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Podiatry Associates, P.C.

Details

Name: Podiatry Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Jun 1976 (48 years ago)
Entity Number: 000-041-949
Register Number: 000041949
Historical Names: Edward S. Russell, D.P.M., P.A.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1717 11TH AVE SOUTH STE 402BIRMINGHAM, AL 35205
Registered Office Street Address ZIP Code: 35205
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities PODIATRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942489232 2007-11-02 2013-02-27 1717 11TH AVE SOUTH, SUITE 402, BIRMINGHAM, AL, 352054731, US 401 WEST 3RD STREET, SYLACAUGA, AL, 351501916, US

Contacts
Phone +1 205-933-9595
Fax 2059335250
Phone +1 256-249-2212

Authorized person
Name DR. ROBERT I RUSSELL
Role OWNER/DOCTOR
Phone 2562492212

Taxonomy
Taxonomy Code 213ES0131X - Foot Surgery Podiatrist
License Number 124
State AL
Is Primary Yes
Taxonomy Code 213ES0131X - Foot Surgery Podiatrist
License Number 94
State AL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2023 630708798 2024-09-23 PODIATRY ASSOCIATES, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621111
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1101 18TH ST S, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2024-09-23
Name of individual signing JAKE GUERCIO
Valid signature Filed with authorized/valid electronic signature
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2022 630708798 2023-10-10 PODIATRY ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621510
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1101 18TH STREET SOUTH, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing JAKE GUERCIO
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2021 630708798 2022-07-12 PODIATRY ASSOCIATES, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621391
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1101 18TH STREET SOUTH, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing JAKE GUERCIO
Role Employer/plan sponsor
Date 2022-07-12
Name of individual signing ROBERT I RUSSELL
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2020 630708798 2021-09-15 PODIATRY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621391
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1101 18TH STREET SOUTH, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2021-09-15
Name of individual signing JAKE GUERCIO
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2019 630708798 2020-07-20 PODIATRY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621391
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1101 18TH STREET SOUTH, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing ROBERT RUSSELL
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2018 630708798 2019-10-08 PODIATRY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621391
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1717 11TH AVENUE SOUTH, SUITE 402, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing ROBERT RUSSELL
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2017 630708798 2018-05-01 PODIATRY ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621391
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1717 11TH AVENUE SOUTH, SUITE 402, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2018-05-01
Name of individual signing ROBERT RUSSELL
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2016 630708798 2017-03-02 PODIATRY ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621391
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1717 11TH AVENUE SOUTH, SUITE 402, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2017-03-02
Name of individual signing ROBERT RUSSELL
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2015 630708798 2016-06-22 PODIATRY ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621391
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1717 11TH AVENUE SOUTH, SUITE 402, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2016-06-22
Name of individual signing ROBERT RUSSELL
PODIATRY ASSOCIATES, P. C. 401(K) PROFIT SHARING RETIREMENT PLAN 2014 630708798 2015-07-28 PODIATRY ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-06-01
Business code 621391
Sponsor’s telephone number 2059339595
Plan sponsor’s address 1717 11TH AVENUE SOUTH, SUITE 402, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing ROBERT RUSSELL
Role Employer/plan sponsor
Date 2015-07-28
Name of individual signing ROBERT RUSSELL

Agent

Name Role Address
RUSSELL, ROBERT I Agent 4637 S LAKERIDGE DRIVEHOOVER, AL 35244

Incorporator

Name Role
RUSSELL, EDWARD S DPM Incorporator

Events

Event Date Event Type Old Value New Value
1985-11-21 Name Change Edward S. Russell, D.P.M., P.A. Podiatry Associates, P.C.

Related by officers

RUSSELL, ROBERT I

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Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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