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  5. Ptarmigan Pediatrics LLC

Ptarmigan Pediatrics LLC

Contents

Company Details

Name: Ptarmigan Pediatrics LLC
Jurisdiction: Alaska
Legal type: Limited Liability Company
Status: Good Standing
Date of registration: 11 Jan 2008 (17 years ago)
Entity Number: 113385
ZIP code: 99654
County: Matanuska Susitna
Place of Formation: ALASKA
Address: 3543 E MERIDIAN PARK LP STE A, WASILLA, AK 99654
Supporting healthcare providers fighting with COVID-19: $294,893

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

Officers

Name Role
Bruce W Hess Member
Laura J Peterson Member
Ronda Fisher Registered Agent

Form 5500

Plan Name Plan Year EIN/PN Received Total number of participants
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2023 261967223 2024-08-28 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2024-08-28
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2022 261967223 2023-10-03 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2021 261967223 2022-10-13 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2020 261967223 2021-10-12 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2019 261967223 2020-10-13 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2018 261967223 2019-10-09 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2017 261967223 2018-10-14 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2018-10-14
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2016 261967223 2017-10-06 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2017-10-06
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2015 261967223 2016-10-11 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing RONDA FISHER
PTARMIGAN PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2014 261967223 2015-10-15 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor PTARMIGAN PEDIATRICS, LLC
Business code 621111
Sponsor’s telephone number 9073574543
Plan sponsor’s address 3543 E. MERIDIAN PARK LOOP, WASILLA, AK, 99654

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing RONDA FISHER

Business Licenses

License Number Type Status Issue Date Date of renewal Expiration date Description
911912 Business License Active 2008-01-15 2024-12-23 2026-12-31 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
158940 Telemedicine Business Registry Telemedicine Business Registry Active 2020-03-17 2020-03-17 -

Date of last update: 26 Jan 2025

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

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