0)
  • 20. Lobbyist Registrations (0)
  • 21. Election Contributions (0)
  • 22. Inspections (0)
  • 23. OSHA's Inspections within Industry (0)
  • 24. Tax Exempt (0)
  • 25. Paycheck Protection Program (0)
  • 26. U.S. Small Business Administration Profile (0)
  • 27. Reviews (0)
  • 28. Related Companies by Officers (2)
  • 29. Related Companies by Addresses (0)

Company Details

Name: CARY S. KELLER, M.D., P.C.
Jurisdiction: Alaska
Legal type: Professional Corporation
Status: Voluntarily Dissolved
Date of registration: 14 Oct 1986 (38 years ago)
Entity Number: 39024D
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Mailing Address: 1919 LATHROP ST., STE 105, FAIRBANKS, AK 99701

Officers

Name Role Shares
CARY KELLER Registered Agent -
CARY KELLER Director, President, Secretary, Shareholder, Treasurer, Vice President 100.00
Cary S Keller Previous Treasurer, Previous Director, Previous Secretary, Previous Vice President, Previous President 100.00
CARY S KELLER Previous Registered Agent -
Rebecca Dean Previous Assistant Secretary, Previous Assistant Treasurer -

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2017 920117082 2018-09-26 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 1919 LATHROP STREET SUITE 105, FAIRBANKS, AK, 99701
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2017 920117082 2018-07-19 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 1919 LATHROP STREET SUITE 105, FAIRBANKS, AK, 99701
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2016 920117082 2017-07-11 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 1919 LATHROP STREET SUITE 105, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2015 920117082 2016-07-06 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 1919 LATHROP STREET SUITE 105, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2014 920117082 2015-06-16 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 1919 LATHROP STREET SUITE 105, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2013 920117082 2014-06-25 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 1919 LATHROP STREET SUITE 105, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2012 920117082 2013-07-16 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 1919 LATHROP STREET SUITE 105, FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2011 920117082 2012-07-25 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 751 OLD RICHARDSON HIGHWAY STE 200, FAIRBANKS, AK, 99701

Plan administrator’s name and address
Administrator’s EIN 920117082
Plan administrator’s name CARY S. KELLER, M.D., P.C.
Plan administrator’s address 751 OLD RICHARDSON HIGHWAY STE 200, FAIRBANKS, AK, 99701
Administrator’s telephone number 9074516561

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2010 920117082 2011-07-21 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 751 OLD RICHARDSON HIGHWAY STE 200, FAIRBANKS, AK, 99701

Plan administrator’s name and address
Administrator’s EIN 920117082
Plan administrator’s name CARY S. KELLER, M.D., P.C.
Plan administrator’s address 751 OLD RICHARDSON HIGHWAY STE 200, FAIRBANKS, AK, 99701
Administrator’s telephone number 9074516561

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
SPORTSMEDICINE FAIRBANKS 401(K) PLAN 2009 920117082 2010-07-22 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Sponsor CARY S. KELLER, M.D., P.C.
Business code 621340
Sponsor’s telephone number 9074516561
Plan sponsor’s DBA name SPORTSMEDICINE FAIRBANKS
Plan sponsor’s address 751 OLD RICHARDSON HIGHWAY STE 200, FAIRBANKS, AK, 99701

Plan administrator’s name and address
Administrator’s EIN 920117082
Plan administrator’s name CARY S. KELLER, M.D., P.C.
Plan administrator’s address 751 OLD RICHARDSON HIGHWAY STE 200, FAIRBANKS, AK, 99701
Administrator’s telephone number 9074516561

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-22
Name of individual signing REBECCA S. DEAN
Valid signature Filed with authorized/valid electronic signature

Date of last update: 08 Feb 2025

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

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