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Montgomery AIDS Outreach, Incorporated

Details

Name: Montgomery AIDS Outreach, Incorporated
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 01 Apr 1987 (38 years ago) (Companies founded in April 1987)
Entity Number: 000-065-424
Register Number: 000065424
Historical Names: Montgomery AIDS Outreach, Inc.
Medical AIDS Outreach of Alabama, Inc
MEDICAL ADVOCACY AND OUTREACH
ZIP code: 36111 (Companies in Montgomery, 36111)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 2900 MCGEHEE ROADMONTGOMERY, AL 36111
Registered Office Street Address: 454 S GOLDTHWAITE STMONTGOMERY, AL 36104

Activities CHARITABLE ETC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699316471 2019-10-03 2022-11-10 PO BOX 11087, MONTGOMERY, AL, 361110087, US 3052 MCGEHEE RD, MONTGOMERY, AL, 361112203, US

Contacts
Phone +1 334-280-3349
Fax 3343561426
Phone +1 334-239-9704

Authorized person
Name MS. ANNE JORDAN-REYNOLDS
Role EXECUTIVE DIRECTOR
Phone 3343860853

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3Y6A7 Obsolete Non-Manufacturer 2004-08-04 2023-04-21 No data 2023-04-21

Contact Information
POC ASHLEY TARRANT
Phone +1 334-386-0854
Address 2900 MCGEHEE RD, MONTGOMERY, AL, 36111 2151, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL AIDS OUTREACH 403(B) RETIREMENT PLAN 2018 630959628 2019-09-25 MONTGOMERY AIDS OUTREACH, INC 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 624200
Sponsor’s telephone number 3342803349
Plan sponsor’s address 2900 MCGHEE RD, MONTGOMERY, AL, 361112151

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing DAQUENTIN DAVIS
Role Employer/plan sponsor
Date 2019-09-25
Name of individual signing DAQUENTIN DAVIS
MEDICAL AIDS OUTREACH 403(B) RETIREMENT PLAN 2018 630959628 2019-04-11 MONTGOMERY AIDS OUTREACH, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 624200
Sponsor’s telephone number 3342803349
Plan sponsor’s address 2900 MCGHEE RD, MONTGOMERY, AL, 361112151

Signature of
Role Plan administrator
Date 2019-04-11
Name of individual signing DAQUENTIN DAVIS
MEDICAL AIDS OUTREACH 403(B) RETIREMENT PLAN 2018 630959628 2019-04-11 MONTGOMERY AIDS OUTREACH, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 624200
Sponsor’s telephone number 3342803349
Plan sponsor’s address 2900 MCGHEE RD, MONTGOMERY, AL, 361112151

Signature of
Role Plan administrator
Date 2019-04-11
Name of individual signing DAQUENTIN DAVIS
MEDICAL AIDS OUTREACH 403(B) RETIREMENT PLAN 2017 630959628 2019-04-18 MONTGOMERY AIDS OUTREACH, INC. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 624200
Sponsor’s telephone number 3342803349
Plan sponsor’s address 2900 MCGHEE RD, MONTGOMERY, AL, 361112151

Signature of
Role Plan administrator
Date 2019-04-18
Name of individual signing DAQUENTIN DAVIS
Role Employer/plan sponsor
Date 2019-04-18
Name of individual signing DAQUENTIN DAVIS
MEDICAL AIDS OUTREACH 403(B) RETIREMENT PLAN 2016 630959628 2019-04-18 MONTGOMERY AIDS OUTREACH, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 624200
Sponsor’s telephone number 3342803349
Plan sponsor’s address 2900 MCGHEE RD, MONTGOMERY, AL, 361112151

Signature of
Role Plan administrator
Date 2019-04-18
Name of individual signing DAQUENTIN DAVIS
Role Employer/plan sponsor
Date 2019-04-18
Name of individual signing DAQUENTIN DAVIS
MEDICAL AIDS OUTREACH 403(B) RETIREMENT PLAN 2015 630959628 2019-04-22 MONTGOMERY AIDS OUTREACH, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 624200
Sponsor’s telephone number 3342803349
Plan sponsor’s address 2900 MCGHEE RD, MONTGOMERY, AL, 361112151

Signature of
Role Plan administrator
Date 2019-04-22
Name of individual signing DAQUENTIN DAVIS
Role Employer/plan sponsor
Date 2019-04-22
Name of individual signing DAQUENTIN DAVIS

Agent

Name Role
JETTON, LAWRENCE Agent

Director

Name Role Address
YARBER-ALLEN, ANNICE Director 2900 MCGEHEE ROADMONTGOMERY, AL 36111
HILL, SARAH Director 4317 AVENUE TBIRMINGHAM, AL 35208
MURPHREE, MICHAEL Director 65081 U S HIGHWAY 231BLOUNTSVILLE, AL 35031

Incorporator

Name Role
BOVINETT, SIMON Incorporator
GITSCHIER, FRANK J III Incorporator
JETTON, LAWRENCE Incorporator
KING, CAROLE A Incorporator
LANGSTON, SANDRA Incorporator
HAYES, WILLIAN BYRON Incorporator

Events

Event Date Event Type Old Value New Value
2018-07-06 Name Change MEDICAL ADVOCACY AND OUTREACH Montgomery AIDS Outreach, Incorporated
2017-11-16 Name Change Medical AIDS Outreach of Alabama, Inc MEDICAL ADVOCACY AND OUTREACH
2012-02-13 Name Change Montgomery AIDS Outreach, Inc. Medical AIDS Outreach of Alabama, Inc

Related by officers

HILL, SARAH

SPIRIT AND IN TRUTH CHURCH OF GOD IN CHRIST OF MONTGOMERY DREAMZ SCRUBZ LLC

MURPHREE, MICHAEL

MURPHREE LLC On Site Brake Service LLC Double B Missions Cafe, Inc

Related by address

2900 MCGEHEE ROADMONTGOMERY, AL 36111

Montgomery Pediatric Associates, P.A. Lloyd M. Hofer, M.D., P.C. Master Read, Inc. E. Gray Penton, P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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