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Surgical Associates of the Shoals, Inc.

Details

Name: Surgical Associates of the Shoals, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 01 Oct 1987 (37 years ago) (Companies founded in October 1987)
Date of dissolution: 12 Dec 2023
Entity Number: 000-119-739
Register Number: 000119739
Historical Names: Surgical Associates of the Shoals, P.C.
ZIP code: 35660 (Companies in Colbert, 35660)
County: Colbert
Place of Formation: Colbert County
Principal Address: 1120 S. JACKSON HIGHWAY, SUITE 105SHEFFIELD, AL 35660
Registered Office Street Address: 1120 S JACKSON HIGHWAY, SUITE 105SHEFFIELD, AL 35660
Authorized Capital: $5,000

Activities MEDICINE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2023 630962367 2024-03-08 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 1120 SOUTH JACKSON HIGHWAY STE 105, SHEFFIELD, AL, 356605770
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2022 630962367 2023-05-31 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 1120 SOUTH JACKSON HIGHWAY STE 105, SHEFFIELD, AL, 356605770
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2021 630962367 2022-07-19 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 1120 SOUTH JACKSON HIGHWAY STE 105, SHEFFIELD, AL, 356605770
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2020 630962367 2021-06-17 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 1120 SOUTH JACKSON HIGHWAY STE 105, SHEFFIELD, AL, 356605770
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2019 630962367 2020-09-03 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 1120 SOUTH JACKSON HIGHWAY STE 105, SHEFFIELD, AL, 356605770
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2018 630962367 2019-07-16 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 1120 SOUTH JACKSON HIGHWAY STE 105, SHEFFIELD, AL, 356605770
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2017 630962367 2018-07-09 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 1120 SOUTH JACKSON HIGHWAY STE 105, SHEFFIELD, AL, 356605770
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2016 630962367 2017-07-24 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 203 WEST AVALON AVENUE, SUITE 290, MUSCLE SHOALS, AL, 356612855

Signature of

Role Plan administrator
Date 2017-07-24
Name of individual signing WESLEY J. DESSELLE, M.D.
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2015 630962367 2016-06-30 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 203 WEST AVALON AVENUE, SUITE 290, MUSCLE SHOALS, AL, 356612855

Signature of

Role Plan administrator
Date 2016-06-30
Name of individual signing WESLEY J. DESSELLE, M.D.
SURGICAL ASSOCIATES OF THE SHOALS, P.C. 401(K) PROFIT SHARING PLAN 2014 630962367 2015-07-14 SURGICAL ASSOCIATES OF THE SHOALS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 2563861125
Plan sponsor’s address 203 WEST AVALON AVENUE, SUITE 290, MUSCLE SHOALS, AL, 356612855

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing WESLEY J. DESSELLE, M.D.

Incorporator

Name Role Address
JAMES RYAN CONNER, M.D. Incorporator 1120 S JACKSON HIGHWAY, SUITE 105SHEFFIELD, AL 35660
RANDALL K. MANSELL, II, D.O. Incorporator 1120 S. JACKSON HIGHWAY, SUITE 105SHEFFIELD, AL 35660

Organizer

Name Role Address
JAMES RYAN CONNER, M.D. Organizer 1120 S JACKSON HIGHWAY, SUITE 105SHEFFIELD, AL 35660
RANDALL K. MANSELL, II, D.O. Organizer 1120 S. JACKSON HIGHWAY, SUITE 105SHEFFIELD, AL 35660

Agent

Name Role Address
JAMES RYAN CONNER, M.D. Agent 1120 S JACKSON HIGHWAY, SUITE 105SHEFFIELD, AL 35660

Events

Event Date Event Type Old Value New Value
2022-08-04 Name Change Surgical Associates of the Shoals, P.C. Surgical Associates of the Shoals, Inc.
1997-12-30 Name Merged No data William A. Collignon, Jr., M.D., P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State