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Montgomery Vascular Surgery, P.C.

Details

Name: Montgomery Vascular Surgery, P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 21 Jun 1991 (33 years ago) (Companies founded in June 1991)
Entity Number: 000-143-871
Register Number: 000143871
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2055 EAST SOUTH BOULEVARD, SUITE 503MONTGOMERY, AL 36116
Authorized Capital: $1,000

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225059165 2006-07-23 2024-05-27 2055 E SOUTH BLVD STE 503, MONTGOMERY, AL, 361162004, US 2055 E SOUTH BLVD STE 503, MONTGOMERY, AL, 361162004, US

Contacts
Phone +1 334-284-6500
Fax 3342846202

Authorized person
Name DR. ROBERT E ENGLES
Role PRESIDENT
Phone 3342846500

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 378
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTGOMERY VASCULAR SURGERY 401K PLAN 2023 631046994 2024-09-24 MONTGOMERY VASCULAR SURGERY 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, STE 503, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2024-09-24
Name of individual signing SHERRY A JOHNSTON
Valid signature Filed with authorized/valid electronic signature
MONTGOMERY VASCULAR SURGERY CASH BALANCE PLAN 2023 631046994 2024-07-09 MONTGOMERY VASCULAR SURGERY 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 503, MONTGOMERY, AL, 36116
MONTGOMERY VASCULAR SURGERY CASH BALANCE PLAN 2022 631046994 2023-10-05 MONTGOMERY VASCULAR SURGERY 31
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 503, MONTGOMERY, AL, 36116
MONTGOMERY VASCULAR SURGERY 401(K) PLAN 2022 631046994 2023-06-05 MONTGOMERY VASCULAR SURGERY 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 503, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing ROBERT E. ENGLES
MONTGOMERY VASCULAR SURGERY 401(K) PLAN 2021 631046994 2022-07-31 MONTGOMERY VASCULAR SURGERY 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 503, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2022-07-31
Name of individual signing ROBERT E. ENGLES
MONTGOMERY VASCULAR SURGERY CASH BALANCE PLAN 2021 631046994 2022-10-12 MONTGOMERY VASCULAR SURGERY 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 503, MONTGOMERY, AL, 36116
MONTGOMERY VASCULAR SURGERY 401(K) PLAN 2020 631046994 2021-07-14 MONTGOMERY VASCULAR SURGERY 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621399
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 503, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2021-07-14
Name of individual signing ROBERT E. ENGLES
MONTGOMERY VASCULAR SURGERY CASH BALANCE PLAN 2020 631046994 2021-09-30 MONTGOMERY VASCULAR SURGERY 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 908, MONTGOMERY, AL, 36116
MONTGOMERY VASCULAR SURGERY CASH BALANCE PLAN 2019 631046994 2020-07-24 MONTGOMERY VASCULAR SURGERY 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 908, MONTGOMERY, AL, 36116
MONTGOMERY VASCULAR SURGERY 401(K) PLAN 2019 631046994 2020-10-14 MONTGOMERY VASCULAR SURGERY 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342846500
Plan sponsor’s address 2055 E. SOUTH BLVD, SUITE 908, MONTGOMERY, AL, 36116

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing ROBERT ENGLES

Agent

Name Role
ENGLES, ROBERT E. JR. Agent

Incorporator

Name Role
DEMETREE, DONNA F Incorporator

Events

Event Date Event Type Old Value New Value
2010-12-03 Capital Change $100 Authorized --- Paid In $1,000 Authorized undefined Paid In

Related by officers

DEMETREE, DONNA F

The South Agency, Inc. Q S Transportation, Inc. Total Sports Travel, Inc. ProSource Wholesale Floorcoverings of Montgomery, Inc. ARC Retail, Inc. Southern Paymaster, Inc.

Related by address

MONTGOMERY, AL

A-1 Hurricane Fence Industries of Montgomery, Inc. AAA Builders, Inc. AAA Plumbing Pottery Corp. A. & B. Coffee Service, Inc. A-J Construction Co., Inc. A & M Furniture Mart, Inc. Academic and Athletic Excellence, Inc. A. Q. S. Incorporated A. T. A. Building, Inc. Ace Furniture Co., Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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