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Jerry L. Kitchens, Jr., M.D., P.C.

Details

Name: Jerry L. Kitchens, Jr., M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 18 Aug 2011 (13 years ago) (Companies founded in August 2011)
Date of dissolution: 30 Nov 2015
Entity Number: 000-022-889
Register Number: 000022889
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2700 10TH AVENUE SOUTH SUITE 510BIRMINGHAM, AL 35205
Authorized Capital: 1000@ $.10PV

Activities PROVIDE MEDICAL SERVICES

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JERRY L. KITCHENS, JR., M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 453053227 2015-10-12 JERRY L. KITCHENS, JR., M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621112
Sponsor’s telephone number 2059309188
Plan sponsor’s address 2700 10TH AVENUE SOUTH, SUITE 510, BIRMINGHAM, AL, 35205

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing JERRY KITCHENS MD
JERRY L. KITCHENS, JR., M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 453053227 2015-10-12 JERRY L. KITCHENS, JR., M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621112
Sponsor’s telephone number 2059309188
Plan sponsor’s address 2700 10TH AVENUE SOUTH, SUITE 510, BIRMINGHAM, AL, 35205

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing JERRY KITCHENS MD

Agent

Name Role Address
KITCHENS, JERRY L JR Agent 2700 10TH AVENUE SOUTH SUITE 510BIRMINGHAM, AL 35205

Director

Name Role Address
KITCHENS, JERRY L JR Director 2700 10TH AVENUE SOUTH SUITE 510BIRMINGHAM, AL 35205

Incorporator

Name Role Address
DOUGHTON, SUSAN D Incorporator 1130 22ND ST S, RIDGE PARK STE 4000BIRMINGHAM, AL 35205

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State