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Bolling Pharmacy, Inc.

Details

Name: Bolling Pharmacy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 13 Jul 1988 (36 years ago) (Companies founded in July 1988)
Date of dissolution: 12 May 2020
Entity Number: 000-125-084
Register Number: 000125084
ZIP code: 35555 (Companies in Fayette, 35555)
County: Fayette
Place of Formation: Fayette County
Principal Address: FAYETTE, AL
Registered Office Street Address: 101 TEMPLE AVE SOFAYETTE, AL 35555
Authorized Capital: $5,000
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316087703 2007-02-07 2020-08-22 101 TEMPLE AVE S, FAYETTE, AL, 355552711, US 101 TEMPLE AVE S, FAYETTE, AL, 355552711, US

Contacts
Phone +1 205-932-4513
Fax 2059329203

Authorized person
Name WILLIAM TRENT MOBLEY
Role PRESIDENT
Phone 2059324513

Taxonomy
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 101660
State AL
Is Primary Yes

Other Provider Identifiers
Issuer NCPDP
Number 0106509
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2019 630981870 2021-06-30 BOLLING PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2018 630981870 2019-02-18 BOLLING PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2019-02-18
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2017 630981870 2018-05-24 BOLLING PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2018-05-24
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2016 630981870 2017-06-02 BOLLING PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2015 630981870 2016-09-06 BOLLING PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2016-09-06
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2014 630981870 2015-09-11 BOLLING PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2015-09-11
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2013 630981870 2014-05-02 BOLLING PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2014-05-02
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2012 630981870 2013-06-18 BOLLING PHARMACY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2011 630981870 2012-05-18 BOLLING PHARMACY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2012-05-18
Name of individual signing TRENT MOBLEY
BOLLING PHARMACY, INC. 401(K) P/S PLAN 2010 630981870 2011-05-24 BOLLING PHARMACY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 446110
Sponsor’s telephone number 2059324513
Plan sponsor’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555

Plan administrator’s name and address
Administrator’s EIN 630981870
Plan administrator’s name BOLLING PHARMACY, INC.
Plan administrator’s address 101 TEMPLE AVE SOUTH, FAYETTE, AL, 35555
Administrator’s telephone number 2059324513

Signature of
Role Plan administrator
Date 2011-05-24
Name of individual signing TRENT MOBLEY

Agent

Name Role
MOBLE, WILLIAM TRENT Agent

Incorporator

Name Role
MOBLEY, WILLIAM TRENT Incorporator
BOLLING, GEORGE R Incorporator

Related by officers

BOLLING, GEORGE R

Bolling Apothecary, Inc. Howell's Funeral Home, Inc.

Related by address

FAYETTE, AL

Alabama Paper Carton Corporation Branyon Oil Company, Inc. Citizens Bank of Fayette R. C. Cobb, Inc. Dixie Dairy Supply Co., Inc. The Marion Davis Company, Inc. Dobbs Brothers Pulpwood Company, Inc. Dowdle Brown Service, Inc. Fayette Furniture Mart Fayette Grain and Feed Company, Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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