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Children's Medical Group, P.C.

Details

Name: Children's Medical Group, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Jan 1977 (48 years ago) (Companies founded in January 1977)
Entity Number: 000-044-663
Register Number: 000044663
Historical Names: Children's Medical Group, P.A.
ZIP code: 35233 (Companies in Jefferson, 35233)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2316 7TH AVE SOUTH STE 100BIRMINGHAM, AL 35233
Authorized Capital: 500 @ $1.00 PV
Paid Share Capital: $6,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689639312 2006-04-18 2020-08-22 3920 AIRPORT BLVD, MOBILE, AL, 366082207, US 3920 AIRPORT BLVD, MOBILE, AL, 366082207, US

Contacts
Phone +1 251-342-3810
Fax 2513446752

Authorized person
Name FRED L SHELL JR.
Role BUSINESS MANAGER
Phone 2513423810

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN'S MEDICAL GROUP, P. C. 401(K) PROFIT SHARING PLAN 2023 630720078 2024-06-15 CHILDREN'S MEDICAL GROUP, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2052514141
Plan sponsor’s address 2316 7TH AVENUE S., SUITE 100, BIRMINGHAM, AL, 35233
CHILDREN'S MEDICAL GROUP, P. C. 401(K) PROFIT SHARING PLAN 2022 630720078 2023-04-14 CHILDREN'S MEDICAL GROUP, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2052514141
Plan sponsor’s address 2316 7TH AVENUE S., SUITE 100, BIRMINGHAM, AL, 35233
CHILDREN'S MEDICAL GROUP, P. C. 401(K) PROFIT SHARING PLAN 2021 630720078 2022-07-25 CHILDREN'S MEDICAL GROUP, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2052514141
Plan sponsor’s address 2316 7TH AVENUE S., SUITE 100, BIRMINGHAM, AL, 35233
CHILDREN'S MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2020 630622153 2021-06-10 CHILDREN'S MEDICAL GROUP, P.A. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-01-01
Business code 621111
Sponsor’s telephone number 2513423810
Plan sponsor’s address 3920 AIRPORT BLVD, MOBILE, AL, 36608
CHILDREN'S MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2019 630622153 2020-05-20 CHILDREN'S MEDICAL GROUP, P.A. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-01-01
Business code 621111
Sponsor’s telephone number 2513423810
Plan sponsor’s address 3920 AIRPORT BLVD, MOBILE, AL, 36608
CHILDREN'S MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2018 630622153 2019-06-17 CHILDREN'S MEDICAL GROUP, P.A. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-01-01
Business code 621111
Sponsor’s telephone number 2513423810
Plan sponsor’s address 3920 AIRPORT BLVD, MOBILE, AL, 36608
CHILDREN'S MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2017 630622153 2018-07-13 CHILDREN'S MEDICAL GROUP, P.A. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-01-01
Business code 621111
Sponsor’s telephone number 2513423810
Plan sponsor’s address 3920 AIRPORT BLVD, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing RICHARD HUETTEMANN
Role Employer/plan sponsor
Date 2018-07-13
Name of individual signing RICHARD HUETTEMANN
CHILDREN'S MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2016 630622153 2017-06-26 CHILDREN'S MEDICAL GROUP, P.A. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-01-01
Business code 621111
Sponsor’s telephone number 2513423810
Plan sponsor’s address 3920 AIRPORT BLVD, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing RICHARD HUETTEMANN
Role Employer/plan sponsor
Date 2017-06-26
Name of individual signing RICHARD HUETTEMANN
CHILDREN'S MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2015 630622153 2016-10-11 CHILDREN'S MEDICAL GROUP, P.A. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-01-01
Business code 621111
Sponsor’s telephone number 2513423810
Plan sponsor’s address 3920 AIRPORT BLVD, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing RICHARD HUETTEMANN
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing RICHARD HUETTEMANN
CHILDREN'S MEDICAL GROUP, P.A. 401(K) PROFIT SHARING PLAN 2014 630622153 2015-08-24 CHILDREN'S MEDICAL GROUP, P.A. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-01-01
Business code 621111
Sponsor’s telephone number 2513423810
Plan sponsor’s address 3920 AIRPORT BLVD, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2015-08-24
Name of individual signing RICHARD HUETTEMANN
Role Employer/plan sponsor
Date 2015-08-24
Name of individual signing RICHARD HUETTEMANN

Incorporator

Name Role
ROYAL, ARNOLD MD Incorporator
KARTUS, SAM MD Incorporator
LATONA, NORMAN MD Incorporator

Agent

Name Role Address
TINDLE, TRACY H Agent 2316 7TH AVENUE SOUTH SUITE 100BIRMINGHAM, AL 35233

Events

Event Date Event Type Old Value New Value
2013-03-25 Capital Change $12,000 Authorized $6,000 Paid In 500 @ $1.00 PV Authorized $6,000 Paid In
1984-03-08 Name Change Children's Medical Group, P.A. Children's Medical Group, P.C.

Related by officers

TINDLE, TRACY H

T5 Holdings, LLC Tindle Development Group, LLC MTCW Realty, LLC

Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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