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Diana M. Mancuso, M.D., P.A.

Details

Name: Diana M. Mancuso, M.D., P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Exists
Date of registration: 26 Jun 1981 (43 years ago) (Companies founded in June 1981)
Entity Number: 000-064-499
Register Number: 000064499
ZIP code: 36603 (Companies in Mobile, 36603)
County: Mobile
Place of Formation: Houston County
Principal Address: 3226 W MAIN STREET STE #2DOTHAN, AL 36603

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIANA M MANCUSO, M.D, P.A PROFIT SHARING PLAN 2023 630809802 2024-06-11 DIANA M. MANCUSO, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 3347934120
Plan sponsor’s address 4300 WEST MAIN STREET, SUITE 16, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2024-06-11
Name of individual signing DIANA MANCUSO
DIANA M MANCUSO, M.D, P.A PROFIT SHARING PLAN 2022 630809802 2023-09-04 DIANA M. MANCUSO, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 3347934120
Plan sponsor’s address 4300 WEST MAIN STREET, SUITE 16, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2023-09-04
Name of individual signing DIANA M MANCUSO
DIANA M MANCUSO, M.D, P.A PROFIT SHARING PLAN 2021 630809802 2022-06-09 DIANA M. MANCUSO, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 3347934120
Plan sponsor’s address 4300 WEST MAIN STREET, SUITE 16, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2022-06-09
Name of individual signing DIANA M MANCUSO
DIANA M MANCUSO, M.D, P.A PROFIT SHARING PLAN 2020 630809802 2021-09-02 DIANA M. MANCUSO, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 3347934120
Plan sponsor’s address 4300 WEST MAIN STREET, SUITE 16, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2021-09-02
Name of individual signing DIANA M MANCUSO
DIANA M MANCUSO, M.D, P.A PROFIT SHARING PLAN 2019 630809802 2020-06-16 DIANA M. MANCUSO, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 3347934120
Plan sponsor’s address 4300 WEST MAIN STREET, SUITE 16, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing DIANA M MANCUSO
DIANA M MANCUSO, MD PA PROFIT SHARING PLAN 2018 630809802 2019-07-25 DIANA M. MANCUSO, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 3347934120
Plan sponsor’s address 4300 WEST MAIN STREET, SUITE 16, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2019-07-25
Name of individual signing DIANA M MANCUSO
Role Employer/plan sponsor
Date 2019-07-25
Name of individual signing DIANA M MANCUSO
DIANA M MANCUSO, MD PA PROFIT SHARING PLAN 2017 630809802 2018-10-02 DIANA M. MANCUSO, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 3347934120
Plan sponsor’s address 4300 WEST MAIN STREET, SUITE 16, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing DIANA M MANCUSO
Role Employer/plan sponsor
Date 2018-10-02
Name of individual signing DIANA M MANCUSO

Member

Name Role
MANCUSO, DIANA M Member
GREENBERG, ALLAN H Member

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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