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  5. HILLSIDE FAMILY MEDICINE, LLC

HILLSIDE FAMILY MEDICINE, LLC

Contents

Company Details

Name: HILLSIDE FAMILY MEDICINE, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 08 Oct 2004 (20 years ago)
Entity Number: 88931D
ZIP code: 99507
County: Anchorage
Place of Formation: ALASKA
Address: 9220 LAKE OTIS PARKWAY #9, ANCHORAGE, AK 99507

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
JOHN M. NOTLE Manager
JOHN M. NOTLE Member
MIRIAM R. NOLTE Manager
MIRIAM R. NOLTE Member
Julie Marie Stewart Member
Melissa Rochelle Holta Member
MB SERVICES, INC. Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
HFM 401K PS PLAN 2023 201883589 2024-08-07 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507
HFM 401K PS PLAN 2022 201883589 2023-07-21 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507
HFM 401K PS PLAN 2021 201883589 2022-09-26 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507
HFM 401K PS PLAN 2020 201883589 2021-10-13 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507
HFM 401K PS PLAN 2019 201883589 2020-10-08 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507
HFM 401K PS PLAN 2018 201883589 2019-06-14 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507
HFM 401K PS PLAN 2017 201883589 2018-04-10 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507
HFM 401K PS PLAN 2016 201883589 2017-07-03 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507

Signature of
Role Plan administrator
Date 2017-07-03
Name of individual signing JOHN M. NOLTE, M.D.
HILLSIDE FAMILY MEDICINE LLC PROFIT SHARING PLAN 2015 201883589 2016-05-17 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507

Signature of
Role Plan administrator
Date 2016-05-17
Name of individual signing JOHN M. NOLTE, M.D.
HILLSIDE FAMILY MEDICINE LLC PROFIT SHARING PLAN 2014 201883589 2015-06-07 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Sponsor HILLSIDE FAMILY MEDICINE LLC
Business code 621111
Sponsor’s telephone number 9073440200
Plan sponsor’s address 9220 LAKE OTIS PARKWAY, STE. 9, ANCHORAGE, AK, 99507

Signature of
Role Plan administrator
Date 2015-06-07
Name of individual signing JOHN M. NOLTE, M.D.

Business Licenses

License Number Type Status Issue Date Date of renewal Expiration date Description
309063 Business License Active 2005-01-24 2023-11-28 2025-12-31 LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Professional Licenses

License Number Program Type Status Issue Date Effective Date Expiration Date
159513 Telemedicine Business Registry Telemedicine Business Registry Active 2020-03-25 2020-03-25 -

Court View Cases

Title Date Case Type Status Open
3AN-09-07040CI Albright, Stacie et al vs. Hillside Family Medicine LLC et al MR 2009-05-06 Civil Superior Ct (3AN) Closed Open Case Link

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345650972 1050210 2021-11-22 9220 LAKE OTIS PARKWAY SUITE 9, ANCHORAGE, AK, 99507
Inspection Type Complaint
Scope Complete
Safety/Health Health
Close Conference 2022-02-16
Case Closed 2022-03-07

Date of last update: 23 Jan 2025

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

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