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Cahaba Valley Surgical Group, P.C.

Details

Name: Cahaba Valley Surgical Group, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 09 Dec 1994 (30 years ago)
Entity Number: 000-168-407
Register Number: 000168407
Historical Names: Rex Sherer, M.D., P.C.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2117 HICKORY RIDGE CIRCLEBIRMINGHAM, AL 35243
Registered Office Street Address ZIP Code: 35243
Authorized Capital: $4,000
Paid Share Capital: ----

Activities RENDER PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902902398 2006-09-15 2013-08-23 644 2ND ST NE, SUITE 206, ALABASTER, AL, 350078823, US 644 2ND ST NE, SUITE 206, ALABASTER, AL, 350078823, US

Contacts
Phone +1 205-620-9065
Fax 2056209051

Authorized person
Name REX A SHERER
Role PARTNER/OWNER
Phone 2056209065

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2023 631132437 2024-05-15 CAHABA VALLEY SURGICAL GROUP, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2024-05-15
Name of individual signing JEFF BONNER
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2022 631132437 2023-07-31 CAHABA VALLEY SURGICAL GROUP, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing JEFF BONNER
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2021 631132437 2022-09-20 CAHABA VALLEY SURGICAL GROUP, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2022-09-20
Name of individual signing REX ALAN SHERER
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2020 631132437 2021-05-13 CAHABA VALLEY SURGICAL GROUP, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2021-05-13
Name of individual signing MYLES WALCOTT
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2019 631132437 2020-08-11 CAHABA VALLEY SURGICAL GROUP, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2020-08-11
Name of individual signing MYLES WALCOTT
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2018 631132437 2019-10-15 CAHABA VALLEY SURGICAL GROUP, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing MYLES WALCOTT
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2017 631132437 2018-09-25 CAHABA VALLEY SURGICAL GROUP, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2018-09-25
Name of individual signing MYLES WALCOTT
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2016 631132437 2017-10-11 CAHABA VALLEY SURGICAL GROUP, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing MYLES WALCOTT
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2015 631132437 2016-07-28 CAHABA VALLEY SURGICAL GROUP, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing MYLES WALCOTT
CAHABA VALLEY SURGICAL GROUP, P.C. PROFIT SHARING PLAN 2014 631132437 2015-07-21 CAHABA VALLEY SURGICAL GROUP, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2056209065
Plan sponsor’s address 644 2ND STREET NE, SUITE 206, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing MYLES WALCOTT

Agent

Name Role
SHERER, REX Agent

Incorporator

Name Role
SHERER, REX Incorporator

Events

Event Date Event Type Old Value New Value
2005-12-20 Capital Change $2,000 Authorized ---- Paid In $4,000 Authorized ---- Paid In
1998-01-29 Capital Change $1,000 Authorized ---- Paid In $2,000 Authorized ---- Paid In
1998-01-12 Name Change Rex Sherer, M.D., P.C. Cahaba Valley Surgical Group, P.C.

Related by officers

No related officers

Related by address

BIRMINGHAM, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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