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Professional Pharmacy, LLC

Contents

Company Details

Name: Professional Pharmacy, LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 28 Sep 2010 (14 years ago)
Entity Number: 130852
ZIP code: 99701
County: Fairbanks North Star
Place of Formation: ALASKA
Address: 1001 NOBLE STREET, FAIRBANKS, AK 99701
Mailing Address: 167 SANTA CLAUS LANE, NORTH POLE, AK 99705

Officers

Name Role
LEIF HOLM Member
LEIF HOLM Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
ALASKA FAMILY PHARMACY 401(K) PS PLAN 2023 273443861 2024-08-21 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888555
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2024-08-21
Name of individual signing LEIF HOLM
Role Employer/plan sponsor
Date 2024-08-21
Name of individual signing LEIF HOLM
ALASKA FAMILY PHARMACY 401(K) PS PLAN 2022 273443861 2023-10-03 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888555
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing LEIF HOLM
PROFESSIONAL PHARMACY 401K PLAN 2022 273443861 2023-06-29 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888555
Plan sponsor’s address 167 S SANTA CLAUS LN, NORTH POLE, AK, 997057755

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC 401K PLAN 2021 273443861 2022-05-24 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing LEIF HOLM
PROFESSIONAL PHARMACY LLC 401K PLAN 2020 273443861 2021-06-09 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2021-06-09
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC 401K PLAN 2019 273443861 2020-06-16 16
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing MCALVIN9108
PROFESSIONAL PHARMACY LLC 401K PLAN 2019 273443861 2020-06-30 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC 401K PLAN 2018 273443861 2019-11-26 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2019-11-26
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC 401K PLAN 2017 273443861 2019-11-26 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074888101
Plan sponsor’s address 167 SANTA CLAUS LANE, NORTH POLE, AK, 99705

Signature of
Role Plan administrator
Date 2019-11-26
Name of individual signing MICHAEL CALVIN
PROFESSIONAL PHARMACY LLC. 401 K PROFIT SHARING PLAN TRUST 2016 273443861 2017-05-15 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Sponsor PROFESSIONAL PHARMACY LLC
Business code 446110
Sponsor’s telephone number 9074522556
Plan sponsor’s address 1001 NOBLE ST., FAIRBANKS, AK, 99701

Signature of
Role Plan administrator
Date 2017-05-15
Name of individual signing LEIF HOLM

Professional Licenses

License Number Program Type Status Issue Date Effective Date Expiration Date
163559 Pharmacy Pharmacy Active 2020-06-30 2024-06-03 2026-06-30

Department of Natural Resources Records

Document Number Date Status Index
2011-013744-0 2011-08-01 No data MS - MISCELLANEOUS
District 401 - Fairbanks
Description LANDLORDS REL AND CONSENT
View File Download

Parties
Name BANNER HEALTH SYSTEM
Role Grantor
Name MT MCKINLEY BANK
Role Grantee
Name Professional Pharmacy, LLC
Role Grantee
Name HOLM RICHARD C
Role Grantee
Name HOLM LEIF J
Role Grantee
1977-004681-0 1977-08-25 No data TL - TAX LIEN
District 101 - Juneau
Description REL/TAX LIEN 257.59
View File Download

Parties
Name ALASKA STATE DEPT OF REVENUE
Role Grantor
Name Professional Pharmacy, LLC
Role Grantee
Name SUPER REXALL
Role Grantee
2020-016491-1 2020-07-22 ACTIVE FS - FINANCING STATEMENT
District 500 - UCC Central
Description FINANCING STATEMENT
View File Download

Parties
Name Professional Pharmacy, LLC
Role Debtor
Name U S SMALL BUSINESS ADMINISTRATION
Role Secured
2010-707584-3 2010-12-03 INACTIVE FS - FINANCING STATEMENT
District 500 - UCC Central
Description FINANCING STATEMENT
View File Download

Parties
Name Professional Pharmacy, LLC
Role Debtor
Name MT MCKINLEY BANK
Role Secured
2011-709448-9 2011-01-07 ACTIVE FS - FINANCING STATEMENT
District 500 - UCC Central
Description FINANCING STATEMENT
View File Download

Parties
Name Professional Pharmacy, LLC
Role Debtor
Name AmerisourceBergen Drug Corporation
Role Secured
2015-010705-0 2015-07-13 INACTIVE CO - CONTINUATION
District 401 - Fairbanks
Description CONTINUATION
View File Download

Parties
Name Professional Pharmacy, LLC
Role Debtor
Name BANNER HEALTH SYSTEM
Role Debtor
Name MT MCKINLEY BANK
Role Secured
2010-707579-2 2010-12-03 INACTIVE FS - FINANCING STATEMENT
District 500 - UCC Central
Description FINANCING STATEMENT
View File Download

Parties
Name Professional Pharmacy, LLC
Role Debtor
Name MT MCKINLEY BANK
Role Secured
2010-023635-0 2010-12-08 INACTIVE FX - FIXTURE STATEMENT
District 401 - Fairbanks
Description FIXTURE STATEMENT
View File Download

Parties
Name Professional Pharmacy, LLC
Role Debtor
Name BANNER HEALTH SYSTEM;RECORD OWNER
Role Debtor
Name MT MCKINLEY BANK
Role Secured

Date of last update: 03 Feb 2025

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

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