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  5. GRAYLING MEDICAL GROUP, LLC

GRAYLING MEDICAL GROUP, LLC

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 (8)
  • 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 (2)
  • 26. U.S. Small Business Administration Profile (0)
  • 27. CFPB Complaint (0)
  • 28. Mines (0)
  • 29. Motor Carrier Census (0)
  • 30. Reviews (0)
  • 31. Related Companies by Officers (9)
  • 32. Related Companies by Addresses (0)

Company Details

Name: GRAYLING MEDICAL GROUP, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Voluntarily Dissolved
Date of registration: 26 May 2011 (14 years ago)
Entity Number: 135445
ZIP code: 99669
County: Kenai Peninsula
Place of Formation: ALASKA
Mailing Address: P.O. BOX 2509, SOLDOTNA, AK 99669
Address: 240 HOSPITAL PL STE 103, SOLDOTNA, AK 99669

Officers

Name Role Shares
Steven Craig Humphreys Registered Agent -
Charles Portera Previous Member 25.00
John Andreshak Member 41.80
Steven Craig Humphreys Previous Organizer -
Steven Humphreys Member 58.20

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
KENAI SPINE, LLC 401(K) PROFIT SHARING PLAN 2023 452444810 2024-10-13 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor GRAYLING MEDICAL GROUP, LLC
Business code 621111
Sponsor’s telephone number 9077143112
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 103, PO BOX 2509, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2024-10-13
Name of individual signing ANNA DONHAM
Valid signature Filed with authorized/valid electronic signature
KENAI SPINE, LLC 401(K) PROFIT SHARING PLAN 2022 452444810 2023-10-14 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor GRAYLING MEDICAL GROUP, LLC
Business code 621111
Sponsor’s telephone number 9077143112
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 103, PO BOX 2509, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2023-10-14
Name of individual signing ANNA DONHAM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-14
Name of individual signing ANNA DONHAM
Valid signature Filed with authorized/valid electronic signature
KENAI SPINE, LLC 401(K) PROFIT SHARING PLAN 2021 452444810 2022-07-28 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor GRAYLING MEDICAL GROUP, LLC
Business code 621111
Sponsor’s telephone number 9077143112
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 103, PO BOX 2509, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2022-06-23
Name of individual signing ANNA DONHAM
Valid signature Filed with authorized/valid electronic signature
KENAI SPINE, LLC 401(K) PROFIT SHARING PLAN 2020 452444810 2021-05-17 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor GRAYLING MEDICAL GROUP, LLC
Business code 621111
Sponsor’s telephone number 9077143112
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 103, PO BOX 2509, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2021-05-17
Name of individual signing ANNA DONHAM
Valid signature Filed with authorized/valid electronic signature
GRAYLING MEDICAL GROUP, LLC CASH BALANCE PLAN 2020 452444810 2021-10-12 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Sponsor GRAYLING MEDICAL GROUP, LLC
Business code 621111
Sponsor’s telephone number 9077143113
Plan sponsor’s address 108 EAST CORRAL AVENUE, SOLDOTNA, AK, 99669
GRAYLING MEDICAL GROUP, LLC CASH BALANCE PLAN 2019 452444810 2020-10-15 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Sponsor GRAYLING MEDICAL GROUP, LLC
Business code 621111
Sponsor’s telephone number 9077143113
Plan sponsor’s address 108 EAST CORRAL AVENUE, SOLDOTNA, AK, 99669
KENAI SPINE, LLC 401(K) PROFIT SHARING PLAN 2019 452444810 2020-06-23 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor GRAYLING MEDICAL GROUP, LLC
Business code 621111
Sponsor’s telephone number 9077143112
Plan sponsor’s address 240 HOSPITAL PLACE, SUITE 103, SOLDOTNA, AK, 99669

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing ANNA DONHAM
Valid signature Filed with authorized/valid electronic signature
GRAYLING MEDICAL GROUP, LLC CASH BALANCE PLAN 2018 452444810 2019-10-15 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Sponsor GRAYLING MEDICAL GROUP, LLC
Business code 621111
Sponsor’s telephone number 9077143113
Plan sponsor’s address 108 EAST CORRAL AVENUE, SOLDOTNA, AK, 99669

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3928218300 2021-01-22 1084 PPS 240 Hospital Pl Ste 103, Soldotna, AK, 99669-7559
Loan Status Date 2022-04-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 248295
Loan Approval Amount (current) 248295
Undisbursed Amount 0
Franchise Name -
Lender Location ID 3386
Servicing Lender Name First National Bank Alaska
Servicing Lender Address 101 W 36th Ave, ANCHORAGE, AK, 99503-5904
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Soldotna, KENAI PENINSULA, AK, 99669-7559
Project Congressional District AK-
Number of Employees 11
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 3386
Originating Lender Name First National Bank Alaska
Originating Lender Address ANCHORAGE, AK
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 251070.46
Forgiveness Paid Date 2022-03-21
9424047000 2020-04-09 1084 PPP 240 HOSPITAL PLACE SUITE 103, SOLDOTNA, AK, 99669-7559
Loan Status Date 2020-12-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 225158.6
Loan Approval Amount (current) 225158.6
Undisbursed Amount 0
Franchise Name -
Lender Location ID 3386
Servicing Lender Name First National Bank Alaska
Servicing Lender Address 101 W 36th Ave, ANCHORAGE, AK, 99503-5904
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address SOLDOTNA, KENAI PENINSULA, AK, 99669-7559
Project Congressional District AK-
Number of Employees 13
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 3386
Originating Lender Name First National Bank Alaska
Originating Lender Address ANCHORAGE, AK
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 226540.4
Forgiveness Paid Date 2020-11-30

Date of last update: 14 Feb 2025

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

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