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Southern Care Internal Medicine, P.C.

Details

Name: Southern Care Internal Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 18 Jul 2011 (13 years ago) (Companies founded in July 2011)
Entity Number: 000-020-324
Register Number: 000020324
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 2093 EAGLE RIDGE DRIVEBIRMINGHAM, AL 35242
Authorized Capital: 1,000 @ $.01 PV

Activities MEDICAL PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN CARE INTERNAL MEDICINE, P.C. 401(K) PLAN 2023 452655784 2024-10-14 SOUTHERN CARE INTERNAL MEDICINE, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055472323
Plan sponsor’s address 2827 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing AMY ILLESCAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-14
Name of individual signing AMY ILLESCAS
Valid signature Filed with authorized/valid electronic signature
SOUTHERN CARE INTERNAL MEDICINE, P.C. 401(K) PLAN 2022 452655784 2023-10-13 SOUTHERN CARE INTERNAL MEDICINE, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055472323
Plan sponsor’s address 2827 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing JUSTIN COLEMAN
SOUTHERN CARE INTERNAL MEDICINE, P.C. 401(K) PLAN 2021 452655784 2022-09-23 SOUTHERN CARE INTERNAL MEDICINE, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055472323
Plan sponsor’s address 2827 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing JUSTIN COLEMAN
SOUTHERN CARE INTERNAL MEDICINE, P.C. 401(K) PLAN 2020 452655784 2021-03-04 SOUTHERN CARE INTERNAL MEDICINE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055472323
Plan sponsor’s address 2827 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660

Signature of
Role Plan administrator
Date 2021-03-04
Name of individual signing JUSTIN COLEMAN
Role Employer/plan sponsor
Date 2021-03-04
Name of individual signing JUSTIN COLEMAN
SOUTHERN CARE INTERNAL MEDICINE, P.C. 401(K) PLAN 2019 452655784 2020-05-14 SOUTHERN CARE INTERNAL MEDICINE, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055472323
Plan sponsor’s address 2827 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing JUSTIN COLEMAN
SOUTHERN CARE INTERNAL MEDICINE, P.C. 401(K) PLAN 2018 452655784 2019-09-12 SOUTHERN CARE INTERNAL MEDICINE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2055472323
Plan sponsor’s address 2827 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660

Signature of
Role Plan administrator
Date 2019-09-12
Name of individual signing JUSTIN COLEMAN
Role Employer/plan sponsor
Date 2019-09-12
Name of individual signing JUSTIN COLEMAN

Agent

Name Role Address
ILLESCAS, AMY B Agent 2093 EAGLE RIDGE DRIVEBIRMINGHAM, AL 35242

Director

Name Role Address
ILLESCAS, AMY B Director 2093 EAGLE RIDGE DRIVEBIRMINGHAM, AL 35242

Incorporator

Name Role Address
MILLS, JAMES D Incorporator 201 OFFICE PARK DRIVE, SUITE 105BIRMINGHAM, AL 35223

Related by officers

MILLS, JAMES D

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Related by address

2093 EAGLE RIDGE DRIVEBIRMINGHAM, AL 35242

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Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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