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Tri-Cities Allergy Clinic, P. C.

Details

Name: Tri-Cities Allergy Clinic, P. C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 28 Jul 1978 (46 years ago) (Companies founded in July 1978)
Entity Number: 000-052-456
Register Number: 000052456
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Authorized Capital: $1,000
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578531448 2006-03-08 2007-11-20 216 MARENGO ST, SUITE H, FLORENCE, AL, 356306012, US 216 MARENGO ST, SUITE H, FLORENCE, AL, 356306012, US

Contacts
Phone +1 256-767-1701
Fax 2567600496

Authorized person
Name DR. JAMES E MALLETTE JR.
Role PRESIDENT
Phone 2567671701

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 078395
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRI-CITIES ALLERGY CLINIC, P.C. EMPLOYEES' PROFIT SHARING PLAN 2015 630752085 2017-04-12 TRI-CITIES ALLERGY CLINIC, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-07
Business code 621111
Sponsor’s telephone number 2567671701
Plan sponsor’s address 216 SOUTH MARENGO ST, STE H, FLORENCE, AL, 35630
TRI-CITIES ALLERGY CLINIC P.C. EMPLOYEES' PROFIT 2014 630752085 2015-10-15 TRI-CITIES ALLERGY CLINIC, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-07
Business code 621111
Sponsor’s telephone number 2567671701
Plan sponsor’s address 216 SOUTH MARENGO STREET, SUITE H, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DR. JAMES E. MALLETTE, JR.
TRI-CITIES ALLERGY CLINIC P.C. EMPLOYEES' PROFIT 2013 630752085 2014-09-16 TRI-CITIES ALLERGY CLINIC, P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-07
Business code 621111
Sponsor’s telephone number 2567671701
Plan sponsor’s address 216 SOUTH MARENGO STREET, SUITE H, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2014-09-16
Name of individual signing DR. JAMES E. MALLETTE, JR.
TRI-CITIES ALLERGY CLINIC P.C. EMPLOYEES' PROFIT 2012 630752085 2013-08-02 TRI-CITIES ALLERGY CLINIC, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-07
Business code 621111
Sponsor’s telephone number 2567671701
Plan sponsor’s address 216 SOUTH MARENGO STREET, SUITE H, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2013-08-02
Name of individual signing DR. JAMES E. MALLETTE, JR.
TRI-CITIES ALLERGY CLINIC P.C. EMPLOYEES' PROFIT 2011 630752085 2012-07-18 TRI-CITIES ALLERGY CLINIC, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-08-07
Business code 621111
Sponsor’s telephone number 2567671701
Plan sponsor’s address 216 SOUTH MARENGO STREET, SUITE H, FLORENCE, AL, 35630

Plan administrator’s name and address
Administrator’s EIN 630752085
Plan administrator’s name TRI-CITIES ALLERGY CLINIC, P.C.
Plan administrator’s address 216 SOUTH MARENGO STREET, SUITE H, FLORENCE, AL, 35630
Administrator’s telephone number 2567671701

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing DR. JAMES E. MALLETTE, JR.

Incorporator

Name Role
MALLETTE, JAMES E JR Incorporator

Related by officers

No related officers

Related by address

FLORENCE, AL

A-One Body Shop of Florence, Inc. Automatic Business Controls, Inc. Alabama Bulk Carriers, Inc. Alabama Excavating & Contracting Company, Inc. Enbridge Pipelines (AlaTenn) Inc. Alabama Vending Company, Inc. Alroma, Inc. Archer of Florence, Inc. Atlantic-Southern Contracting Company, Inc. Baker-Hill Company, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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