| Name: | OTTER DENTAL PC |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 18 Jul 2016 (9 years ago) |
| Entity Number: | 10040272 |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 1870 PEGER RD, FAIRBANKS, AK 99701 |
| Supporting healthcare providers fighting with COVID-19: | $36,405 |
Line of Business
62 Health Care and Social AssistanceNAICS
621210 OFFICES OF DENTISTS| Name | Role |
|---|---|
| ERICH OTT | Director |
| ERICH OTT | President |
| ERICH OTT | Secretary |
| ERICH OTT | Shareholder |
| ERICH OTT | Treasurer |
| ERICH OTT | Vice President |
| ERICH OTT | Registered Agent |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FT1UNW39RNH4 | 2024-07-09 | 1870 PEGER RD, FAIRBANKS, AK, 99709, USA | |||||||||||||||||||||||||||||||||||||||
|
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| URL | www.otterdental.com |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2023-07-12 |
| Initial Registration Date | 2023-07-10 |
| Entity Start Date | 2017-01-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | NICOLE OTT |
| Address | 1870 PEGER RD, FAIRBANKS, AK, 99709, 5256, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ERICH OTT |
| Address | 1870 PEGER RD, FAIRBANKS, AK, 99709, 5256, USA |
| Past Performance | - |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OTTER DENTAL PC 401(K) PLAN | 2023 | 813905789 | 2024-06-13 | 12 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 842925395 |
| Plan administrator’s name | 401GO, INC. |
| Plan administrator’s address | 8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number | 8012142125 |
Signature of
| Role | Plan administrator |
| Date | 2024-06-13 |
| Name of individual signing | FIDUCIARY ASSISTANCE |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-11-01 |
| Sponsor | OTTER DENTAL |
| Business code | 621210 |
| Sponsor’s telephone number | 9074527007 |
| Plan sponsor’s address | 1870 PEGER RD, FAIRBANKS, AK, 997095256 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-29 |
| Name of individual signing | ROBERT MOORE |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-11-01 |
| Sponsor | OTTER DENTAL |
| Business code | 621210 |
| Sponsor’s telephone number | 9074527007 |
| Plan sponsor’s address | 1870 PEGER RD, FAIRBANKS, AK, 997095256 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-28 |
| Name of individual signing | ROBERT MOORE |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1072086 | Business License | Active | 2018-05-04 | 2023-10-16 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621210 - OFFICES OF DENTISTS |
| Document Number | Date | Status | Index | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2020-004549-0 | 2020-03-20 | ACTIVE | FS - FINANCING STATEMENT | |||||||||||||||||||||||||
|
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| Name | OTTER DENTAL PC |
| Role | Debtor |
| Name | DENALI STATE BANK |
| Role | Secured |
| District | 500 - UCC Central |
| Description | AMENDMENT |
| View File | Download |
Parties
| Name | ERICH C OTT D M D P C |
| Role | Debtor |
| Name | OTTER DENTAL PC |
| Role | Debtor |
| Name | DENALI STATE BANK |
| Role | Secured |
Date of last update: 05 Feb 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
