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Dr. Sumpter D. Blackmon, P.A.

Details

Name: Dr. Sumpter D. Blackmon, P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Dissolved
Date of registration: 04 Nov 1977 (47 years ago) (Companies founded in November 1977)
Date of dissolution: 26 Jul 2023
Entity Number: 000-048-485
Register Number: 000048485
ZIP code: 36726 (Companies in Wilcox, 36726)
County: Wilcox
Place of Formation: Wilcox County
Principal Address: P O BOX 699 321 WHISKEY RUN ROADCAMDEN, AL 36726

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. SUMPTER D. BLACKMON P.A. PROFIT SHARING PLAN 2015 630737237 2016-06-30 DR. SUMPTER D. BLACKMON P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 3346824182
Plan sponsor’s address PO BOX 699 321 WHISKEY RUN ROAD, CAMDEN, AL, 367260699

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing DR. SUMPTER D. BLACKMON
DR. SUMPTER D. BLACKMON P.A. PROFIT SHARING PLAN 2014 630737237 2015-10-13 DR. SUMPTER D. BLACKMON P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 3346824182
Plan sponsor’s address PO BOX 699 321 WHISKEY RUN ROAD, CAMDEN, AL, 367260699

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing DR. SUMPTER D. BLACKMON
DR. SUMPTER D. BLACKMON P.A. PROFIT SHARING PLAN 2013 630737237 2014-05-22 DR. SUMPTER D. BLACKMON P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 3346824182
Plan sponsor’s address PO BOX 699 321 WHISKEY RUN ROAD, CAMDEN, AL, 367260699

Signature of
Role Plan administrator
Date 2014-05-22
Name of individual signing DR. SUMPTER D. BLACKMON
DR. SUMPTER D. BLACKMON P.A. PROFIT SHARING PLAN 2012 630737237 2013-10-14 DR. SUMPTER D. BLACKMON P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 3346824182
Plan sponsor’s address PO BOX 699 321 WHISKEY RUN ROAD, CAMDEN, AL, 367260699

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing DR. SUMPTER D. BLACKMON
DR. SUMPTER D. BLACKMON P.A. PROFIT SHARING PLAN 2011 630737237 2012-06-25 DR. SUMPTER D. BLACKMON P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 3346824182
Plan sponsor’s address P. O. BOX 699, 321 WHISKEY RUN ROAD, CAMDEN, AL, 36726

Plan administrator’s name and address
Administrator’s EIN 630737237
Plan administrator’s name DR. SUMPTER D. BLACKMON P.A.
Plan administrator’s address P. O. BOX 699, 321 WHISKEY RUN ROAD, CAMDEN, AL, 36726
Administrator’s telephone number 3346824182

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing DR. SUMPTER D. BLACKMON
Role Employer/plan sponsor
Date 2012-06-25
Name of individual signing DR. SUMPTER D. BLACKMON
DR. SUMPTER D. BLACKMON P.A. PROFIT SHARING PLAN 2010 630737237 2011-07-21 DR. SUMPTER D. BLACKMON P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 3346824182
Plan sponsor’s address P.O. BOX 699, 321 WHISKEY RUN ROAD, CAMDEN, AL, 36726

Plan administrator’s name and address
Administrator’s EIN 630737237
Plan administrator’s name DR. SUMPTER D. BLACKMON P.A.
Plan administrator’s address P.O. BOX 699, 321 WHISKEY RUN ROAD, CAMDEN, AL, 36726
Administrator’s telephone number 3346824182

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing DR. SUMPTER D. BLACKMON
Role Employer/plan sponsor
Date 2011-07-21
Name of individual signing DR. SUMPTER D. BLACKMON
DR. SUMPTER D. BLACKMON P.A. PROFIT SHARING PLAN 2009 630737237 2010-07-29 DR. SUMPTER D. BLACKMON P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-11-01
Business code 621111
Sponsor’s telephone number 3346824182
Plan sponsor’s address P.O. BOX 699, 321 WHISKEY RUN ROAD, CAMDEN, AL, 36726

Plan administrator’s name and address
Administrator’s EIN 630737237
Plan administrator’s name DR. SUMPTER D. BLACKMON P.A.
Plan administrator’s address P.O. BOX 699, 321 WHISKEY RUN ROAD, CAMDEN, AL, 36726
Administrator’s telephone number 3346824182

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing DR. SUMPTER D. BLACKMON
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing DR. SUMPTER D. BLACKMON

Member

Name Role
BLACKMON, SUMPTER D Member

Related by officers

BLACKMON, SUMPTER D

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Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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