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Surgeons of Mobile, P.C.

Details

Name: Surgeons of Mobile, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 01 May 1987 (38 years ago) (Companies founded in May 1987)
Date of dissolution: 23 Dec 2021
Entity Number: 000-117-048
Register Number: 000117048
ZIP code: 36607 (Companies in Mobile, 36607)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 192 LOUISELLE STMOBILE, AL 36607
Authorized Capital: $15,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689778318 2006-09-12 2020-08-22 101 MEMORIAL HOSPITAL DR, SUITE 301, MOBILE, AL, 366081787, US 101 MEMORIAL HOSPITAL DR, SUITE 301, MOBILE, AL, 366081787, US

Contacts

Phone +1 251-344-1800
Fax 2513411075

Authorized person

Name DR. HENRY ELDON SCOTT III
Role SECRETARY TREASURER
Phone 2513441800

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGEONS OF MOBILE, P.C 401(K) PROFIT SHARING PLAN 2020 630953016 2021-11-02 SURGEONS OF MOBILE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR, SUITE 301, MOBILE, AL, 366081786
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2020 630953016 2021-03-23 SURGEONS OF MOBILE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2019 630953016 2020-03-19 SURGEONS OF MOBILE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2018 630953016 2019-06-11 SURGEONS OF MOBILE, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2017 630953016 2018-02-20 SURGEONS OF MOBILE, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2016 630953016 2017-01-30 SURGEONS OF MOBILE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786

Signature of

Role Plan administrator
Date 2017-01-30
Name of individual signing H ELDON SCOTT, III, M.D.
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2015 630953016 2016-04-04 SURGEONS OF MOBILE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786

Signature of

Role Plan administrator
Date 2016-04-04
Name of individual signing H ELDON SCOTT, III, M.D.
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2014 630953016 2015-05-13 SURGEONS OF MOBILE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786

Signature of

Role Plan administrator
Date 2015-05-13
Name of individual signing H ELDON SCOTT, III, M.D.
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2013 630953016 2014-05-13 SURGEONS OF MOBILE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786

Signature of

Role Plan administrator
Date 2014-05-13
Name of individual signing H ELDON SCOTT, III, M.D.
SURGEONS OF MOBILE, P.C. 401(K) PROFIT SHARING PLAN 2012 630953016 2013-06-28 SURGEONS OF MOBILE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-05-01
Business code 621111
Sponsor’s telephone number 2513441800
Plan sponsor’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786

Plan administrator’s name and address

Administrator’s EIN 630953016
Plan administrator’s name SURGEONS OF MOBILE, P.C.
Plan administrator’s address 101 MEMORIAL HOSPITAL DR SUITE 301, MOBILE, AL, 366081786
Administrator’s telephone number 2513441800

Signature of

Role Plan administrator
Date 2013-06-28
Name of individual signing H ELDON SCOTT, III, M.D.

Agent

Name Role
SMITH, CHARLES B MD Agent

Incorporator

Name Role Address
DRENNEN, DANIEL E II Incorporator 1840 OXMOOR ROAD 224BIRMINGHAM, AL 35209

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State