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James S. Sullivan, M.D., P.A.

Details

Name: James S. Sullivan, M.D., P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Dissolved
Date of registration: 18 Aug 1982 (42 years ago)
Date of dissolution: 29 Dec 2016
Entity Number: 000-064-643
Register Number: 000064643
County: Houston
Place of Formation: Houston County
Principal Address: 4300 W MAIN STE 16DOTHAN, AL 36301
Principal Address ZIP Code: 36301

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2016 630830858 2017-07-27 JAMES S. SULLIVAN M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-08-02
Business code 621111
Sponsor’s telephone number 3347931038
Plan sponsor’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2015 630830858 2016-05-24 JAMES S. SULLIVAN M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-08-02
Business code 621111
Sponsor’s telephone number 3347931038
Plan sponsor’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2014 630830858 2015-07-02 JAMES S. SULLIVAN M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-08-02
Business code 621111
Sponsor’s telephone number 3347931038
Plan sponsor’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2013 630830858 2014-08-21 JAMES S. SULLIVAN M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-08-02
Business code 621111
Sponsor’s telephone number 3347931038
Plan sponsor’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2012 630830858 2013-06-24 JAMES S. SULLIVAN M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-08-02
Business code 621111
Sponsor’s telephone number 3347931038
Plan sponsor’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2013-06-19
Name of individual signing JAMES S SULLIVAN
JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2011 630830858 2012-11-19 JAMES S. SULLIVAN M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-08-02
Business code 621111
Sponsor’s telephone number 3347931038
Plan sponsor’s mailing address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
Plan sponsor’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301

Plan administrator’s name and address
Administrator’s EIN 630830858
Plan administrator’s name JAMES S. SULLIVAN M.D., P.A.
Plan administrator’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
Administrator’s telephone number 3347931038

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2012-11-19
Name of individual signing JAMES S. SULLIVAN
Valid signature Filed with authorized/valid electronic signature
JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2011 630830858 2012-06-21 JAMES S. SULLIVAN M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-08-02
Business code 621111
Sponsor’s telephone number 3347931038
Plan sponsor’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301

Plan administrator’s name and address
Administrator’s EIN 630830858
Plan administrator’s name JAMES S. SULLIVAN M.D., P.A.
Plan administrator’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
Administrator’s telephone number 3347931038

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing JAMES S SULLIVAN
JAMES S. SULLIVAN M.D., P.A. PROFIT SHARING PLAN 2009 630830858 2010-07-14 JAMES S. SULLIVAN M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-08-02
Business code 621111
Sponsor’s telephone number 3347931038
Plan sponsor’s mailing address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
Plan sponsor’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301

Plan administrator’s name and address
Administrator’s EIN 630830858
Plan administrator’s name JAMES S. SULLIVAN M.D., P.A.
Plan administrator’s address 4300 WEST MAIN ST, STE 16, DOTHAN, AL, 36301
Administrator’s telephone number 3347931038

Number of participants as of the end of the plan year
Active participants 5
Number of participants with account balances as of the end of the plan year 5

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing JAMES S SULLIVAN
Valid signature Filed with authorized/valid electronic signature

Member

Name Role
SULLIVAN, JAMES S MD Member

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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