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Alabama Dermatology Associates, P.C.

Details

Name: Alabama Dermatology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 11 Oct 1979 (45 years ago)
Entity Number: 000-058-526
Register Number: 000058526
Historical Names: Bentley & Johnson, P.C.
Place of Formation: Tuscaloosa County
Authorized Capital: 1M DIVIDED
Paid Share Capital: $2,000

Activities MEDICAL DERMATOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033128897 2006-08-07 2007-07-30 3519 WATERMELON RD, NORTHPORT, AL, 354735174, US 3519 WATERMELON RD, NORTHPORT, AL, 354735174, US

Contacts

Phone +1 205-345-1520
Fax 2053451761

Authorized person

Name BRENDA K JONES
Role OFFICE MANAGER
Phone 2053451520

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA DERMATOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2023 630776876 2024-07-12 ALABAMA DERMATOLOGY ASSOCIATES, P.C. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 2053451520
Plan sponsor’s address 4410 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of

Role Plan administrator
Date 2024-07-12
Name of individual signing JEFFERY WEEKS
ALABAMA DERMATOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2022 630776876 2023-08-27 ALABAMA DERMATOLOGY ASSOCIATES, P.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 2053451520
Plan sponsor’s address 4410 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of

Role Plan administrator
Date 2023-08-27
Name of individual signing JEFFERY WEEKS
ALABAMA DERMATOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2021 630776876 2022-09-04 ALABAMA DERMATOLOGY ASSOCIATES, P.C. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 2053451520
Plan sponsor’s address 4410 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of

Role Plan administrator
Date 2022-09-04
Name of individual signing JEFFERY WEEKS
ALABAMA DERMATOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2020 630776876 2021-05-11 ALABAMA DERMATOLOGY ASSOCIATES, P.C. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 2053451520
Plan sponsor’s address 4410 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of

Role Plan administrator
Date 2021-05-11
Name of individual signing JEFFERY WEEKS
ALABAMA DERMATOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2019 630776876 2020-07-20 ALABAMA DERMATOLOGY ASSOCIATES, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 2053451520
Plan sponsor’s address 4410 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of

Role Plan administrator
Date 2020-07-20
Name of individual signing JEFFERY WEEKS
ALABAMA DERMATOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2018 630776876 2019-07-19 ALABAMA DERMATOLOGY ASSOCIATES, P.C 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 2053451520
Plan sponsor’s address 4410 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of

Role Plan administrator
Date 2019-07-19
Name of individual signing JEFFERY WEEKS
ALABAMA DERMATOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 630776876 2018-06-27 ALABAMA DERMATOLOGY ASSOCIATES, P.C 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 2053451520
Plan sponsor’s address 4410 WATERMELON RD, NORTHPORT, AL, 35473

Signature of

Role Plan administrator
Date 2018-06-27
Name of individual signing JEFFERY WEEKS
ALABAMA DERMATOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 630776876 2017-10-11 ALABAMA DERMATOLOGY ASSOCIATES, P.C 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-10-01
Business code 621111
Sponsor’s telephone number 2053451520
Plan sponsor’s address 4410 WATERMELON RD, NORTHPORT, AL, 35473

Signature of

Role Plan administrator
Date 2017-10-11
Name of individual signing JEFFERY WEEKS

Incorporator

Name Role
BENTLEY, ROBERT JULIAN Incorporator
JOHNSON, MICHAEL LYNN Incorporator
BENTLEY, MARTHA J Incorporator
JOHNSON, SANDRA S Incorporator

Events

Event Date Event Type Old Value New Value
2018-02-16 Capital Change 665,00 @$.001PV Authorized $2,000 Paid In 1M DIVIDED Authorized $2,000 Paid In
2017-01-27 Capital Change $8,000 Authorized $2,000 Paid In 665,00 @$.001PV Authorized $2,000 Paid In
2007-12-31 Capital Change $4,000 Authorized $2,000 Paid In $8,000 Authorized $2,000 Paid In
1993-03-16 Name Change Bentley & Johnson, P.C. Alabama Dermatology Associates, P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State