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Terence T. Hart, M.D., P.A.

Details

Name: Terence T. Hart, M.D., P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Dissolved
Date of registration: 22 May 1980 (45 years ago) (Companies founded in May 1980)
Date of dissolution: 11 Dec 2020
Entity Number: 000-059-358
Register Number: 000059358
ZIP code: 35662 (Companies in Colbert, 35662)
County: Colbert
Place of Formation: Colbert County
Principal Address: 203 AVALON AVENUE, PO BOX 2543MUSCLE SHOALS, AL 35662

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2018 630783656 2020-07-15 TERENCE T. HART, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2017 630783656 2019-04-30 TERENCE T. HART, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2016 630783656 2018-06-26 TERENCE T. HART, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2015 630783656 2017-06-06 TERENCE T. HART, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2014 630783656 2016-04-05 TERENCE T. HART, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2013 630783656 2015-03-23 TERENCE T. HART, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543

Plan administrator’s name and address

Administrator’s EIN 630783656
Plan administrator’s name TERENCE T. HART, M.D., P.A.
Plan administrator’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
Administrator’s telephone number 2563861106

Signature of

Role Plan administrator
Date 2015-03-23
Name of individual signing TERENCE T. HART, MD
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2012 630783656 2014-02-27 TERENCE T. HART, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543

Plan administrator’s name and address

Administrator’s EIN 630783656
Plan administrator’s name TERENCE T. HART, M.D., P.A.
Plan administrator’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
Administrator’s telephone number 2563861106

Signature of

Role Plan administrator
Date 2014-02-27
Name of individual signing TERENCE T. HART, MD
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2011 630783656 2013-06-13 TERENCE T. HART, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543

Plan administrator’s name and address

Administrator’s EIN 630783656
Plan administrator’s name TERENCE T. HART, M.D., P.A.
Plan administrator’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
Administrator’s telephone number 2563861106

Signature of

Role Plan administrator
Date 2013-06-13
Name of individual signing JASON DAVIS
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2010 630783656 2012-06-08 TERENCE T. HART, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543

Plan administrator’s name and address

Administrator’s EIN 630783656
Plan administrator’s name TERENCE T. HART, M.D., P.A.
Plan administrator’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
Administrator’s telephone number 2563861106

Signature of

Role Plan administrator
Date 2012-06-08
Name of individual signing TERENCE T. HART, M.D.
TERENCE T. HART, M.D. P.A. PROFIT SHARING PLAN 2009 630783656 2011-06-27 TERENCE T. HART, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1979-12-03
Business code 621111
Sponsor’s telephone number 2563861106
Plan sponsor’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543

Plan administrator’s name and address

Administrator’s EIN 630783656
Plan administrator’s name TERENCE T. HART, M.D., P.A.
Plan administrator’s address PO BOX 2543, MUSCLE SHOALS, AL, 356622543
Administrator’s telephone number 2563861106

Signature of

Role Plan administrator
Date 2011-06-27
Name of individual signing TERENCE T. HART, M.D.

Member

Name Role
HART, TERENCE T Member

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State