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Alabama Bone and Joint Clinic, LLC

Details

Name: Alabama Bone and Joint Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Feb 2011 (14 years ago) (Companies founded in February 2011)
Entity Number: 000-002-686
Register Number: 000002686
ZIP code: 35124 (Companies in Shelby, 35124)
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 120 CAHABA VALLEY PARKWAY STE 100PELHAM, AL 35124

Activities PROVIDE CLINICAL/EDUCATIONAL/ADMINISTRATIVE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780980540 2011-01-26 2011-09-19 1022 1ST ST N, SUITE 220, ALABASTER, AL, 350078706, US 1022 1ST ST N, SUITE 220, ALABASTER, AL, 350078706, US

Contacts
Phone +1 205-621-3778

Authorized person
Name DR. CHAD EVERETT MATHIS
Role DELEGATED OFFICIAL
Phone 2056213778

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number 27369
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA BONE AND JOINT CLINIC RETIREMENT PLAN 2023 274655689 2024-04-26 ALABAMA BONE AND JOINT CLINIC, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PKWY, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2024-04-26
Name of individual signing DARYL DYKES
Role Employer/plan sponsor
Date 2024-04-26
Name of individual signing DARYL DYKES
ALABAMA BONE AND JOINT CLINIC RETIREMENT PLAN 2022 274655689 2023-05-31 ALABAMA BONE AND JOINT CLINIC, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PKWY, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2023-05-31
Name of individual signing DARYL DYKES
ALABAMA BONE AND JOINT CLINIC RETIREMENT PLAN 2021 274655689 2022-06-07 ALABAMA BONE AND JOINT CLINIC, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PKWY, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2022-06-07
Name of individual signing DARYL DYKES
Role Employer/plan sponsor
Date 2022-06-07
Name of individual signing DARYL DYKES
ALABAMA BONE AND JOINT CLINIC RETIREMENT PLAN 2020 274655689 2021-06-17 ALABAMA BONE AND JOINT CLINIC, LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PKWY, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing DARYL DYKES
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing DARYL DYKES
ALABAMA BONE AND JOINT CLINIC RETIREMENT PLAN 2019 274655689 2020-06-15 ALABAMA BONE AND JOINT CLINIC, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PKWY, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2020-06-15
Name of individual signing DARYL DYKES
Role Employer/plan sponsor
Date 2020-06-15
Name of individual signing DARYL DYKES
ALABAMA BONE AND JOINT CLINIC RETIREMENT PLAN 2018 274655689 2019-09-23 ALABAMA BONE AND JOINT CLINIC, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PKWY, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing DARYL DYKES
ALABAMA BONE AND JOINT CLINIC RETIREMENT PLAN 2017 274655689 2018-09-25 ALABAMA BONE AND JOINT CLINIC, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PKWY, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2018-09-25
Name of individual signing MARIA FAULKENR
ALABAMA BONE AND JOINT CLINIC RETIREMENT PLAN 2016 274655689 2017-10-11 ALABAMA BONE AND JOINT CLINIC, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PKWY, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing MARIA FAULKNER
Role Employer/plan sponsor
Date 2017-10-11
Name of individual signing MARIA FAULKNER
ALABAMA BONE AND JOINT CLINIC, LLC RETIREMENT SAVINGS PLAN 2015 274655689 2016-09-26 ALABAMA BONE AND JOINT CLINIC, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY PARKWAY SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing MARIA FAULKNER
ALABAMA BONE AND JOINT CLINIC, LLC RETIREMENT SAVINGS PLAN 2014 274655689 2015-09-22 ALABAMA BONE AND JOINT CLINIC, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2056213778
Plan sponsor’s address 120 CAHABA VALLEY ROAD, SUITE 100, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing REGINALD NELSON

Agent

Name Role
DYKES, DARYL G Agent

Organizer

Name Role Address
MATHIS, CHAD E Organizer 859 JASMINE HILL ROADINDIAN SPRINGS, AL 35124

Related by officers

DYKES, DARYL G

ABJC Real Estate, LLC

MATHIS, CHAD E

ABJC Real Estate, LLC New Schools for Alabama Alabama Families for Great Schools JEB Aviation L.L.C.

Related by address

120 CAHABA VALLEY PARKWAY STE 100PELHAM, AL 35124

ABJC Real Estate, LLC

Date of last update: 29 Jul 2024

Sources: Alabama Secretary of State

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