Entity Number 000-004-555
Register Number000004555
Status Exists
NameCollinsville Nursing Home, Inc.
CountyDe Kalb
Date of registration 06 Oct 1970 (54 years ago)
Legal typeDomestic Corporation
Principal Address COLLINSVILLE, AL
Registered Office Street Address 685 NORTH VALLEY AVECOLLINSVILLE, AL 35961
Registered Office Street Address ZIP code 35961
Authorized Capital $15,000
Paid Share Capital $3,000
Activities
NURSING HOME
COLLINSVILLE NURSING HOME WELFARE BENEFIT PLAN
2022
630630902
2024-04-16
COLLINSVILLE NURSING HOME, INC.
166
| Three-digit plan number (PN) | 502 |
| Effective date of plan | 1999-07-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 359610310 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 159 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-15 |
| Name of individual signing | JON WOODARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-04-15 |
| Name of individual signing | JON WOODARD |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME GROUP HEALTH CARE PLAN
2022
630630902
2024-03-15
COLLINSVILLE NURSING HOME, INC.
130
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1997-04-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 359610310 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 126 |
Signature of
| Role | Plan administrator |
| Date | 2024-03-15 |
| Name of individual signing | JON WOODARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-03-15 |
| Name of individual signing | JON WOODARD |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME WELFARE BENEFIT PLAN
2021
630630902
2023-04-18
COLLINSVILLE NURSING HOME, INC.
170
| Three-digit plan number (PN) | 502 |
| Effective date of plan | 1999-07-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 359610310 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 166 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-18 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-04-18 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME GROUP HEALTH CARE PLAN
2021
630630902
2022-12-31
COLLINSVILLE NURSING HOME, INC.
138
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1997-04-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 359610310 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 130 |
Signature of
| Role | Plan administrator |
| Date | 2022-12-31 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-12-31 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME WELFARE BENEFIT PLAN
2020
630630902
2022-04-15
COLLINSVILLE NURSING HOME, INC.
195
| Three-digit plan number (PN) | 502 |
| Effective date of plan | 1999-07-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 359610310 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 170 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-15 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-04-15 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME GROUP HEALTH CARE PLAN
2020
630630902
2021-12-30
COLLINSVILLE NURSING HOME, INC.
153
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1997-04-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 35961 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 138 |
Signature of
| Role | Plan administrator |
| Date | 2021-12-30 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-12-30 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME WELFARE BENEFIT PLAN
2019
630630902
2021-04-15
COLLINSVILLE NURSING HOME, INC.
202
| Three-digit plan number (PN) | 502 |
| Effective date of plan | 1999-07-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 359610310 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 195 |
Signature of
| Role | Plan administrator |
| Date | 2021-04-15 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-04-15 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME GROUP HEALTH CARE PLAN
2019
630630902
2021-03-15
COLLINSVILLE NURSING HOME, INC.
153
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1997-04-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 359610310 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 153 |
Signature of
| Role | Plan administrator |
| Date | 2021-03-15 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-03-15 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME WELFARE BENEFIT PLAN
2018
630630902
2020-04-15
COLLINSVILLE NURSING HOME, INC.
205
| Three-digit plan number (PN) | 502 |
| Effective date of plan | 1999-07-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | P.O. BOX 310, COLLINSVILLE, AL, 35961 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 202 |
Signature of
| Role | Plan administrator |
| Date | 2020-04-15 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-04-15 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
COLLINSVILLE NURSING HOME GROUP HEALTH CARE PLAN
2018
630630902
2020-03-16
COLLINSVILLE NURSING HOME, INC.
157
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1997-04-01 |
| Business code | 623000 |
| Sponsor’s telephone number | 2565242117 |
| Plan sponsor’s DBA name | COLLINSVILLE HEALTH CARE AND REHAB |
| Plan sponsor’s mailing address | PO BOX 310, COLLINSVILLE, AL, 359610310 |
| Plan sponsor’s address | 685 NORTH VALLEY AVENUE, COLLINSVILLE, AL, 35961 |
Number of participants as of the end of the plan year
| Active participants | 153 |
Signature of
| Role | Plan administrator |
| Date | 2020-03-16 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-03-16 |
| Name of individual signing | JAMES COKER |
| Valid signature | Filed with authorized/valid electronic signature |
GRESSLER, H GEORGE
Incorporator
GRESSLER, VERA A
Incorporator
COKER, IRMA R GRESSLER
Incorporator
COKER, IRMA
Agent
1974-04-01
Capital Change
$3,000 Authorized $3,000 Paid In
$15,000 Authorized $3,000 Paid In
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
