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Summerford Nursing Home, Inc.

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Entity Number 000-017-891

Register Number000017891

Status Exists

NameSummerford Nursing Home, Inc.

Date of registration 29 Mar 1965 (59 years ago)

Legal typeDomestic Corporation

Principal Address FALKVILLE, AL

Authorized Capital $1,000

Paid Share Capital $1,000

Activities OPERATE REST HOME

form 5500

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

SUMMERFORD NURSING HOME, INC. PROFIT SHARING PLAN

2020

630505935

2022-03-14

SUMMERFORD NURSING HOME INC

167

View Page

Three-digit plan number (PN)001
Effective date of plan1984-07-01
Business code623000
Sponsor’s telephone number2567845255
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants0
Retired or separated participants receiving benefits167
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Number of participants with account balances as of the end of the plan year0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested7

Signature of

RolePlan administrator
Date2022-03-14
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2022-03-14
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC.

2020

630505935

2021-07-07

SUMMERFORD NURSING HOME INC

190

View Page

Three-digit plan number (PN)510
Effective date of plan1990-02-01
Business code623000
Sponsor’s telephone number2567845275
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants0

Signature of

RolePlan administrator
Date2021-07-07
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC. PROFIT SHARING PLAN

2019

630505935

2021-04-06

SUMMERFORD NURSING HOME INC

188

View Page

Three-digit plan number (PN)001
Effective date of plan1884-07-01
Business code623000
Sponsor’s telephone number2567845255
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants167
Retired or separated participants receiving benefits21
Number of participants with account balances as of the end of the plan year167
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested15

Signature of

RolePlan administrator
Date2021-04-06
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC.

2019

630505935

2020-07-17

SUMMERFORD NURSING HOME INC

184

View Page

Three-digit plan number (PN)510
Effective date of plan1990-02-01
Business code623000
Sponsor’s telephone number2567845275
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants190

Signature of

RolePlan administrator
Date2020-07-17
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2020-07-17
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC. PROFIT SHARING PLAN

2018

630505935

2020-01-16

SUMMERFORD NURSING HOME INC

190

View Page

Three-digit plan number (PN)001
Effective date of plan1984-07-01
Business code623000
Sponsor’s telephone number2567845275
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants171
Retired or separated participants receiving benefits19
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested10

Signature of

RolePlan administrator
Date2020-01-16
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2020-01-16
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC.

2018

630505935

2019-07-11

SUMMERFORD NURSING HOME INC

232

View Page

Three-digit plan number (PN)510
Effective date of plan1990-02-01
Business code623000
Sponsor’s telephone number2567845275
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants184

Signature of

RolePlan administrator
Date2019-07-11
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2019-07-11
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC. PROFIT SHARING PLAN

2017

630505935

2019-01-16

SUMMERFORD NURSING HOME INC

164

View Page

Three-digit plan number (PN)001
Effective date of plan1984-07-01
Business code623000
Sponsor’s telephone number2567845275
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants168
Retired or separated participants receiving benefits15
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested8

Signature of

RolePlan administrator
Date2019-01-16
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2019-01-16
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC.

2017

630505935

2018-07-26

SUMMERFORD NURSING HOME INC

190

View Page

Three-digit plan number (PN)510
Effective date of plan1990-02-01
Business code623000
Sponsor’s telephone number2567845275
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants232

Signature of

RolePlan administrator
Date2018-07-26
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2018-07-26
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC. PROFIT SHARING PLAN

2016

630505935

2018-01-12

SUMMERFORD NURSING HOME INC

145

View Page

Three-digit plan number (PN)001
Effective date of plan1984-07-01
Business code623000
Sponsor’s telephone number2567845275
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants164
Retired or separated participants receiving benefits1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested8

Signature of

RolePlan administrator
Date2018-01-12
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2018-01-12
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

SUMMERFORD NURSING HOME, INC.

2016

630505935

2017-01-23

SUMMERFORD NURSING HOME INC

151

View Page

Three-digit plan number (PN)510
Effective date of plan1990-02-01
Business code623000
Sponsor’s telephone number2567845275
Plan sponsor’s mailing address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319
Plan sponsor’s address4087 HIGHWAY 31 SW, FALKVILLE, AL, 356226319

Number of participants as of the end of the plan year

Active participants190

Signature of

RolePlan administrator
Date2017-01-23
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2017-01-23
Name of individual signingROBERT SUMMERFORD
Valid signatureFiled with authorized/valid electronic signature

Incorporator

Name Role

SUMMERFORD, ROBERT O

Incorporator

SUMMERFORD, BEVERLY

Incorporator

SUMMERFORD, ROBERT A II

Incorporator

SUMMERFORD, JOHN PHILIP

Incorporator

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State