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Pediatric Associates of Mobile, P.C.

Details

Name: Pediatric Associates of Mobile, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 05 Dec 1972 (52 years ago)
Date of dissolution: 16 Dec 2022
Entity Number: 000-028-781
Register Number: 000028781
Historical Names: Pediatric Associates of Mobile, P.A.
County: Mobile
Place of Formation: Mobile County
Principal Address: 4851 OLD SHELL ROADMOBILE, AL 36608
Principal Address ZIP Code: 36608
Registered Office Street Address: 588 PRESERVE WAYHOOVER, AL 35226
Registered Office Street Address ZIP Code: 35226

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC ASSOCIATES OF MOBILE, P.C. PROFIT SHARING PLAN 2022 630626304 2023-04-19 PEDIATRIC ASSOCIATES OF MOBILE, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET, SUITE 102, MOBILE, AL, 36608
PEDIATRIC ASSOCIATES OF MOBILE, P.C. PROFIT SHARING PLAN 2021 630626304 2022-09-08 PEDIATRIC ASSOCIATES OF MOBILE, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET, SUITE 102, MOBILE, AL, 36608
PEDIATRIC ASSOCIATES OF MOBILE, P.A. PROFIT SHARING PLAN 2020 630626304 2021-10-14 PEDIATRIC ASSOCIATES OF MOBILE, P.A 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET, SUITE 102, MOBILE, AL, 36608

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing JOHN SANDS, M.D.
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing JOHN SANDS, M.D.
PEDIATRIC ASSOCIATES OF MOBILE, P.A. PROFIT SHARING PLAN 2019 630626304 2020-08-20 PEDIATRIC ASSOCIATES OF MOBILE, P.A 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET, SUITE 102, MOBILE, AL, 36608

Signature of

Role Plan administrator
Date 2020-08-20
Name of individual signing JOHN SANDS, M.D.
Role Employer/plan sponsor
Date 2020-08-20
Name of individual signing JOHN SANDS, M.D.
PEDIATRIC ASSOCIATES OF MOBILE, P.A. PROFIT SHARING PLAN 2018 630626304 2019-09-11 PEDIATRIC ASSOCIATES OF MOBILE, P.A 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET, SUITE 102, MOBILE, AL, 36608

Signature of

Role Plan administrator
Date 2019-09-10
Name of individual signing JOHN SANDS, M.D.
Role Employer/plan sponsor
Date 2019-09-10
Name of individual signing JOHN SANDS, M.D.
PEDIATRIC ASSOCIATES OF MOBILE, P.A. PROFIT SHARING PLAN 2017 630626304 2018-09-13 PEDIATRIC ASSOCIATES OF MOBILE, P.A 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET- SUITE 102, MOBILE, AL, 36608

Signature of

Role Plan administrator
Date 2018-09-13
Name of individual signing JOHN SANDS, M.D.
Role Employer/plan sponsor
Date 2018-09-13
Name of individual signing JOHN SANDS, M.D.
PEDIATRIC ASSOCIATES OF MOBILE, P.A. PROFIT SHARING PLAN 2016 630626304 2017-09-18 PEDIATRIC ASSOCIATES OF MOBILE, P.A 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET- SUITE 102, MOBILE, AL, 36608

Signature of

Role Plan administrator
Date 2017-09-15
Name of individual signing JOHN SANDS, M.D.
Role Employer/plan sponsor
Date 2017-09-15
Name of individual signing JOHN SANDS, M.D.
PEDIATRIC ASSOCIATES OF MOBILE, P.A. PROFIT SHARING PLAN 2015 630626304 2016-10-11 PEDIATRIC ASSOCIATES OF MOBILE, P.A 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET- SUITE 102, MOBILE, AL, 36608

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing JOHN SANDS, M.D.
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing JOHN R. SANDS, MD
PEDIATRIC ASSOCIATES OF MOBILE, P.A. PROFIT SHARING PLAN 2014 630626304 2015-07-17 PEDIATRIC ASSOCIATES OF MOBILE, P.A 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET- SUITE 102, MOBILE, AL, 36608

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing JOHN SANDS, M.D.
PEDIATRIC ASSOCIATES OF MOBILE, P.A. PROFIT SHARING PLAN 2013 630626304 2014-09-15 PEDIATRIC ASSOCIATES OF MOBILE, P.A 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-04-01
Business code 621111
Sponsor’s telephone number 2513441502
Plan sponsor’s address 3719 DAUPHIN STREET- SUITE 102, MOBILE, AL, 36608

Signature of

Role Plan administrator
Date 2014-09-15
Name of individual signing JOHN SANDS, M.D.

Agent

Name Role
SANDS, JOHN R III Agent

Events

Event Date Event Type Old Value New Value
2018-05-29 Name Change Pediatric Associates of Mobile, P.A. Pediatric Associates of Mobile, P.C.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State