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Montgomery Family Medicine, P.C.

Details

Name: Montgomery Family Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 30 Jun 1993 (31 years ago)
Entity Number: 000-157-879
Register Number: 000157879
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2015 NORMANDIE DRIVE STE 201MONTGOMERY, AL 36111
Registered Office Street Address ZIP Code: 36111
Authorized Capital: $5,000
Paid Share Capital: ----

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609055425 2007-10-29 2007-10-29 8190 SEATON PL, SLEEP SUITE, MONTGOMERY, AL, 361167204, US 8190 SEATON PL, SLEEP SUITE, MONTGOMERY, AL, 361167204, US

Contacts
Phone +1 334-396-9100
Fax 3343969110

Authorized person
Name MR. JEFF SENFT
Role ADMINISTRATOR
Phone 3343969100

Taxonomy
Taxonomy Code 291U00000X - Clinical Medical Laboratory
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2023 631092150 2024-05-02 MONTGOMERY FAMILY MEDICINE, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address P.O. BOX 240369, MONTGOMERY, AL, 361240369

Signature of
Role Plan administrator
Date 2024-05-02
Name of individual signing JEFF SENFT
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2022 631092150 2023-04-05 MONTGOMERY FAMILY MEDICINE, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address P.O. BOX 240369, MONTGOMERY, AL, 361240369

Signature of
Role Plan administrator
Date 2023-04-05
Name of individual signing JEFF SENFT
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2021 631092150 2022-04-11 MONTGOMERY FAMILY MEDICINE, P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address POST OFFICE BOX 240369, MONTGOMERY, AL, 361240369
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2020 631092150 2021-07-20 MONTGOMERY FAMILY MEDICINE, P.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address POST OFFICE BOX 240369, MONTGOMERY, AL, 361240369
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2019 631092150 2020-09-03 MONTGOMERY FAMILY MEDICINE, P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address POST OFFICE BOX 240369, MONTGOMERY, AL, 361240369
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2018 631092150 2019-09-13 MONTGOMERY FAMILY MEDICINE, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address POST OFFICE BOX 240369, MONTGOMERY, AL, 361240369
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2017 631092150 2018-07-30 MONTGOMERY FAMILY MEDICINE, P.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address POST OFFICE BOX 240369, MONTGOMERY, AL, 361240369
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2016 631092150 2017-09-06 MONTGOMERY FAMILY MEDICINE, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address POST OFFICE BOX 240369, MONTGOMERY, AL, 361240369
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2015 631092150 2016-06-09 MONTGOMERY FAMILY MEDICINE, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address POST OFFICE BOX 240369, MONTGOMERY, AL, 361240369
MONTGOMERY FAMILY MEDICINE, P.C. PROFIT SHARING PLAN 2014 631092150 2015-05-08 MONTGOMERY FAMILY MEDICINE, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-06-01
Business code 621111
Sponsor’s telephone number 3343969100
Plan sponsor’s address POST OFFICE BOX 240369, MONTGOMERY, AL, 361240369

Agent

Name Role
ELROD, BRIAN W Agent

Incorporator

Name Role
ELROD, BRIAN W Incorporator

Events

Event Date Event Type Old Value New Value
1998-08-17 Capital Change $100 Authorized ---- Paid In $5,000 Authorized ---- Paid In

Related by officers

ELROD, BRIAN W

MFM Ventures, L.L.C. G & E Enterprises, L.L.C.

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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