Susan B. Fleet, M.D., P.C.

Details

Name:	Susan B. Fleet, M.D., P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Dissolved
Date of registration:	01 Aug 1986 (38 years ago) (Companies founded in August 1986)
Date of dissolution:	08 Sep 2008
Entity Number:	000-111-954
Register Number:	000111954
Place of Formation:	Mobile County
Principal Address:	MOBILE, AL
Registered Office Street Address:	3701 MEDICAL PARK DRIVEMOBILE, AL
Authorized Capital:	$10,000
Paid Share Capital:	$1,000

Activities MEDICAL DOCTOR

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SUSAN B. FLEET, M.D., P.C. PROFIT SHARING PLAN

2012

630934213

2013-10-07

SUSAN B. FLEET, M.D., P.C.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621111
Sponsor’s telephone number	2514145900
Plan sponsor’s address	1712 SUGAR CANE COURT, MOBILE, AL, 36695

Signature of

Role	Plan administrator
Date	2013-10-07
Name of individual signing	JIM BUTLER

SUSAN B. FLEET, M.D., P.C. PROFIT SHARING PLAN

2011

630934213

2012-10-16

SUSAN B. FLEET, M.D., P.C.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621111
Sponsor’s telephone number	2514145900
Plan sponsor’s address	1712 SUGAR CANE COURT, MOBILE, AL, 36695

Plan administrator’s name and address

Administrator’s EIN	630934213
Plan administrator’s name	SUSAN B. FLEET, M.D., P.C.
Plan administrator’s address	1712 SUGAR CANE COURT, MOBILE, AL, 36695
Administrator’s telephone number	2514145900

Signature of

Role	Plan administrator
Date	2012-10-15
Name of individual signing	JIM BUTLER

SUSAN B. FLEET, M.D., P.C. PROFIT SHARING PLAN

2010

630934213

2011-10-17

SUSAN B. FLEET, M.D., P.C.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621111
Sponsor’s telephone number	2514145900
Plan sponsor’s address	1712 SUGAR CANE COURT, MOBILE, AL, 36695

Plan administrator’s name and address

Administrator’s EIN	630934213
Plan administrator’s name	SUSAN B. FLEET, M.D., P.C.
Plan administrator’s address	1712 SUGAR CANE COURT, MOBILE, AL, 36695
Administrator’s telephone number	2514145900

Signature of

Role	Plan administrator
Date	2011-10-17
Name of individual signing	JIM BUTLER

SUSAN B. FLEET, M.D., P.C. PROFIT SHARING PLAN

2009

630934213

2010-10-12

SUSAN B. FLEET, M.D., P.C.

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1993-01-01
Business code	621111
Sponsor’s telephone number	2514145900
Plan sponsor’s address	1712 SUGAR CANE COURT, MOBILE, AL, 36695

Plan administrator’s name and address

Administrator’s EIN	630934213
Plan administrator’s name	SUSAN B. FLEET, M.D., P.C.
Plan administrator’s address	1712 SUGAR CANE COURT, MOBILE, AL, 36695
Administrator’s telephone number	2514145900

Signature of

Role	Plan administrator
Date	2010-10-12
Name of individual signing	JIM BUTLER

Agent

Name	Role
FLEET, SUSAN B	Agent

Incorporator

Name	Role
FLEET, SUSAN B MD	Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State