| Name: | Legacy Health Clinic, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 31 Aug 2015 (9 years ago) |
| Entity Number: | 10031822 |
| ZIP code: | 99901 |
| County: | Ketchikan Gateway |
| Place of Formation: | ALASKA |
| Address: | 3524 TONGASS AVENUE, KETCHIKAN, AK 99901 |
| Supporting healthcare providers fighting with COVID-19: | $39,207 |
Line of Business
62 Health Care and Social AssistanceNAICS
621399 OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS| Name | Role |
|---|---|
| Jessica Pilcher | Member |
| Helen Klein | Member |
| AA Northwest Registered Agent, Inc. | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEGACY HEALTH CLINIC 401(K) PLAN | 2023 | 474942987 | 2024-08-29 | 6 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-08-29 |
| Name of individual signing | JESSICA PILCHER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Sponsor | LEGACY HEALTH CLINIC, LLC |
| Business code | 621399 |
| Sponsor’s telephone number | 9072256355 |
| Plan sponsor’s address | 3524 TONGASS AVENUE, KETCHIKAN, AK, 99901 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-15 |
| Name of individual signing | JESSICA PILCHER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Sponsor | LEGACY HEALTH CLINIC, LLC |
| Business code | 621399 |
| Sponsor’s telephone number | 9072256355 |
| Plan sponsor’s address | 3524 TONGASS AVENUE, KETCHIKAN, AK, 99901 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-01 |
| Name of individual signing | HELEN KLEIN |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1026024 | Business License | Active | 2015-09-04 | 2024-12-05 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621399 - OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 158783 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-13 | 2020-03-13 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
