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Lister HealthCare Corporation

Details

Name: Lister HealthCare Corporation
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 19 Feb 1991 (34 years ago)
Entity Number: 000-141-634
Register Number: 000141634
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 1104 BRADSHAW DRIVEFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities DIAGNOSTICS CLINICS AND HEALTHCARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437981172 2024-08-19 2024-08-19 PO BOX 298, FLORENCE, AL, 356310298, US 102 PHYSICIANS DR STE C, MUSCLE SHOALS, AL, 356612149, US

Contacts
Phone +1 256-767-7494
Fax 2563819019
Phone +1 938-216-6007
Fax 2567685220

Authorized person
Name KRISTA CHASE
Role CREDENTIALING AGENT
Phone 2563666841

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LISTER HEALTHCARE CORPORATION EMPLOYEES SAVINGS TRUST 2023 631053058 2024-04-12 LISTER HEALTHCARE CORPORATION 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address 104A PHYSICIANS DRIVE, MUSCLE SHOALS, AL, 35661

Signature of
Role Plan administrator
Date 2024-04-12
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEES SAVINGS TRUST 2022 631053058 2023-07-27 LISTER HEALTHCARE CORPORATION 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address 2807 WEST MALL DRIVE C, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEE SAVINGS TRUST 2021 631053058 2022-10-10 LISTER HEALTHCARE CORPORATION 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address P.O. BOX 298, FLORENCE, AL, 35631

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEE SAVINGS TRUST 2020 631053058 2021-10-12 LISTER HEALTHCARE CORPORATION 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address P.O. BOX 298, FLORENCE, AL, 35631

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEE SAVINGS TRUST 2019 631053058 2020-10-12 LISTER HEALTHCARE CORPORATION 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address P.O. BOX 298, FLORENCE, AL, 35631

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEE SAVINGS TRUST 2018 631053058 2019-07-31 LISTER HEALTHCARE CORPORATION 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address P.O. BOX 298, FLORENCE, AL, 35631

Plan administrator’s name and address
Administrator’s EIN 631053058
Plan administrator’s name LISTER HEALTHCARE CORPORATION
Plan administrator’s address P.O. BOX 298, FLORENCE, AL, 35630
Administrator’s telephone number 2567677494

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEE SAVINGS TRUST 2017 631053058 2018-10-05 LISTER HEALTHCARE CORPORATION 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address P.O. BOX 298, FLORENCE, AL, 35631

Plan administrator’s name and address
Administrator’s EIN 631053058
Plan administrator’s name LISTER HEALTHCARE CORPORATION
Plan administrator’s address P.O. BOX 298, FLORENCE, AL, 35630
Administrator’s telephone number 2567677494

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEE SAVINGS TRUST 2016 631053058 2017-09-05 LISTER HEALTHCARE CORPORATION 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address P.O. BOX 298, FLORENCE, AL, 35631

Plan administrator’s name and address
Administrator’s EIN 631053058
Plan administrator’s name LISTER HEALTHCARE CORPORATION
Plan administrator’s address P.O. BOX 298, FLORENCE, AL, 35630
Administrator’s telephone number 2567677494

Signature of
Role Plan administrator
Date 2017-09-05
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEE SAVINGS TRUST 2015 631053058 2016-07-28 LISTER HEALTHCARE CORPORATION 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address P.O. BOX 298, FLORENCE, AL, 35631

Plan administrator’s name and address
Administrator’s EIN 631053058
Plan administrator’s name LISTER HEALTHCARE CORPORATION
Plan administrator’s address P.O. BOX 298, FLORENCE, AL, 35630
Administrator’s telephone number 2567677494

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing SUSAN HALL
LISTER HEALTHCARE CORPORATION EMPLOYEE SAVINGS TRUST 2014 631053058 2015-10-14 LISTER HEALTHCARE CORPORATION 121
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s mailing address P.O. BOX 298, FLORENCE, AL, 35631
Plan sponsor’s address 2807C WEST MALL DRIVE, FLORENCE, AL, 35631

Plan administrator’s name and address
Administrator’s EIN 631053058
Plan administrator’s name LISTER HEALTHCARE CORPORATION
Plan administrator’s address P.O. BOX 298, FLORENCE, AL, 35630
Administrator’s telephone number 2567677494

Number of participants as of the end of the plan year
Active participants 69
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 18
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 57
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing SUSAN HALL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HALL, SUSAN Agent 5794 HIGHWAY 91RUSSELLVILLE, AL 35654

Incorporator

Name Role Address
LIVINGSTON, REGINA M Incorporator No data
HALL, SUSAN Incorporator 5794 HIGHWAY 91RUSSELLVILLE, AL 35654

Related by officers

HALL, SUSAN

Russellville City Schools Education Foundation Provident Health Services, Inc. Paramount Medical Systems, Inc. La Cruz Health Care, Inc. The Tri-City Review, LLC CUNA Mutual Financial Services Corporation

LIVINGSTON, REGINA M

Mulberry Bush, Inc. Coastal Properties, L.L.C. Liv-Don, Inc.

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FLORENCE, AL

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1104 BRADSHAW DRIVEFLORENCE, AL 35630

King Chiropractic Inc. Shoals Bliss LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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