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Surgical Clinic of Anniston, P.A.

Details

Name: Surgical Clinic of Anniston, P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Exists
Date of registration: 19 Nov 1976 (48 years ago)
Entity Number: 000-037-167
Register Number: 000037167
County: Calhoun
Place of Formation: Calhoun County
Principal Address: 411 D EAST 9TH STREETANNISTON, AL 36201
Principal Address ZIP Code: 36201

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD
SURGICAL CLINIC OF ANNISTON 401(K) PROFIT SHARING PLAN 2022 630679631 2023-10-16 SURGICAL CLINIC OF ANNISTON, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-03-01
Business code 621111
Sponsor’s telephone number 2562415441
Plan sponsor’s address 171 TOWN CENTER DRIVE, ANNISTON, AL, 36205

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing C. KENDRICK URQUHART, MD

Member

Name Role Address
JOHNSON, RODERICK G Member No data
WEST, JAMES E Member 7067 VETERANS PARKWAY, SUITE 220PELL CITY, AL 35125

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State