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Southern Dermatology Center, P.C.

Details

Name: Southern Dermatology Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 Jan 1993 (32 years ago)
Entity Number: 000-153-951
Register Number: 000153951
County: Morgan
Place of Formation: Morgan County
Registered Office Street Address: 2828 HWY 31 SOUTH STE 105DECATUR, AL 35603
Registered Office Street Address ZIP Code: 35603
Authorized Capital: $5,000

Activities PRACTICE MEDICINE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN 2017 631079854 2018-12-13 SOUTHERN DERMATOLOGY CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 7349273742
Plan sponsor’s address 2828 HIGHWAY 31 SOUTH, SUITE 105, DECATUR, AL, 35603
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN 2016 631079854 2018-07-09 SOUTHERN DERMATOLOGY CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 7349273742
Plan sponsor’s address 2828 HIGHWAY 31 SOUTH, SUITE 105, DECATUR, AL, 35603
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN 2015 631079854 2017-07-17 SOUTHERN DERMATOLOGY CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 7349273742
Plan sponsor’s address 2828 HIGHWAY 31 SOUTH, SUITE 105, DECATUR, AL, 35603

Signature of

Role Plan administrator
Date 2017-07-17
Name of individual signing ANGELO MANCUSO, D.O.
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN 2014 631079854 2016-06-29 SOUTHERN DERMATOLOGY CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 7349273742
Plan sponsor’s address 2828 HIGHWAY 31 SOUTH, SUITE 105, DECATUR, AL, 35603

Signature of

Role Plan administrator
Date 2016-06-29
Name of individual signing ANGELO MANCUSO, D.O.
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN 2013 631079854 2015-06-17 SOUTHERN DERMATOLOGY CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 2563519996
Plan sponsor’s address 2828 HIGHWAY 31 SOUTH, SUITE 103, DECATUR, AL, 35603

Signature of

Role Plan administrator
Date 2015-06-17
Name of individual signing ANGELO MANCUSO, D.O.
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN 2012 631079854 2014-07-14 SOUTHERN DERMATOLOGY CENTER, P.C. 3
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 2533519996
Plan sponsor’s address 2828 HIGHWAY 31 SOUTH, SUITE 103, DECATUR, AL, 35603

Signature of

Role Plan administrator
Date 2014-07-14
Name of individual signing ANGELO MANCUSO
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN 2012 631079854 2014-09-29 SOUTHERN DERMATOLOGY CENTER, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 2533519996
Plan sponsor’s address 2828 HIGHWAY 31 SOUTH, SUITE 103, DECATUR, AL, 35603

Signature of

Role Plan administrator
Date 2014-09-29
Name of individual signing ANGELO MANCUSO
SOUTHERN DERMATOLOGY CENTER, P.C. DEFINED BENEFIT PLAN 2012 631079854 2014-07-14 SOUTHERN DERMATOLOGY CENTER, P.C. 3
Three-digit plan number (PN) 002
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 2533519996
Plan sponsor’s address 2828 HIGHWAY 31 SOUTH, SUITE 103, DECATUR, AL, 35603

Signature of

Role Plan administrator
Date 2014-07-14
Name of individual signing ANGELO MANCUSO

Agent

Name Role Address
MANCUSO, ANGELO Agent 2828 HWY 31 SOUTH SUITE 105DECATUR, AL 35603

Incorporator

Name Role Address
MANCUSO, ANGELO Incorporator 2828 HWY 31 SOUTH SUITE 105DECATUR, AL 35603

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State