| Name: | Samuel F. Hollingsworth, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Oct 1985 (39 years ago) |
| Date of dissolution: | 12 Nov 2020 |
| Entity Number: | 000-107-120 |
| Register Number: | 000107120 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | JASPER, AL |
| Registered Office Street Address: | 1611 ALABAMA AVEJASPER, AL 35501 |
| Registered Office Street Address ZIP Code: | 35501 |
| Authorized Capital: | $10,000 |
Activities
MEDICINE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAMUEL F HOLLINGSWORTH, M.D., P.C. PROFIT SHARING PLAN | 2011 | 630910560 | 2012-10-12 | SAMUEL F HOLLINGSWORTH M.D. P.C. | 4 | |||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 630910560 |
| Plan administrator’s name | SAMUEL F HOLLINGSWORTH M.D. P.C. |
| Plan administrator’s address | 2545 HIGHWAY 78 E., JASPER, AL, 355013433 |
| Administrator’s telephone number | 2052219790 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-12 |
| Name of individual signing | SAMUEL HOLLINGSWORTH |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1985-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2052219790 |
| Plan sponsor’s address | 2545 HIGHWAY 78 E., JASPER, AL, 355013433 |
Plan administrator’s name and address
| Administrator’s EIN | 630910560 |
| Plan administrator’s name | SAMUEL F HOLLINGSWORTH M.D. P.C. |
| Plan administrator’s address | 2545 HIGHWAY 78 E., JASPER, AL, 355013433 |
| Administrator’s telephone number | 2052219790 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-23 |
| Name of individual signing | SAMUEL F HOLLINGSWORTH |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1985-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2052219790 |
| Plan sponsor’s address | 2545 HIGHWAY 78 E., JASPER, AL, 355013433 |
Plan administrator’s name and address
| Administrator’s EIN | 630910560 |
| Plan administrator’s name | SAMUEL F HOLLINGSWORTH M.D. P.C. |
| Plan administrator’s address | 2545 HIGHWAY 78 E., JASPER, AL, 355013433 |
| Administrator’s telephone number | 2052219790 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | SAMUEL F HOLLINGSWORTH |
| Name | Role |
|---|---|
| HOLLINGSWORTH, SAMUEL F | Agent |
| Name | Role |
|---|---|
| HOLLINGSWORTH, SAMUEL F | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
