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Bay Radiology, P.C.

Details

Name: Bay Radiology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 09 Nov 1983 (41 years ago) (Companies founded in November 1983)
Date of dissolution: 04 Apr 2018
Entity Number: 000-064-706
Register Number: 000064706
Historical Names: David L. Fore, M. D.., P. A.
ZIP code: 36533 (Companies in Baldwin, 36533)
County: Baldwin
Place of Formation: Baldwin County
Principal Address: FAIRHOPE, AL
Registered Office Street Address: 750 MORPHY AVEFAIRHOPE, AL 36533
Authorized Capital: $3,000
Paid Share Capital: $1,000

Activities RADIOLOGY MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619959962 2005-11-14 2007-08-27 PO BOX 70206, MOBILE, AL, 366701206, US 750 MORPHY AVE, FAIRHOPE, AL, 365321812, US

Contacts

Phone +1 251-928-7205
Fax 2514765460

Authorized person

Name DR. DAVID L FORE
Role PRESIDENT
Phone 2519287205

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAY RADIOLOGY, P.C. PROFIT SHARING PLAN & TRUST 2014 630858684 2015-03-30 BAY RADIOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-09-01
Business code 621399
Sponsor’s telephone number 2519287205
Plan sponsor’s address P.O. BOX 2004, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2015-03-30
Name of individual signing MICHAEL J QUINN
BAY RADIOLOGY, P.C. PROFIT SHARING PLAN & TRUST 2013 630858684 2015-03-26 BAY RADIOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-09-01
Business code 621399
Sponsor’s telephone number 2519287205
Plan sponsor’s address P.O. BOX 2004, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2015-03-26
Name of individual signing MICHAEL J. QUINN
BAY RADIOLOGY, P.C. PROFIT SHARING PLAN & TRUST 2012 630858684 2014-02-24 BAY RADIOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-09-01
Business code 621399
Sponsor’s telephone number 2519287205
Plan sponsor’s address P.O. BOX 2004, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2014-02-24
Name of individual signing MICHAEL J. QUINN
BAY RADIOLOGY, P.C. PROFIT SHARING PLAN & TRUST 2011 630858684 2013-06-14 BAY RADIOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-09-01
Business code 621399
Sponsor’s telephone number 2519287205
Plan sponsor’s address P.O. BOX 2004, FAIRHOPE, AL, 36533

Plan administrator’s name and address

Administrator’s EIN 630858684
Plan administrator’s name BAY RADIOLOGY, P.C.
Plan administrator’s address P.O. BOX 2004, FAIRHOPE, AL, 36533
Administrator’s telephone number 2519287205

Signature of

Role Plan administrator
Date 2013-06-14
Name of individual signing MICHAEL J. QUINN
BAY RADIOLOGY, P.C. PROFIT SHARING PLAN & TRUST 2010 630858684 2012-06-11 BAY RADIOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-09-01
Business code 621399
Sponsor’s telephone number 2519287205
Plan sponsor’s address P.O. BOX 2004, FAIRHOPE, AL, 36533

Plan administrator’s name and address

Administrator’s EIN 630858684
Plan administrator’s name BAY RADIOLOGY, P.C.
Plan administrator’s address P.O. BOX 2004, FAIRHOPE, AL, 36533
Administrator’s telephone number 2519287205

Signature of

Role Plan administrator
Date 2012-06-11
Name of individual signing MICHAEL J. QUINN
BAY RADIOLOGY, P.C. PROFIT SHARING PLAN & TRUST 2009 630858684 2011-04-07 BAY RADIOLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-09-01
Business code 621399
Sponsor’s telephone number 2519287205
Plan sponsor’s address P.O. BOX 2004, FAIRHOPE, AL, 36533

Plan administrator’s name and address

Administrator’s EIN 630858684
Plan administrator’s name BAY RADIOLOGY, P.C.
Plan administrator’s address P.O. BOX 2004, FAIRHOPE, AL, 36533
Administrator’s telephone number 2519287205

Signature of

Role Plan administrator
Date 2011-04-07
Name of individual signing MICHAEL J. QUINN

Agent

Name Role
FORE, DAVID L MD Agent

Incorporator

Name Role
FORE, DAVID L MD Incorporator

Events

Event Date Event Type Old Value New Value
2002-06-21 Capital Change $2,000 Authorized $1,000 Paid In $3,000 Authorized $1,000 Paid In
1992-08-27 Name Change David L. Fore, M. D.., P. A. Bay Radiology, P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State