James M. Boles, D.M.D., P.A.

Details

Name:	James M. Boles, D.M.D., P.A.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Association
Status:	Exists
Date of registration:	13 Nov 1978 (46 years ago)
Entity Number:	000-053-773
Register Number:	000053773
County:	Mobile
Place of Formation:	Mobile County
Principal Address:	505 GEORGIAN DRIVEMOBILE, AL 36609
Principal Address ZIP Code:	36609

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JAMES M. BOLES, D.M.D., P.A. PROFIT SHARING PLAN

2012

630758740

2013-07-22

JAMES M. BOLES, D.M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-09-30
Business code	621210
Sponsor’s telephone number	2519907797
Plan sponsor’s address	101 FLY CREEK AVE., SUITE 301, FAIRHOPE, AL, 36532

Signature of

Role	Plan administrator
Date	2013-07-22
Name of individual signing	JAMES M. BOLES, D.M.D.

Role	Employer/plan sponsor
Date	2013-07-22
Name of individual signing	JANES M. BOLES

JAMES M. BOLES, D.M.D., P.A. PROFIT SHARING PLAN

2011

630758740

2012-10-08

JAMES M. BOLES, D.M.D., P.A.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-09-30
Business code	621210
Sponsor’s telephone number	2519907797
Plan sponsor’s address	101 FLY CREEK AVE., SUITE 301, FAIRHOPE, AL, 36532

Plan administrator’s name and address

Administrator’s EIN	630758740
Plan administrator’s name	JAMES M. BOLES, D.M.D., P.A.
Plan administrator’s address	101 FLY CREEK AVE., SUITE 301, FAIRHOPE, AL, 36532
Administrator’s telephone number	2519907797

Signature of

Role	Plan administrator
Date	2012-10-08
Name of individual signing	JAMES M. BOLES, D.M.D.

JAMES M. BOLES, D.M.D., P.A. PROFIT SHARING PLAN

2010

630758740

2011-07-06

JAMES M. BOLES, D.M.D., P.A.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-09-30
Business code	621210
Sponsor’s telephone number	2519907797
Plan sponsor’s address	7540 CIPRIANO COURT, FAIRHOPE, AL, 36532

Plan administrator’s name and address

Administrator’s EIN	630758740
Plan administrator’s name	JAMES M. BOLES, D.M.D., P.A.
Plan administrator’s address	7540 CIPRIANO COURT, FAIRHOPE, AL, 36532
Administrator’s telephone number	2519907797

Signature of

Role	Plan administrator
Date	2011-06-30
Name of individual signing	JAMES M. BOLES, D.M.D.

JAMES M. BOLES, D.M.D., P.A. PROFIT SHARING PLAN

2009

630758740

2010-07-21

JAMES M. BOLES, D.M.D., P.A.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-09-30
Business code	621210
Sponsor’s telephone number	2519907797
Plan sponsor’s address	7540 CIPRIANO COURT, FAIRHOPE, AL, 36532

Plan administrator’s name and address

Administrator’s EIN	630758740
Plan administrator’s name	JAMES M. BOLES, D.M.D., P.A.
Plan administrator’s address	7540 CIPRIANO COURT, FAIRHOPE, AL, 36532
Administrator’s telephone number	2519907797

Signature of

Role	Plan administrator
Date	2010-07-20
Name of individual signing	JAMES M BOLES

Member

Name	Role
BOLES, JAMES M	Member

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State