West Alabama AIDS Outreach, Inc.

Business Information

Doing Business As	FIVE HORIZONS HEALTH SERVICES
URL	www.fivehorizons.org
Congressional District	07
State/Country of Incorporation	AL, USA
Activation Date	2024-04-03
Initial Registration Date	2016-08-17
Entity Start Date	1988-01-01
Fiscal Year End Close Date	Sep 30

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	VERONICA HEMPHILL
Address	2715 7TH STREET, TUSCALOOSA, AL, 35401, USA

Government Business
Title	PRIMARY POC
Name	BILLY D KIRKPATRICK
Role	DR
Address	2715 7TH STREET, TUSCALOOSA, AL, 35401, USA

Past Performance	Information not Available

Contacts

Phone	+1 205-759-8470
Fax	2053669001

Authorized person

Name	BILLY DANIEL KIRKPATRICK
Role	CEO
Phone	2057598470

Taxonomy

Taxonomy Code	207RI0200X - Infectious Disease Physician
Is Primary	Yes
Taxonomy Code	208D00000X - General Practice Physician
Is Primary	No
Taxonomy Code	363L00000X - Nurse Practitioner
Is Primary	No

Addresses

Legal	C/O KIRKPATRICK, BILLY D, 2715 7TH ST., TUSCALOOSA, US-AL, US, 35401
Headquarters	2715 7TH ST., TUSCALOOSA, US-AL, US, 35401

Registration details

Registration Date	2024-09-17
Last Update	2024-09-17
Status	ISSUED
Next Renewal	2025-09-17
LEI Issuer	5493001KJTIIGC8Y1R12
Corroboration Level	FULLY_CORROBORATED
Data Validated As	000-067-645

Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	813000
Sponsor’s telephone number	2057991186
Plan sponsor’s address	2715 7TH ST., TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2024-07-15
Name of individual signing	SHIRLEY HORNER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	813000
Sponsor’s telephone number	2057991186
Plan sponsor’s address	2715 7TH ST., TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2024-07-15
Name of individual signing	SHIRLEY HORNER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	813000
Sponsor’s telephone number	2056010178
Plan sponsor’s address	2720 6TH STREET, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2023-08-01
Name of individual signing	SHIRLEY HORNER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	813000
Sponsor’s telephone number	2056010178
Plan sponsor’s address	2720 6TH STREET, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2022-07-27
Name of individual signing	SHIRLEY HORNER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	813000
Sponsor’s telephone number	2056010178
Plan sponsor’s address	2720 6TH STREET, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2021-07-29
Name of individual signing	JOANNA LOVE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	813000
Sponsor’s telephone number	2057598470
Plan sponsor’s address	2720 6TH ST, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2019-06-19
Name of individual signing	REGINA PREWITT

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	813000
Sponsor’s telephone number	2057598470
Plan sponsor’s address	2620 6TH ST, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2018-06-21
Name of individual signing	REGINA PREWITT

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	813000
Sponsor’s telephone number	2057598470
Plan sponsor’s address	2620 6TH ST, TUSCALOOSA, AL, 35401

Signature of

Role	Plan administrator
Date	2017-08-21
Name of individual signing	REGINA PREWITT