Hyatt's Market, Inc.

Details

Name:	Hyatt's Market, Inc.
Jurisdiction:	Alabama
Legal type:	Domestic Corporation
Status:	Exists
Date of registration:	05 Feb 1987 (38 years ago)
Entity Number:	000-115-395
Register Number:	000115395
County:	Winston
Place of Formation:	Winston County
Principal Address:	ADDISON, AL
Registered Office Street Address:	ROUTE 1 BOX 209ADDISON, AL 35540
Registered Office Street Address ZIP Code:	35540
Authorized Capital:	$10,000
Paid Share Capital:	$1,000

Activities FOOD MARKETS

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1053324681

2006-08-14

2023-03-07

70 MCHANN RD, ADDISON, AL, 355402138, US

70 MCHANN RD, ADDISON, AL, 355402138, US

Contacts

Phone	+1 256-747-6066
Fax	2567476046

Authorized person

Name	DEXTER W HEARN
Role	PHARMACY MANAGER
Phone	2567476066

Taxonomy

Taxonomy Code	183500000X - Pharmacist
License Number	111746
State	AL
Is Primary	Yes

Other Provider Identifiers

Issuer	MEDICAID
Number	100003169
State	AL
Issuer	NABP NUMBER
Number	0130031
State	AL
Issuer	MEDICAID DME NUMBER
Number	009961470
State	AL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

HYATT'S MARKET, INC. 401(K) PLAN

2021

630946324

2022-07-06

HYATT'S MARKET, INC.

52

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	445110
Sponsor’s telephone number	2567476005
Plan sponsor’s address	70 MCHANN ROAD, ADDISON, AL, 35540

Signature of

Role	Plan administrator
Date	2022-07-06
Name of individual signing	GARY E HYATT

HYATT'S MARKET, INC. 401(K) PLAN

2020

630946324

2021-10-05

HYATT'S MARKET, INC.

38

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	445110
Sponsor’s telephone number	2567476005
Plan sponsor’s address	70 MCHANN ROAD, ADDISON, AL, 35540

Signature of

Role	Plan administrator
Date	2021-10-05
Name of individual signing	GARY E HYATT

HYATT'S MARKET, INC. 401(K) PLAN

2019

630946324

2020-07-13

HYATT'S MARKET, INC.

30

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	445110
Sponsor’s telephone number	2567476005
Plan sponsor’s address	70 MCHANN RD, ADDISON, AL, 35540

Signature of

Role	Plan administrator
Date	2020-07-13
Name of individual signing	GARY E HYATT

HYATT'S MARKET, INC. 401(K) PLAN

2018

630946324

2019-07-19

HYATT'S MARKET, INC.

28

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	445110
Sponsor’s telephone number	2567476005
Plan sponsor’s address	70 MCHANN ROAD, ADDISON, AL, 35540

Signature of

Role	Plan administrator
Date	2019-07-19
Name of individual signing	GARY E HYATT

HYATT'S MARKET, INC. 401(K) PLAN

2017

630946324

2018-07-11

HYATT'S MARKET, INC.

27

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	445110
Sponsor’s telephone number	2567476005
Plan sponsor’s address	70 MCHANN ROAD, ADDISON, AL, 35540

Signature of

Role	Plan administrator
Date	2018-07-11
Name of individual signing	GARY E HYATT

Agent

Name	Role
HYATT, GARY E	Agent

Incorporator

Name	Role
HYATT, GARY E	Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State