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Bendall's Pharmacy, Inc.

Details

Name: Bendall's Pharmacy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 12 May 1981 (43 years ago)
Entity Number: 000-082-361
Register Number: 000082361
County: Morgan
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Registered Office Street Address: 1317 14TH AVENUE SEDECATUR, AL 35601
Registered Office Street Address ZIP Code: 35601
Authorized Capital: $5,000

Activities DRUGSTORES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396898250 2007-01-22 2023-05-12 1316-A STRATFORD RD SE, DECATUR, AL, 356016036, US 1316-A STRATFORD RD SE, DECATUR, AL, 356016036, US

Contacts
Phone +1 256-962-6762
Fax 2563532093
Phone +1 256-353-2021

Authorized person
Name NICOLE B ROBERTSON
Role OWNER
Phone 2569626762

Taxonomy
Taxonomy Code 183500000X - Pharmacist
License Number 111706
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 100001615
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BENDALL'S PHARMACY INC. 401K PLAN 2022 630807744 2023-10-16 BENDALL'S PHARMACY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2563532021
Plan sponsor’s address 1316-A STRATFORD ROAD SE, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2023-10-15
Name of individual signing NICOLE ROBERTSON
Role Employer/plan sponsor
Date 2023-10-15
Name of individual signing NICOLE ROBERTSON
BENDALL'S PHARMACY (WELFARE PLAN) 2022 630807744 2023-07-27 BENDALL'S PHARMACY 6
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2020-10-01
Business code 446110
Sponsor’s telephone number 8669665457
Plan sponsor’s address 1317 14TH AVENUE SE, DECATUR, AL, 35601

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2023-07-18
Name of individual signing W. HAL SHEPHERD
BENDALL'S PHARMACY (WELFARE PLAN) 2021 630807744 2022-07-29 BENDALL'S PHARMACY 6
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2020-10-01
Business code 446110
Sponsor’s telephone number 8669665457
Plan sponsor’s address 1317 14TH AVENUE SE, DECATUR, AL, 35601

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2022-07-20
Name of individual signing W. HAL SHEPHERD
BENDALL'S PHARMACY INC. 401K PLAN 2021 630807744 2022-07-27 BENDALL'S PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2563532021
Plan sponsor’s address 1316-A STRATFORD ROAD SE, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing GEORGE TIM DOUTHIT
BENDALL'S PHARMACY (WELFARE PLAN) 2020 630807744 2021-07-25 BENDALL'S PHARMACY 0
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2020-10-01
Business code 446110
Sponsor’s telephone number 8669665457
Plan sponsor’s address 1317 14TH AVENUE SE, DECATUR, AL, 35601

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2021-07-23
Name of individual signing W. HAL SHEPHERD
BENDALL'S PHARMACY INC. 401K PLAN 2020 630807744 2021-10-18 BENDALL'S PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2563532021
Plan sponsor’s address 1316-A STRATFORD ROAD SE, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2021-10-18
Name of individual signing GEORGE TIM DOUTHIT
Role Employer/plan sponsor
Date 2021-10-18
Name of individual signing GEORGE TIM DOUTHIT
BENDALL'S PHARMACY INC. 401K PLAN 2019 630807744 2020-09-28 BENDALL'S PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2563532021
Plan sponsor’s address 1316-A STRATFORD ROAD SE, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2020-09-28
Name of individual signing GEORGE TIM DOUTHIT
BENDALL'S PHARMACY INC. 401K PLAN 2018 630807744 2019-03-08 BENDALL'S PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2563532021
Plan sponsor’s address 1316-A STRATFORD ROAD SE, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2019-03-08
Name of individual signing GEORGE TIM DOUTHIT
BENDALL'S PHARMACY INC. 401K PLAN 2017 630807744 2018-08-03 BENDALL'S PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2563532021
Plan sponsor’s address 1316-A STRATFORD ROAD SE, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2018-08-03
Name of individual signing GEORGE TIM DOUTHIT
BENDALL'S PHARMACY INC. 401K PLAN 2016 630807744 2017-08-23 BENDALL'S PHARMACY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2563532021
Plan sponsor’s address 1317 14TH AVENUE SE, DECATUR, AL, 35601

Signature of
Role Plan administrator
Date 2017-08-23
Name of individual signing GEORGE TIM DOUTHIT

Agent

Name Role Address
DOUTHIT, GEORGE TIMOTHY Agent 1316 STRATFORD ROAD SEDECATUR, AL 35601

Incorporator

Name Role
BENDALL, JACK G Incorporator

Related by officers

DOUTHIT, GEORGE TIMOTHY

Stratford Commons Owners Association, Inc.

BENDALL, JACK G

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Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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