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CRH UMC, LLC

Details

Name: CRH UMC, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 28 Jan 2013 (12 years ago) (Companies founded in January 2013)
Entity Number: 000-070-000
Register Number: 000070000
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 75 14TH STREET STE 2700ATLANTA, GA 30309
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457846693 2018-06-29 2018-06-29 1275 HIGHWAY 54 W STE 201, FAYETTEVILLE, GA, 302144538, US 12287 HIGHWAY 231 431 N, MERIDIANVILLE, AL, 357591205, US

Contacts
Phone +1 678-688-9685
Fax 7706263791
Phone +1 256-828-1154
Fax 2568281194

Authorized person
Name MRS. ANDREA MALIK-ROE
Role CFO
Phone 6785046392

Taxonomy
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRH UMC LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 800895134 2018-09-10 CRH UMC LLC 33
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567229644
Plan sponsor’s address 7583 WALL TRIANA HWY, MADISON, AL, 357578327

Signature of
Role Plan administrator
Date 2018-09-10
Name of individual signing SANDI GOOD
CRH UMC LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 800895134 2019-05-08 CRH UMC LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Plan sponsor’s address 7583 WALL TRIANA HWY, MADISON, AL, 357578327

Signature of
Role Plan administrator
Date 2019-05-08
Name of individual signing SANDI GOOD
CRH UMC LLC 401 K PROFIT SHARING PLAN TRUST 2015 800895134 2016-06-30 CRH UMC LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567229644
Plan sponsor’s address 7583 WALL TRIANA HWY, MADISON, AL, 35757

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing SANDI B GOOD
CRH UMC LLC 401 K PROFIT SHARING PLAN TRUST 2014 800895134 2015-06-11 CRH UMC LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567229644
Plan sponsor’s address 7583 WALL TRIANA HWY, MADISON, AL, 35757

Signature of
Role Plan administrator
Date 2015-06-11
Name of individual signing SANDI B. GOOD
CRH UMC LLC 401 K PROFIT SHARING PLAN TRUST 2013 800895134 2014-07-29 CRH UMC LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567229644
Plan sponsor’s address 7583 WALL TRIANA HWY, MADISON, AL, 35757

Signature of
Role Plan administrator
Date 2014-07-29
Name of individual signing SANDI GOOD

Agent

Name Role
NATIONAL REGISTERED AGENTS INC Agent

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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