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Montclair Rheumatology, P.C.

Details

Name: Montclair Rheumatology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 01 Oct 1971 (53 years ago)
Date of dissolution: 24 Mar 2016
Entity Number: 000-021-418
Register Number: 000021418
Historical Names: Drs. Fulton and Dodson, P. A.
William H. Dodson, M. D., P. A.
Rheumatology Associates, P. A.
Montclair Rheumatology, P.A.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 880 MONTCLAIR ROAD SUITE 470BIRMINGHAM, AL 35213
Registered Office Street Address ZIP Code: 35213
Authorized Capital: $10,000
Paid Share Capital: $2,000

Activities INTERNAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710095104 2006-08-27 2011-07-21 880 MONTCLAIR RD, SUITE 470, BIRMINGHAM, AL, 352131972, US 880 MONTCLAIR RD, SUITE 470, BIRMINGHAM, AL, 352131972, US

Contacts
Phone +1 205-591-2758
Fax 2055920318

Authorized person
Name DR. CORNELIUS B THOMAS
Role PRESIDENT
Phone 2055912758

Taxonomy
Taxonomy Code 207RR0500X - Rheumatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTCLAIR RHEUMATOLOGY, P C 401(K) PROFIT SHARING PLAN 2015 630599250 2016-09-07 MONTCLAIR RHEUMATOLOGY, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-09-01
Business code 621111
Sponsor’s telephone number 2055912758
Plan sponsor’s address 3686 GRANDVIEW PKWY, SUITE 840, BIRMINGHAM, AL, 352433408

Signature of
Role Plan administrator
Date 2016-09-07
Name of individual signing CORNELIUS B. THOMAS, JR., M.D.
MONTCLAIR RHEUMATOLOGY, P C 401(K) PROFIT SHARING PLAN 2014 630599250 2015-12-14 MONTCLAIR RHEUMATOLOGY P C 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-09-01
Business code 621111
Sponsor’s telephone number 2055912758
Plan sponsor’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979

Signature of
Role Plan administrator
Date 2015-12-14
Name of individual signing CORNELIUS B. THOMAS, JR., M.D.
MONTCLAIR RHEUMATOLOGY, P C 401(K) PROFIT SHARING PLAN 2013 630599250 2015-01-05 MONTCLAIR RHEUMATOLOGY P C 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-09-01
Business code 621111
Sponsor’s telephone number 2055912758
Plan sponsor’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979

Signature of
Role Plan administrator
Date 2015-01-03
Name of individual signing C. DOUGLAS BELL, M.D.
Role Employer/plan sponsor
Date 2015-01-03
Name of individual signing C. DOUGLAS BELL, M.D.
MONTCLAIR RHEUMATOLOGY, P C 401(K) PROFIT SHARING PLAN 2012 630599250 2014-02-13 MONTCLAIR RHEUMATOLOGY P C 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-09-01
Business code 621111
Sponsor’s telephone number 2055912758
Plan sponsor’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979

Signature of
Role Plan administrator
Date 2014-02-11
Name of individual signing C. DOUGLAS BELL, M.D.
Role Employer/plan sponsor
Date 2014-02-11
Name of individual signing C. DOUGLAS BELL, M.D.
MONTCLAIR RHEUMATOLOGY, P C 401(K) PROFIT SHARING PLAN 2011 630599250 2013-01-02 MONTCLAIR RHEUMATOLOGY P C 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-09-01
Business code 621111
Sponsor’s telephone number 2055912758
Plan sponsor’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979

Plan administrator’s name and address
Administrator’s EIN 630599250
Plan administrator’s name MONTCLAIR RHEUMATOLOGY P C
Plan administrator’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979
Administrator’s telephone number 2055912758

Signature of
Role Plan administrator
Date 2012-12-28
Name of individual signing C. DOUGLAS BELL, M.D.
Role Employer/plan sponsor
Date 2012-12-28
Name of individual signing C. DOUGLAS BELL, M.D.
MONTCLAIR RHEUMATOLOGY, P C 401(K) PROFIT SHARING PLAN 2010 630599250 2012-02-28 MONTCLAIR RHEUMATOLOGY P C 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-09-01
Business code 621111
Sponsor’s telephone number 2055912758
Plan sponsor’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979

Plan administrator’s name and address
Administrator’s EIN 630599250
Plan administrator’s name MONTCLAIR RHEUMATOLOGY P C
Plan administrator’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979
Administrator’s telephone number 2055912758

Signature of
Role Plan administrator
Date 2012-02-28
Name of individual signing C. DOUGLAS BELL, M.D.
Role Employer/plan sponsor
Date 2012-02-28
Name of individual signing C. DOUGLAS BELL, M.D.
MONTCLAIR RHEUMATOLOGY, P C 401(K) PROFIT SHARING PLAN 2009 630599250 2011-03-29 MONTCLAIR RHEUMATOLOGY P C 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-09-01
Business code 621111
Sponsor’s telephone number 2055912758
Plan sponsor’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979

Plan administrator’s name and address
Administrator’s EIN 630599250
Plan administrator’s name MONTCLAIR RHEUMATOLOGY P C
Plan administrator’s address 880 MONTCLAIR ROAD SUITE 470, BIRMINGHAM, AL, 352131979
Administrator’s telephone number 2055912758

Signature of
Role Plan administrator
Date 2011-03-28
Name of individual signing C. DOUGLAS BELL
Role Employer/plan sponsor
Date 2011-03-28
Name of individual signing C. DOUGLAS BELL

Agent

Name Role
THOMAS, CORNELIUS B JR Agent

Incorporator

Name Role
DODSON, WILLIAM DR Incorporator
FULTON, WILLIAM DR Incorporator

Events

Event Date Event Type Old Value New Value
1984-01-03 Name Change Montclair Rheumatology, P.A. Montclair Rheumatology, P.C.
1982-05-10 Name Change Rheumatology Associates, P. A. Montclair Rheumatology, P.A.
1981-11-04 Name Change William H. Dodson, M. D., P. A. Rheumatology Associates, P. A.
1978-11-06 Name Change Drs. Fulton and Dodson, P. A. William H. Dodson, M. D., P. A.

Related by officers

No related officers

Related by address

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Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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