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Decatur Orthopaedic Clinic, LLC

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Entity Number 000-063-835

Register Number000063835

Status Exists

NameDecatur Orthopaedic Clinic, LLC

CountyMorgan

Date of registration 18 Jun 2012 (12 years ago)

Legal typeDomestic Limited Liability Company

Registered Office Street Address 1103 16TH AVENUE SOUTHEASTDECATUR, AL 35601

Registered Office Street Address ZIP code 35601

Activities OWN AND OPERATE A MEDICAL PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

DECATUR ORTHOPAEDIC CLINIC, LLC CASH BALANCE PLAN

2023

630799912

2024-07-11

DECATUR ORTHOPAEDIC CLINIC

55

View Page

Three-digit plan number (PN)004
Effective date of plan2018-01-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1103 16TH AVENUE SE, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2024-07-11
Name of individual signingSCOTT SHARP

DECATUR ORTHOPAEDIC CLINIC, LLC 401(K) PLAN

2023

630799912

2024-07-11

DECATUR ORTHOPAEDIC CLINIC

62

View Page

Three-digit plan number (PN)003
Effective date of plan2004-04-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1107 14TH AVE SE STE300, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2024-07-11
Name of individual signingSCOTT SHARP

DECATUR ORTHOPAEDIC CLINIC, LLC 401(K) PLAN

2022

630799912

2023-07-19

DECATUR ORTHOPAEDIC CLINIC

56

View Page

Three-digit plan number (PN)003
Effective date of plan2004-04-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1107 14TH AVE SE STE 300, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2023-07-19
Name of individual signingSCOTT SHARP

DECATUR ORTHOPAEDIC CLINIC, LLC CASH BALANCE PLAN

2022

630799912

2023-07-19

DECATUR ORTHOPAEDIC CLINIC

53

View Page

Three-digit plan number (PN)004
Effective date of plan2018-01-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1107 14TH AVE SE STE 300, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2023-07-19
Name of individual signingSCOTT SHARP

DECATUR ORTHOPAEDIC CLINIC, LLC 401(K) PLAN

2021

630799912

2022-10-07

DECATUR ORTHOPAEDIC CLINIC, LLC

51

View Page

Three-digit plan number (PN)003
Effective date of plan2004-04-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1103 16TH AVENUE SE, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2022-10-07
Name of individual signingSCOTT SHARP

DECATUR ORTHOPAEDIC CLINIC, LLC CASH BALANCE PLAN

2021

630799912

2022-10-07

DECATUR ORTHOPAEDIC CLINIC

48

View Page

Three-digit plan number (PN)004
Effective date of plan2018-01-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1103 16TH AVENUE SE, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2022-10-07
Name of individual signingSCOTT SHARP

DECATUR ORTHOPAEDIC CLINIC, LLC CASH BALANCE PLAN

2020

630799912

2021-10-07

DECATUR ORTHOPAEDIC CLINIC

49

View Page

Three-digit plan number (PN)004
Effective date of plan2018-01-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1103 16TH AVE SE, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2021-10-07
Name of individual signingR. SCOTT SHARP, MD

DECATUR ORTHOPAEDIC CLINIC 401(K) PROFIT SHARING PLAN

2020

630799912

2021-10-07

DECATUR ORTHOPAEDIC CLINIC

49

View Page

Three-digit plan number (PN)003
Effective date of plan2004-04-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1103 16TH AVE SE, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2021-10-07
Name of individual signingR. SCOTT SHARP, MD

DECATUR ORTHOPAEDIC CLINIC, LLC CASH BALANCE PLAN

2019

630799912

2020-09-28

DECATUR ORTHOPAEDIC CLINIC

41

View Page

Three-digit plan number (PN)004
Effective date of plan2018-01-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1103 16TH AVE SE, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2020-09-28
Name of individual signingR. SCOTT SHARP, MD

DECATUR ORTHOPAEDIC CLINIC 401(K) PROFIT SHARING PLAN

2019

630799912

2020-09-28

DECATUR ORTHOPAEDIC CLINIC

50

View Page

Three-digit plan number (PN)003
Effective date of plan2004-04-01
Business code621111
Sponsor’s telephone number2563500362
Plan sponsor’s address1103 16TH AVE SE, DECATUR, AL, 35601

Signature of

RolePlan administrator
Date2020-09-28
Name of individual signingR. SCOTT SHARP, MD

Agent

Name Role Address

HOFAMMANN, DABNEY Y

Agent

1103 16TH AVENUE SOUTHEASTDECATUR, AL 35601

Organizer

Name Role Address

HOFAMMANN, DABNEY Y

Organizer

1103 16TH AVENUE SOUTHEASTDECATUR, AL 35601

SIMS, WILLIAM A

Organizer

1103 16TH AVENUE SOUTHEASTDECATUR, AL 35601

TAPSCOTT, R STACY

Organizer

1103 16TH AVENUE SOUTHEASTDECATUR, AL 35601

RIEHL, J RANDALL

Organizer

1103 16TH AVENUE SOUTHEASTDECATUR, AL 35601

ELLIS, RUSSELL L

Organizer

1103 16TH AVENUE SOUTHEASTDECATUR, AL 35601

SHARP, R SCOTT

Organizer

1103 16TH AVENUE SOUTHEASTDECATUR, AL 35601

SIMONETTI, D J

Organizer

420 NORTH 20TH STREET SUITE 1400BIRMINGHAM, AL 35203

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State