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PETRUNIC ORTHODONTICS, P.C.

Details

Name: PETRUNIC ORTHODONTICS, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 Nov 2011 (13 years ago)
Entity Number: 000-029-444
Register Number: 000029444
County: Autauga
Place of Formation: Autauga County
Registered Office Street Address: 208 DOE DRIVEPRATTVILLE, AL 36067
Registered Office Street Address ZIP Code: 36067
Authorized Capital: 500@$1.00PV

Activities DENTISTRY AND ORTHODONTICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194080986 2012-07-09 2012-07-09 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 360667503, US 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 360667503, US

Contacts
Phone +1 334-365-2909

Authorized person
Name MARY S HILL
Role NEW PATIENT/FINANCIAL CO-ORDINATOR
Phone 3343652909

Taxonomy
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETRUNIC ORTHODONTICS 401(K) PLAN 2022 453724133 2023-10-09 PETRUNIC ORTHODONTICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3346123329
Plan sponsor’s address 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 36066

Signature of
Role Plan administrator
Date 2023-10-09
Name of individual signing CHRIS PETRUNIC
PETRUNIC ORTHODONTICS 401(K) PLAN 2021 453724133 2022-10-18 PETRUNIC ORTHODONTICS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3346123329
Plan sponsor’s address 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 36066

Signature of
Role Plan administrator
Date 2022-10-18
Name of individual signing CHRIS PETRUNIC
PETRUNIC ORTHODONTICS 401(K) PLAN 2020 453724133 2021-10-12 PETRUNIC ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3346123329
Plan sponsor’s address 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 36066

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing CHRIS PETRUNIC
PETRUNIC ORTHODONTICS 401(K) PLAN 2019 453724133 2020-10-15 PETRUNIC ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3346123329
Plan sponsor’s address 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 36066

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing CHRIS PETRUNIC
PETRUNIC ORTHODONTICS 401(K) PLAN 2018 453724133 2019-10-15 PETRUNIC ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3346123329
Plan sponsor’s address 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 36066

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing CHRIS PETRUNIC
PETRUNIC ORTHODONTICS 401(K) PLAN 2017 453724133 2018-08-28 PETRUNIC ORTHODONTICS 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3346123329
Plan sponsor’s address 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 36066

Signature of
Role Plan administrator
Date 2018-08-28
Name of individual signing CHRIS PETRUNIC
PETRUNIC ORTHODONTICS 401(K) PLAN 2016 453724133 2017-07-25 PETRUNIC ORTHODONTICS 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3346123329
Plan sponsor’s address 701 MCQUEEN SMITH RD S, PRATTVILLE, AL, 36066

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing CHRIS PETRUNIC

Director

Name Role Address
PETRUNIC, CHRISTOPHER M Director 208 DOE DRIVEPRATTVILLE, AL 36067

Incorporator

Name Role Address
PETRUNIC, CHRISTOPHER M Incorporator 208 DOE DRIVEPRATTVILLE, AL 36067

Agent

Name Role Address
PETRUNIC, CHRISTOPHER M Agent 208 DOE DRIVEPRATTVILLE, AL 36067

Related by officers

PETRUNIC, CHRISTOPHER M

Straight Wire Farms, L.L.C. PETRUNIC PROPERTIES, L.L.C.

Related by address

208 DOE DRIVEPRATTVILLE, AL 36067

Straight Wire Farms, L.L.C. PETRUNIC PROPERTIES, L.L.C.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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