The Arc of Clarke County, Inc

Contacts

Phone	+1 251-246-3000
Fax	2512463098

Authorized person

Name	KIMBERLY W. NELSON
Role	OPERATIONS DIRECTOR
Phone	2512463000

Taxonomy

Taxonomy Code	251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary	Yes
Taxonomy Code	320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
Is Primary	No
Taxonomy Code	320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary	No

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-10-01
Business code	813000
Sponsor’s telephone number	2512463000
Plan sponsor’s address	PO BOX 100, JACKSON, AL, 365450100

Signature of

Role	Plan administrator
Date	2024-10-14
Name of individual signing	ASHLEY RUMBLEY
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-10-01
Business code	813000
Sponsor’s telephone number	2512463000
Plan sponsor’s address	PO BOX 100, JACKSON, AL, 365450100

Signature of

Role	Plan administrator
Date	2022-10-24
Name of individual signing	ASHLEY RUMBLEY

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-10-01
Business code	813000
Sponsor’s telephone number	2512463000
Plan sponsor’s address	PO BOX 100, JACKSON, AL, 365450100

Signature of

Role	Plan administrator
Date	2021-08-11
Name of individual signing	ROSA JACKSON

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-10-01
Business code	813000
Sponsor’s telephone number	2512463000
Plan sponsor’s address	PO BOX 100, JACKSON, AL, 365450100

Signature of

Role	Plan administrator
Date	2020-07-29
Name of individual signing	ROSA JACKSON

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-10-01
Business code	813000
Sponsor’s telephone number	2512463000
Plan sponsor’s address	PO BOX 100, JACKSON, AL, 365450100

Signature of

Role	Plan administrator
Date	2019-07-25
Name of individual signing	ROSA JACKSON

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-10-01
Business code	624310
Sponsor’s telephone number	2512463000
Plan sponsor’s address	PO BOX 100, JACKSON, AL, 365450100

Signature of

Role	Plan administrator
Date	2018-07-30
Name of individual signing	GERARD KWILECKI