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Southeast Cancer Network, Inc.

Details

Name: Southeast Cancer Network, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 01 May 1996 (29 years ago) (Companies founded in May 1996)
Date of dissolution: 27 Dec 2021
Entity Number: 000-179-448
Register Number: 000179448
Historical Names: Southeast Cancer Network, P.C.
ZIP code: 35406 (Companies in Tuscaloosa, 35406)
County: Tuscaloosa
Place of Formation: Marion County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 1635 MCFARLAND BLVD N STE 503TUSCALOOSA, AL 35406
Authorized Capital: $60,000

Activities PROFESSIONAL MEDICAL SERVICES/PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013140904 2009-08-26 2009-08-26 1400 AFFLINK PL, SUITE 100, TUSCALOOSA, AL, 354062289, US 1758 PARK PL, SUITE 301, MONTGOMERY, AL, 361061127, US

Contacts

Phone +1 205-366-9740
Fax 2053449992

Authorized person

Name STEVE L MITCHELL
Role CFO
Phone 2053669740

Taxonomy

Taxonomy Code 207RH0003X - Hematology & Oncology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2019 631171068 2020-09-16 SOUTHEAST CANCER NETWORK, INC. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-07-02
Business code 621111
Sponsor’s telephone number 2053669920
Plan sponsor’s address 1635 MCFARLAND BLVD N., PMB 168, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2020-09-16
Name of individual signing MITZI COOGLER
401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2018 631171068 2019-08-19 SOUTHEAST CANCER NETWORK, INC. 97
Three-digit plan number (PN) 002
Effective date of plan 1996-07-02
Business code 621111
Sponsor’s telephone number 2053669920
Plan sponsor’s address 1635 MCFARLAND BLVD, SUITE 503, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2019-08-19
Name of individual signing MITZI COOGLER
401(K) PROFIT SHARING RETIREMENT PLAN FOR SOUTHEAST CANCER NETWORK, INC. 2018 631171068 2019-09-25 SOUTHEAST CANCER NETWORK, INC. 97
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-07-02
Business code 621111
Sponsor’s telephone number 2053669920
Plan sponsor’s address 1635 MCFARLAND BLVD N., SUITE 503, TUSCALOOSA, AL, 35406

Signature of

Role Plan administrator
Date 2019-09-25
Name of individual signing MITZI COOGLER

Agent

Name Role Address
DRUMMOND, SCOTT Agent 1400 AFFLINK PLACE SUITE 100TUSCALOOSA, AL 35406

Incorporator

Name Role
SANFORD, SHELBY P Incorporator

Events

Event Date Event Type Old Value New Value
2004-01-06 Name Change Southeast Cancer Network, P.C. Southeast Cancer Network, Inc.
2004-01-06 Capital Change $50,000 Authorized --- Paid In $60,000 Authorized undefined Paid In

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State