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Southern Clinic, P.C.

Details

Name: Southern Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 30 Dec 1970 (54 years ago)
Entity Number: 000-017-267
Register Number: 000017267
Historical Names: Southern Clinic, P.A.
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 1901 MELBA DRIVEDOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: 1100 NPV

Activities ANY LAWFUL ACTIVITY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2023 630591250 2024-02-09 SOUTHERN CLINIC, P. C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2024-01-30
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2024-01-30
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2022 630591250 2023-01-17 SOUTHERN CLINIC, P. C. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2023-01-17
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2023-01-17
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2021 630591250 2022-01-31 SOUTHERN CLINIC, P. C. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2022-01-31
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2022-01-31
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2020 630591250 2021-01-26 SOUTHERN CLINIC, P. C. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2021-01-26
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2021-01-26
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2019 630591250 2020-01-24 SOUTHERN CLINIC, P. C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2020-01-24
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2020-01-24
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2018 630591250 2019-02-06 SOUTHERN CLINIC, P. C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2019-02-06
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2019-02-06
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2017 630591250 2018-01-25 SOUTHERN CLINIC, P. C. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2018-01-25
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2018-01-25
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2016 630591250 2017-02-07 SOUTHERN CLINIC, P. C. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2017-02-07
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2017-02-07
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC P.C. PROFIT SHARING PLAN 2015 630591250 2016-02-09 SOUTHERN CLINIC, P. C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2016-02-09
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2016-02-09
Name of individual signing BRIAN HOLMAN
SOUTHERN CLINIC PC PROFIT SHARING PLAN 2014 630591250 2015-01-27 SOUTHERN CLINIC, P. C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1971-01-01
Business code 621111
Sponsor’s telephone number 3347946611
Plan sponsor’s address 201 DOCTORS DRIVE, DOTHAN, AL, 36301

Signature of

Role Plan administrator
Date 2015-01-26
Name of individual signing BRIAN HOLMAN
Role Employer/plan sponsor
Date 2015-01-26
Name of individual signing BRIAN HOLMAN

Incorporator

Name Role
MORRISS, JESSE E III MD Incorporator

Agent

Name Role
MORRISS, JESSE E III Agent

Events

Event Date Event Type Old Value New Value
2001-02-05 Capital Change 700 NPV Authorized --- Paid In 1100 NPV Authorized undefined Paid In
1998-09-18 Capital Change 600NPV Authorized --- Paid In 700 NPV Authorized --- Paid In
1991-07-02 Name Change Southern Clinic, P.A. Southern Clinic, P.C.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State