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  5. GENERAL FAMILY DENTISTRY, INC.

GENERAL FAMILY DENTISTRY, INC.

Contents

Company Details

Name: GENERAL FAMILY DENTISTRY, INC.
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 15 Dec 1999 (25 years ago)
Entity Number: 68305D
ZIP code: 99645
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 557 S ALASKA ST, PALMER, AK 99645
Supporting healthcare providers fighting with COVID-19: $16,464

Officers

Name Role
Monte Burtch Director
Monte Burtch Secretary
Monte Burtch Shareholder
Monte Burtch Treasurer
Monte Burtch President
Monte Burtch Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
GENERAL FAMILY DENTISTRY 401(K) PLAN 2021 920170092 2022-09-08 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor GENERAL FAMILY DENTISTRY, INC.
Business code 621210
Sponsor’s telephone number 9072323605
Plan sponsor’s address 557 SOUTH ALASKA STREET, PALMER, AK, 99645
GENERAL FAMILY DENTISTRY 401(K) PLAN 2020 920170092 2022-01-10 7
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor GENERAL FAMILY DENTISTRY, INC.
Business code 621210
Sponsor’s telephone number 9072323605
Plan sponsor’s address 557 SOUTH ALASKA STREET, PALMER, AK, 99645
GENERAL FAMILY DENTISTRY 401(K) PLAN 2020 920170092 2021-07-28 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor GENERAL FAMILY DENTISTRY, INC.
Business code 621210
Sponsor’s telephone number 9072323605
Plan sponsor’s address 557 SOUTH ALASKA STREET, PALMER, AK, 99645
GENERAL FAMILY DENTISTRY 401(K) PLAN 2019 920170092 2021-05-16 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Sponsor GENERAL FAMILY DENTISTRY, INC.
Business code 621210
Sponsor’s telephone number 9072323605
Plan sponsor’s address 557 SOUTH ALASKA STREET, PALMER, AK, 99645

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
344698493 1050210 2020-03-12 557 SOUTH ALASKA STREET, PALMER, AK, 99645
Inspection Type Planned
Scope Partial
Safety/Health Health
Close Conference 2020-03-12
Emphasis P: HEALTHCARE, S: HEALTHCARE
Case Closed 2020-09-11

Violation Items
Citation ID 01001A
Citaton Type Other
Standard Cited 19100037 A03
Issuance Date 2020-08-21
Current Penalty 0.0
Initial Penalty 1253.0
Final Order 2020-09-09
Nr Instances 1
Nr Exposed 4
FTA Current Penalty 0.0
Citation ID 01001B
Citaton Type Other
Standard Cited 19100037 B02
Issuance Date 2020-08-21
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-09-09
Nr Instances 2
Nr Exposed 4
FTA Current Penalty 0.0
Citation ID 01001C
Citaton Type Other
Standard Cited 19100037 B05
Issuance Date 2020-08-21
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-09-09
Nr Instances 4
Nr Exposed 4
FTA Current Penalty 0.0
Citation ID 01001D
Citaton Type Other
Standard Cited 19100157 C01
Issuance Date 2020-08-21
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-09-09
Nr Instances 1
Nr Exposed 4
FTA Current Penalty 0.0
Citation ID 01001E
Citaton Type Other
Standard Cited 19100157 E03
Issuance Date 2020-08-21
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-09-09
Nr Instances 2
Nr Exposed 4
FTA Current Penalty 0.0
Citation ID 01002
Citaton Type Serious
Standard Cited 19101030 D04 III A2III
Issuance Date 2020-08-21
Current Penalty 1000.0
Initial Penalty 2089.0
Final Order 2020-09-09
Nr Instances 1
Nr Exposed 2
Gravity 5
FTA Current Penalty 0.0
Citation ID 01003A
Citaton Type Serious
Standard Cited 19101030 G01 I A
Issuance Date 2020-08-21
Current Penalty 1000.0
Initial Penalty 2458.0
Final Order 2020-09-09
Nr Instances 1
Nr Exposed 4
Gravity 5
FTA Current Penalty 0.0
Citation ID 01003B
Citaton Type Other
Standard Cited 19101030 G01 I H
Issuance Date 2020-08-21
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-09-09
Nr Instances 5
Nr Exposed 4
FTA Current Penalty 0.0
Citation ID 01004
Citaton Type Serious
Standard Cited 19101200 G01
Issuance Date 2020-08-21
Current Penalty 500.0
Initial Penalty 1253.0
Final Order 2020-09-09
Nr Instances 3
Nr Exposed 4
Gravity 1
FTA Current Penalty 0.0
Citation ID 02001
Citaton Type Other
Standard Cited 19100305 J01 I
Issuance Date 2020-08-21
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-09-09
Nr Instances 1
Nr Exposed 2
FTA Current Penalty 0.0
Citation ID 02002
Citaton Type Other
Standard Cited 19101096 E01 I
Issuance Date 2020-08-21
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-09-09
Nr Instances 1
Nr Exposed 3
FTA Current Penalty 0.0

Date of last update: 24 Jan 2025

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

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