| 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) |
| Date of dissolution: | 30 Nov 2015 |
| Entity Number: | 000-022-889 |
| Register Number: | 000022889 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2700 10TH AVENUE SOUTH SUITE 510BIRMINGHAM, AL 35205 |
| Registered Office Street Address ZIP Code: | 35205 |
| Authorized Capital: | 1000@ $.10PV |
Activities
PROVIDE MEDICAL SERVICES
| 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 | |||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2015-10-12 |
| Name of individual signing | JERRY KITCHENS MD |
| 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 |
| Name | Role | Address |
|---|---|---|
| KITCHENS, JERRY L JR | Agent | 2700 10TH AVENUE SOUTH SUITE 510BIRMINGHAM, AL 35205 |
| Name | Role | Address |
|---|---|---|
| KITCHENS, JERRY L JR | Director | 2700 10TH AVENUE SOUTH SUITE 510BIRMINGHAM, AL 35205 |
| 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
