Search icon

Montgomery Baptist Outreach Services, Corporation

Details

Name: Montgomery Baptist Outreach Services, Corporation
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 21 Apr 1981 (44 years ago) (Companies founded in April 1981)
Entity Number: 000-080-295
Register Number: 000080295
Historical Names: Montgomery Baptist Retirement Services, Incorporated
Montgomery Baptist Retirement Services Corporation
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 301 BROWN SPRINGS RDMONTGOMERY, AL 36117

Activities ELDERLY HOUSING
CHARITABLE
RELIGIOUS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326182486 2007-02-20 2020-04-09 440 TAYLOR RD, SUITE 3380, MONTGOMERY, AL, 361173588, US 440 TAYLOR RD, SUITE 3380, MONTGOMERY, AL, 361173588, US

Contacts

Phone +1 334-211-3628
Fax 3342136288
Phone +1 334-213-6287

Authorized person

Name CHRISTINE ELIZABETH BRUTON
Role CFO
Phone 3342734258

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers

Issuer RAILROAD ROAD MEDICARE
Number CE1792
State AL
Issuer MEDICAID
Number 529932869
State AL
Issuer UNITED HEALTHCARE
Number 0113048
State AL
Issuer MEDICARE GROUP PROVIDER
Number G478
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION 403B PLAN 2010 630813275 2011-10-04 MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION 1810
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-06-29
Business code 622000
Sponsor’s telephone number 3342862445
Plan sponsor’s mailing address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Plan sponsor’s address 2105 E. SOUTH BLVD., MONTGOMERY, AL, 36116

Plan administrator’s name and address

Administrator’s EIN 630813275
Plan administrator’s name MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Plan administrator’s address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Administrator’s telephone number 3342862445

Number of participants as of the end of the plan year

Active participants 1109
Other retired or separated participants entitled to future benefits 797
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1763
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-10-04
Name of individual signing KAY R BENNETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-04
Name of individual signing KAY R BENNETT
Valid signature Filed with authorized/valid electronic signature
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION 403B PLAN 2009 630813275 2010-10-08 MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION No data
Three-digit plan number (PN) 002
Effective date of plan 1997-06-29
Business code 622000
Sponsor’s telephone number 3342862445
Plan sponsor’s mailing address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Plan sponsor’s address 2105 E. SOUTH BLVD., MONTGOMERY, AL, 36116

Plan administrator’s name and address

Administrator’s EIN 630813275
Plan administrator’s name MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Plan administrator’s address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Administrator’s telephone number 3342862445

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing KAY R. BENNETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KAY R BENNETT
Valid signature Filed with authorized/valid electronic signature
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION 403B PLAN 2009 630813275 2010-10-08 MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION No data
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-06-29
Business code 622000
Sponsor’s telephone number 3342862445
Plan sponsor’s mailing address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Plan sponsor’s address 2105 E. SOUTH BLVD., MONTGOMERY, AL, 36116

Plan administrator’s name and address

Administrator’s EIN 630813275
Plan administrator’s name MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Plan administrator’s address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Administrator’s telephone number 3342862445

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing KAY R. BENNETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KAY R. BENNETT
Valid signature Filed with authorized/valid electronic signature
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION 403B PLAN 2009 630813275 2010-10-08 MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION No data
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-06-29
Business code 622000
Sponsor’s telephone number 3342862445
Plan sponsor’s mailing address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Plan sponsor’s address 2105 E. SOUTH BLVD., MONTGOMERY, AL, 36116

Plan administrator’s name and address

Administrator’s EIN 630813275
Plan administrator’s name MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Plan administrator’s address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Administrator’s telephone number 3342862445

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing KAY R. BENNETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KAY R BENNETT
Valid signature Filed with authorized/valid electronic signature
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION 403B PLAN 2009 630813275 2010-10-08 MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION 2037
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-06-29
Business code 622000
Sponsor’s telephone number 3342862445
Plan sponsor’s mailing address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Plan sponsor’s address 2105 E. SOUTH BLVD., MONTGOMERY, AL, 36116

Plan administrator’s name and address

Administrator’s EIN 630813275
Plan administrator’s name MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Plan administrator’s address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Administrator’s telephone number 3342862445

Number of participants as of the end of the plan year

Active participants 1150
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 841
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1871
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing KAY R BENNETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KAY R BENNETT
Valid signature Filed with authorized/valid electronic signature
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION 403B PLAN 2009 630813275 2010-10-08 MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION No data
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-06-29
Business code 622000
Sponsor’s telephone number 3342862445
Plan sponsor’s mailing address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Plan sponsor’s address 2105 E. SOUTH BLVD., MONTGOMERY, AL, 36116

Plan administrator’s name and address

Administrator’s EIN 630813275
Plan administrator’s name MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Plan administrator’s address P. O. BOX 11010, MONTGOMERY, AL, 361110010
Administrator’s telephone number 3342862445

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing KAY R. BENNETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing KAY R BENNETT
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role
MORROW, W TAYLOR Incorporator
BELL, N J III Incorporator
PARKER, R FRANKLIN Incorporator

Agent

Name Role
BROWN, B BLAINE III Agent

Events

Event Date Event Type Old Value New Value
2000-11-14 Name Merged No data Central Alabama Surgical Center, Incorporated
1982-07-23 Name Change Montgomery Baptist Retirement Services Corporation Montgomery Baptist Outreach Services, Corporation
1981-09-21 Name Change Montgomery Baptist Retirement Services, Incorporated Montgomery Baptist Retirement Services Corporation

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State