| Name: | Summit Family Practice, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 19 Sep 2006 (18 years ago) |
| Entity Number: | 103514 |
| ZIP code: | 99577 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 12008 W SKYLINE DR, EAGLE RIVER, AK 99577 |
| Name | Role |
|---|---|
| S Lynn Hornbein | Member |
| S Lynn Hornbein | Manager |
| DLG SERVICES, INC. | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUMMIT FAMILY PRACTICE, LLC 401(K) PLAN | 2017 | 920146980 | 2018-10-15 | 6 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2018-10-15 |
| Name of individual signing | LYNN HORNBEIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Sponsor | SUMMIT FAMILY PRACTICE, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9072723366 |
| Plan sponsor’s address | 2741 DEBARR ROAD, SUITE C-308, ANCHORAGE, AK, 99508 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-12 |
| Name of individual signing | LYNN HORNBEIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Sponsor | SUMMIT FAMILY PRACTICE, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9072723366 |
| Plan sponsor’s address | 2741 DEBARR ROAD, SUITE C-308, ANCHORAGE, AK, 99508 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-17 |
| Name of individual signing | LYNN HORNBEIN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Sponsor | SUMMIT FAMILY PRACTICE, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9072723366 |
| Plan sponsor’s address | 2741 DEBARR ROAD, SUITE C-308, ANCHORAGE, AK, 99508 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-16 |
| Name of individual signing | KERRE SHELTON |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
