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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 (44 years ago) (Companies founded in May 1981)
Entity Number: 000-082-361
Register Number: 000082361
ZIP code: 35601 (Companies in Morgan, 35601)
County: Morgan
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Registered Office Street Address: 1317 14TH AVENUE SEDECATUR, AL 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 401(K) PLAN 2023 630807744 2024-10-04 BENDALL'S PHARMACY, INC. 11
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

Plan administrator’s name and address
Administrator’s EIN 823719843
Plan administrator’s name FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address PO BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number 8557115283

Signature of
Role Plan administrator
Date 2024-10-04
Name of individual signing STEPHANIE FEYMA
Valid signature Filed with authorized/valid electronic signature
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 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) 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

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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