Entity Number 000-040-574
Register Number000040574
Status Exists
NamePELL CITY INTERNAL AND FAMILY MEDICINE, LLC
Historical Names
PELL CITY INTERNAL MEDICINE, LLC
CountySaint Clair
Date of registration 31 Jan 2012 (13 years ago)
Legal typeDomestic Limited Liability Company
Registered Office Street Address 7067 VETERANS PARKWAY, SUITE 130PELL CITY, AL 35125
Registered Office Street Address ZIP code 35125
Activities
DIAGNOSTIC/TREATMENT SERVICES/PREVENTATIVE CARE
PELL CITY INTERNAL & FAMILY MEDICINE RETIREMENT PLAN
2023
454294355
2024-05-08
PELL CITY INTERNAL AND FAMILY MEDICINE
39
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2058849000 |
| Plan sponsor’s address | 41 EMINENCE WAY, SUITE A, PELL CITY, AL, 35128 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-08 |
| Name of individual signing | TERRI WOODS |
PELL CITY INTERNAL FAMILY MEDICINE LLC (WELFARE PLAN)
2023
454294355
2024-07-18
PELL CITY INTERNAL FAMILY MEDICINE
31
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2052270485 |
| Plan sponsor’s address | 41 EMINENCE WAY STE A, PELL CITY, AL, 35128 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO LLC |
| Plan administrator’s address | 2828 OLD 280 COURT STE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2024-06-18 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2024-06-18 |
| Name of individual signing | W. HAL SHEPHERD |
PELL CITY INTERNAL & FAMILY MEDICINE RETIREMENT PLAN
2022
454294355
2023-05-23
PELL CITY INTERNAL AND FAMILY MEDICINE
31
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2058849000 |
| Plan sponsor’s address | 41 EMINENCE WAY, SUITE A, PELL CITY, AL, 35128 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-23 |
| Name of individual signing | TERRI WOODS |
PELL CITY INTERNAL FAMILY MEDICINE LLC (WELFARE PLAN)
2022
454294355
2023-07-27
PELL CITY INTERNAL FAMILY MEDICINE
31
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2052270485 |
| Plan sponsor’s address | 41 EMINENCE WAY STE A, PELL CITY, AL, 35128 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO LLC |
| Plan administrator’s address | 2828 OLD 280 COURT STE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-20 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2023-07-20 |
| Name of individual signing | W. HAL SHEPHERD |
PELL CITY INTERNAL FAMILY MEDICINE RETIREMENT
2021
454294355
2022-06-08
PELL CITY INTERNAL AND FAMILY MEDICINE
30
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2058849000 |
| Plan sponsor’s address | 41 EMINENCE WAY, SUITE A, PELL CITY, AL, 35128 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-08 |
| Name of individual signing | TERRI WOODS |
| Role | Employer/plan sponsor |
| Date | 2022-06-08 |
| Name of individual signing | TERRI WOODS |
PELL CITY INTERNAL FAMILY MEDICINE LLC (WELFARE PLAN)
2021
454294355
2022-07-29
PELL CITY INTERNAL FAMILY MEDICINE
0
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2052270485 |
| Plan sponsor’s address | 41 EMINENCE WAY STE A, PELL CITY, AL, 35128 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO LLC |
| Plan administrator’s address | 2828 OLD 280 COURT STE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-27 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2022-07-27 |
| Name of individual signing | W. HAL SHEPHERD |
PELL CITY INTERNAL FAMILY MEDICINE RETIREMENT
2020
454294355
2021-06-15
PELL CITY INTERNAL AND FAMILY MEDICINE
30
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2058849000 |
| Plan sponsor’s address | 41 EMINENCE WAY, SUITE A, PELL CITY, AL, 35128 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-15 |
| Name of individual signing | TERRI WOODS |
| Role | Employer/plan sponsor |
| Date | 2021-06-15 |
| Name of individual signing | TERRI WOODS |
PELL CITY INTERNAL FAMILY MEDICINE RETIREMENT
2019
454294355
2020-07-07
PELL CITY INTERNAL AND FAMILY MEDICINE
25
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2058849000 |
| Plan sponsor’s address | 7067 VETERANS PARKWAY, SUITE 200, PELL CITY, AL, 35125 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-07 |
| Name of individual signing | RUTWIJ K. JOTANI |
PELL CITY INTERNAL FAMILY MEDICINE RETIREMENT
2018
454294355
2019-10-14
PELL CITY INTERNAL AND FAMILY MEDICINE
22
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2058849000 |
| Plan sponsor’s address | 7067 VETERANS PARKWAY, SUITE 200, PELL CITY, AL, 35125 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-14 |
| Name of individual signing | LEA ANN HOWARD |
PELL CITY INTERNAL FAMILY MEDICINE RETIREMENT
2017
454294355
2018-07-18
PELL CITY INTERNAL AND FAMILY MEDICINE
20
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2058849000 |
| Plan sponsor’s address | 7067 VETERANS PARKWAY, SUITE 200, PELL CITY, AL, 35125 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-18 |
| Name of individual signing | RUTWIJ K. JOTANI |
COLLINS, BARRY
Agent
7067 VETERANS PARKWAY SUITE 130PELL CITY, AL 35125
PRISACRA, ILINCA
Member
JOTANI, RUTWIJ
Organizer
7067 VETERANS PARKWAY, SUITE 130PELL CITY, AL 35125
COLLINS, BARRY
Organizer
7067 VETERANS PARKWAY SUITE 130PELL CITY, AL 35125
2012-05-18
Name Change
PELL CITY INTERNAL MEDICINE, LLC
PELL CITY INTERNAL AND FAMILY MEDICINE, LLC
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
