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Urologic Health of Eastern Alabama, P.C.

Details

Name: Urologic Health of Eastern Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 17 Mar 1994 (31 years ago) (Companies founded in March 1994)
Entity Number: 000-162-936
Register Number: 000162936
Place of Formation: Calhoun County
Principal Address: ANNISTON, AL
Registered Office Street Address: 901 LEIGHTON AVE STE 504ANNISTON, AL
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033273438 2006-12-20 2020-08-22 901 LEIGHTON AVE STE 504, ANNISTON, AL, 362075704, US 901 LEIGHTON AVE STE 504, ANNISTON, AL, 362075704, US

Contacts

Phone +1 256-236-1500
Fax 2562361599

Authorized person

Name MICHAEL B. KLINE IV
Role PRESIDENT
Phone 2562361500

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 12173
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2021 631112195 2022-01-28 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2020 631112195 2021-05-26 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2021-05-26
Name of individual signing MICHAEL KLINE
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2019 631112195 2020-07-29 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing MICHAEL KLINE
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2018 631112195 2019-06-28 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2019-06-28
Name of individual signing MICHAEL KLINE
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2017 631112195 2018-10-05 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2018-10-05
Name of individual signing MICHAEL KLINE
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2016 631112195 2017-07-24 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2017-07-24
Name of individual signing MICHAEL KLINE
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2015 631112195 2016-05-25 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2016-05-25
Name of individual signing MICHAEL KLINE
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2014 631112195 2015-09-16 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2015-09-16
Name of individual signing MICHAEL KLINE
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2013 631112195 2014-05-12 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2014-05-12
Name of individual signing MICHAEL KLINE
UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 401(K) PROFIT SHARING PLAN 2012 631112195 2013-07-17 UROLOGIC HEALTH OF EASTERN ALABAMA P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 621399
Sponsor’s telephone number 2562361500
Plan sponsor’s address 901 LEIGHTON AVENUE, SUITE 504, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing MICHAEL KLINE

Agent

Name Role Address
KLINE, MICHAEL Agent 434 SANDY LANEANNISTON, AL 36207

Incorporator

Name Role Address
KLINE, MICHAEL Incorporator 434 SANDY LANEANNISTON, AL 36207

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State