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Alabama Neonatal Medicine, P.C.

Details

Name: Alabama Neonatal Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 22 Dec 1993 (31 years ago) (Companies founded in December 1993)
Date of dissolution: 24 Mar 2021
Entity Number: 000-161-264
Register Number: 000161264
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2055 EAST SOUTH BLVDMONTGOMERY, AL 36116-2008
Authorized Capital: $5,000
Paid Share Capital: ----

Activities PROFESSIONAL PRACTICE OF NEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609838754 2006-04-04 2020-08-22 2019 NORMANDIE DR, MONTGOMERY, AL, 361112711, US 2019 NORMANDIE DR, MONTGOMERY, AL, 361112711, US

Contacts
Phone +1 334-281-7523
Fax 3342817912

Authorized person
Name LAWRENCE A WALLIN
Role MANAGING PARTNER
Phone 3342817523

Taxonomy
Taxonomy Code 2080N0001X - Neonatal-Perinatal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA NEONATAL MEDICINE, P.C. 401(K) PROFIT SHARING TRUST 2017 631106654 2018-01-29 ALABAMA NEONATAL MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 36111

Plan administrator’s name and address
Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of
Role Plan administrator
Date 2018-01-29
Name of individual signing KATHY BITTLE
ALABAMA NEONATAL MEDICINE, P.C. 401(K) PROFIT SHARING TRUST 2016 631106654 2017-09-06 ALABAMA NEONATAL MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 36111

Plan administrator’s name and address
Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of
Role Plan administrator
Date 2017-09-06
Name of individual signing KATHY BITTLE
ALABAMA NEONATAL MEDICINE, P.C. 401(K) PROFIT SHARING TRUST 2015 631106654 2016-07-27 ALABAMA NEONATAL MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 36111

Plan administrator’s name and address
Administrator’s EIN 721386027
Plan administrator’s name PLANTECH, LLP
Plan administrator’s address 2205 CAHABA VALLEY DRIVE, BIRMINGHAM, AL, 35242
Administrator’s telephone number 2059801603

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing KATHY BITTLE
ALABAMA NEONATAL MEDICINE, P.C. 401K PROFIT SHARING TRUST 2014 631106654 2015-10-15 ALABAMA NEONATAL MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing REBA FAVOR
ALABAMA NEONATAL MEDICINE, P.C. 401K PROFIT SHARING TRUST 2013 631106654 2014-10-15 ALABAMA NEONATAL MEDICINE, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711

Plan administrator’s name and address
Administrator’s EIN 631106654
Plan administrator’s name ALABAMA NEONATAL MEDICINE, P.C.
Plan administrator’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711
Administrator’s telephone number 3342817523

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing J. ALLEN NEWTON
ALABAMA NEONATAL MEDICINE, P.C. 401K PROFIT SHARING TRUST 2012 631106654 2013-09-24 ALABAMA NEONATAL MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711

Plan administrator’s name and address
Administrator’s EIN 631106654
Plan administrator’s name ALABAMA NEONATAL MEDICINE, P.C.
Plan administrator’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711
Administrator’s telephone number 3342817523

Signature of
Role Plan administrator
Date 2013-09-24
Name of individual signing J. ALLEN NEWTON
ALABAMA NEONATAL MEDICINE, P.C. 401K PROFIT SHARING TRUST 2011 631106654 2012-09-24 ALABAMA NEONATAL MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711

Plan administrator’s name and address
Administrator’s EIN 631106654
Plan administrator’s name ALABAMA NEONATAL MEDICINE, P.C.
Plan administrator’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711
Administrator’s telephone number 3342817523

Signature of
Role Plan administrator
Date 2012-09-24
Name of individual signing J. ALLEN NEWTON
ALABAMA NEONATAL MEDICINE, P.C. 401K PROFIT SHARING TRUST 2010 631106654 2011-07-27 ALABAMA NEONATAL MEDICINE, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711

Plan administrator’s name and address
Administrator’s EIN 631106654
Plan administrator’s name ALABAMA NEONATAL MEDICINE, P.C.
Plan administrator’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711
Administrator’s telephone number 3342817523

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing J. ALLEN NEWTON
ALABAMA NEONATAL MEDICINE, P.C. 401K PROFIT SHARING TRUST 2009 631106654 2010-10-04 ALABAMA NEONATAL MEDICINE, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 3342817523
Plan sponsor’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711

Plan administrator’s name and address
Administrator’s EIN 631106654
Plan administrator’s name ALABAMA NEONATAL MEDICINE, P.C.
Plan administrator’s address 2019 NORMANDIE DRIVE, MONTGOMERY, AL, 361112711
Administrator’s telephone number 3342817523

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing J. ALLEN NEWTON

Incorporator

Name Role Address
JOHNSON, D KYLE Incorporator 150 S PERRY STMONTGOMERY, AL 36104

Agent

Name Role
NEWTON, ALLEN MD Agent

Related by officers

JOHNSON, D KYLE

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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