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Billue & Holley, P.C.

Details

Name: Billue & Holley, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Mar 1994 (31 years ago) (Companies founded in March 1994)
Entity Number: 000-162-516
Register Number: 000162516
ZIP code: 35976 (Companies in Marshall, 35976)
County: Marshall
Place of Formation: Marshall County
Principal Address: GUNTERSVILLE, AL
Registered Office Street Address: 55 ROWE DRIVE STE AGUNTERSVILLE, AL 35976
Authorized Capital: $1,000
Paid Share Capital: ----

Activities RENDER PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689700965 2007-02-23 2010-09-20 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976, US 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976, US

Contacts

Phone +1 256-571-8550
Fax 2565718753
Fax 2565718553

Authorized person

Name DR. DAVID CLAYTON BILLUE
Role PRESIDENT
Phone 2565718550

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
License Number 13710
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 000018834
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BILLUE & HOLLEY, P.C. PROFIT SHARING PLAN 2013 631109297 2014-06-04 BILLUE & HOLLEY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 2565718550
Plan sponsor’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976

Signature of

Role Plan administrator
Date 2014-06-04
Name of individual signing CRAIG NOLAN
BILLUE & HOLLEY, P.C. PROFIT SHARING PLAN 2012 631109297 2013-06-17 BILLUE & HOLLEY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 2565718550
Plan sponsor’s mailing address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Plan sponsor’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976

Number of participants as of the end of the plan year

Active participants 9
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
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 13
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 2013-06-17
Name of individual signing CRAIG NOLAN
Valid signature Filed with authorized/valid electronic signature
BILLUE & HOLLEY, P.C. PROFIT SHARING PLAN 2011 631109297 2012-06-25 BILLUE & HOLLEY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 2565718550
Plan sponsor’s mailing address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Plan sponsor’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976

Plan administrator’s name and address

Administrator’s EIN 631109297
Plan administrator’s name BILLUE & HOLLEY, P.C.
Plan administrator’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Administrator’s telephone number 2565718550

Number of participants as of the end of the plan year

Active participants 10
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
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 14
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 2012-06-25
Name of individual signing CRAIG NOLAN
Valid signature Filed with authorized/valid electronic signature
BILLUE & HOLLEY, P.C. PROFIT SHARING PLAN 2010 631109297 2011-05-13 BILLUE & HOLLEY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 2565718550
Plan sponsor’s mailing address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Plan sponsor’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976

Plan administrator’s name and address

Administrator’s EIN 631109297
Plan administrator’s name BILLUE & HOLLEY, P.C.
Plan administrator’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Administrator’s telephone number 2565718550

Number of participants as of the end of the plan year

Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
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 15
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 2011-05-13
Name of individual signing CRAIG NOLAN
Valid signature Filed with authorized/valid electronic signature
BILLUE & HOLLEY, P.C. PROFIT SHARING PLAN 2009 631109297 2010-04-10 BILLUE & HOLLEY, P.C. 15
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 2565718550
Plan sponsor’s mailing address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Plan sponsor’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976

Plan administrator’s name and address

Administrator’s EIN 631109297
Plan administrator’s name BILLUE & HOLLEY, P.C.
Plan administrator’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Administrator’s telephone number 2565718550

Number of participants as of the end of the plan year

Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
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 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role DFE
Date 2010-04-10
Name of individual signing CRAIG NOLAN
Valid signature Filed with authorized/valid electronic signature
BILLUE & HOLLEY, P.C. PROFIT SHARING PLAN 2009 631109297 2010-05-20 BILLUE & HOLLEY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 2565718550
Plan sponsor’s mailing address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Plan sponsor’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976

Plan administrator’s name and address

Administrator’s EIN 631109297
Plan administrator’s name BILLUE & HOLLEY, P.C.
Plan administrator’s address 55 ROWE DRIVE, SUITE A, GUNTERSVILLE, AL, 35976
Administrator’s telephone number 2565718550

Number of participants as of the end of the plan year

Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
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 15
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 2010-05-20
Name of individual signing CRAIG NOLAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
BILLUE, DAVID C MD Agent

Incorporator

Name Role
BILLUE, DAVID C MD Incorporator
HOLLEY, MARY F MD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State