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South Alabama Medical Clinic, LLC

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Entity Number 000-007-703

Register Number000007703

Status Exists

NameSouth Alabama Medical Clinic, LLC

CountyMobile

Date of registration 29 Mar 2011 (13 years ago)

Legal typeDomestic Limited Liability Company

Registered Office Street Address 8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619

Registered Office Street Address ZIP code 36619

Activities MEDICAL CLINIC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

SOUTH ALABAMA MEDICAL CLINIC (WELFARE PLAN)

2023

451793854

2024-07-18

SOUTH ALABAMA MEDICAL CLINIC, LLC

12

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Three-digit plan number (PN)951
Effective date of plan2019-01-01
Business code621111
Sponsor’s telephone number2512900159
Plan sponsor’s address10075 WILMER RD S, GRAND BAY, AL, 36541

Plan administrator’s name and address

Administrator’s EIN472506773
Plan administrator’s nameKENNION & CO., LLC
Plan administrator’s address2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number8669665457

Signature of

RolePlan administrator
Date2024-06-18
Name of individual signingW. HAL SHEPHERD
RoleEmployer/plan sponsor
Date2024-06-18
Name of individual signingW. HAL SHEPHERD

SOUTH ALABAMA MEDICAL CLINIC 401(K) PLAN

2022

451793854

2023-10-13

SOUTH ALABAMA MEDICAL CLINIC, LLC

22

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Three-digit plan number (PN)001
Effective date of plan2013-03-15
Business code621111
Sponsor’s telephone number2518651852
Plan sponsor’s address10075 GRAND BAY-WILMER RD S, GRAND BAY, AL, 365415003

Signature of

RolePlan administrator
Date2023-10-13
Name of individual signingCHERRI BEDWELL
RoleEmployer/plan sponsor
Date2023-10-12
Name of individual signingCHERRI BEDWELL

SOUTH ALABAMA MEDICAL CLINIC (WELFARE PLAN)

2022

451793854

2023-07-27

SOUTH ALABAMA MEDICAL CLINIC, LLC

12

View Page

Three-digit plan number (PN)951
Effective date of plan2019-01-01
Business code621111
Sponsor’s telephone number2512900159
Plan sponsor’s address10075 WILMER RD S, GRAND BAY, AL, 36541

Plan administrator’s name and address

Administrator’s EIN472506773
Plan administrator’s nameKENNION & CO., LLC
Plan administrator’s address2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number8669665457

Signature of

RolePlan administrator
Date2023-07-20
Name of individual signingW. HAL SHEPHERD
RoleEmployer/plan sponsor
Date2023-07-20
Name of individual signingW. HAL SHEPHERD

SOUTH ALABAMA MEDICAL CLINIC 401(K) PLAN

2021

451793854

2022-10-14

SOUTH ALABAMA MEDICAL CLINIC, LLC

20

View Page

Three-digit plan number (PN)001
Effective date of plan2013-03-15
Business code621111
Sponsor’s telephone number2518651852
Plan sponsor’s address10075 GRAND BAY-WILMER RD S, GRAND BAY, AL, 365415003

Signature of

RolePlan administrator
Date2022-10-14
Name of individual signingCHERRI BEDWELL

SOUTH ALABAMA MEDICAL CLINIC (WELFARE PLAN)

2021

451793854

2022-07-29

SOUTH ALABAMA MEDICAL CLINIC, LLC

12

View Page

Three-digit plan number (PN)951
Effective date of plan2019-01-01
Business code621111
Sponsor’s telephone number2512900159
Plan sponsor’s address10075 WILMER RD S, GRAND BAY, AL, 36541

Plan administrator’s name and address

Administrator’s EIN472506773
Plan administrator’s nameKENNION & CO., LLC
Plan administrator’s address2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number8669665457

Signature of

RolePlan administrator
Date2022-07-20
Name of individual signingW. HAL SHEPHERD
RoleEmployer/plan sponsor
Date2022-07-20
Name of individual signingW. HAL SHEPHERD

SOUTH ALABAMA MEDICAL CLINIC (WELFARE PLAN)

2020

451793854

2021-07-25

SOUTH ALABAMA MEDICAL CLINIC, LLC

10

View Page

Three-digit plan number (PN)951
Effective date of plan2019-01-01
Business code621111
Sponsor’s telephone number2512900159
Plan sponsor’s address10075 WILMER RD S, GRAND BAY, AL, 36541

Plan administrator’s name and address

Administrator’s EIN472506773
Plan administrator’s nameKENNION & CO., LLC
Plan administrator’s address2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number8669665457

Signature of

RolePlan administrator
Date2021-07-20
Name of individual signingW. HAL SHEPHERD
RoleEmployer/plan sponsor
Date2021-07-20
Name of individual signingW. HAL SHEPHERD

SOUTH ALABAMA MEDICAL CLINIC 401(K) PLAN

2020

451793854

2021-08-06

SOUTH ALABAMA MEDICAL CLINIC, LLC

17

View Page

Three-digit plan number (PN)001
Effective date of plan2013-03-15
Business code621111
Sponsor’s telephone number2518651852
Plan sponsor’s address10075 GRAND BAY-WILMER RD S, GRAND BAY, AL, 365415003

Signature of

RolePlan administrator
Date2021-08-06
Name of individual signingCHERRI BEDWELL
RoleEmployer/plan sponsor
Date2021-08-06
Name of individual signingCHERRI BEDWELL

SOUTH ALABAMA MEDICAL CLINIC (WELFARE PLAN)

2019

451793854

2020-07-30

SOUTH ALABAMA MEDICAL CLINIC, LLC

0

View Page

Three-digit plan number (PN)951
Effective date of plan2019-01-01
Business code621111
Sponsor’s telephone number2512900159
Plan sponsor’s address10075 WILMER RD S, GRAND BAY, AL, 36541

Plan administrator’s name and address

Administrator’s EIN472506773
Plan administrator’s nameKENNION & CO., LLC
Plan administrator’s address800 CORPORATE PKWY, STE 100, BIRMINGHAM, AL, 35242
Administrator’s telephone number8669665457

Signature of

RolePlan administrator
Date2020-07-29
Name of individual signingW. HAL SHEPHERD
RoleEmployer/plan sponsor
Date2020-07-29
Name of individual signingW. HAL SHEPHERD

SOUTH ALABAMA MEDICAL CLINIC 401(K) PLAN

2019

451793854

2020-07-31

SOUTH ALABAMA MEDICAL CLINIC, LLC

19

View Page

Three-digit plan number (PN)001
Effective date of plan2013-03-15
Business code621111
Sponsor’s telephone number2518651852
Plan sponsor’s address10075 GRAND BAY-WILMER RD S, GRAND BAY, AL, 365415003

Signature of

RolePlan administrator
Date2020-07-31
Name of individual signingCHERRI BEDWELL
RoleEmployer/plan sponsor
Date2020-07-31
Name of individual signingCHERRI BEDWELL

SOUTH ALABAMA MEDICAL CLINIC 401(K) PLAN

2018

451793854

2019-07-11

SOUTH ALABAMA MEDICAL CLINIC, LLC

21

View Page

Three-digit plan number (PN)001
Effective date of plan2013-03-15
Business code621111
Sponsor’s telephone number2518651852
Plan sponsor’s address10075 GRAND BAY-WILMER RD S, GRAND BAY, AL, 365415003

Signature of

RolePlan administrator
Date2019-07-11
Name of individual signingCHERRI BEDWELL
RoleEmployer/plan sponsor
Date2019-07-11
Name of individual signingCHERRI BEDWELL

Agent

Name Role Address

STOKES, SEAN

Agent

8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619

Organizer

Name Role Address

STOKES, SEAN

Organizer

8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619

HYATT, DEBORAH DEAN

Organizer

16486 JIM HADLEY ROADBAY MINETTE, AL 36507

WATERS, DARREN K

Organizer

2350 SCHILLINGER ROAD SUITE AMOBILE, AL 36695

PEARSON, STEVEN C

Organizer

63 S ROYAL STREET STE 1300MOBILE, AL 36601

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State