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Surgical Specialists of Alabama, P.C.

Details

Name: Surgical Specialists of Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 16 Jan 1997 (28 years ago) (Companies founded in January 1997)
Entity Number: 000-184-910
Register Number: 000184910
ZIP code: 35401 (Companies in Tuscaloosa, 35401)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 1031 FAIRFAX PARKTUSCALOOSA, AL 35401
Authorized Capital: $10,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174688048 2006-12-22 2019-05-09 1031 FAIRFAX PARK, TUSCALOOSA, AL, 354062807, US 1031 FAIRFAX PARK, TUSCALOOSA, AL, 354062807, US

Contacts
Phone +1 205-345-2211
Fax 2053452220

Authorized person
Name DR. HOWARD J FALGOUT
Role PRESIDENT
Phone 2053452211

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2018 721346438 2019-05-21 SURGICAL SPECIALISTS OF ALABAMA, P.C. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing ANDREW G. HARRELL MD
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2017 721346438 2018-10-10 SURGICAL SPECIALISTS OF ALABAMA, P.C. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing ANDREW G. HARRELL MD
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2016 721346438 2017-10-05 SURGICAL SPECIALISTS OF ALABAMA, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing ANDREW G. HARRELL MD
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2015 721346438 2016-10-04 SURGICAL SPECIALISTS OF ALABAMA, P.C. 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing ANDREW G. HARRELL MD
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2014 721346438 2015-09-23 SURGICAL SPECIALISTS OF ALABAMA, P.C. 27
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Signature of
Role Plan administrator
Date 2015-09-23
Name of individual signing ANDREW G. HARRELL MD
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2013 721346438 2014-09-11 SURGICAL SPECIALISTS OF ALABAMA, P.C. 26
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Signature of
Role Plan administrator
Date 2014-08-28
Name of individual signing SHANNON MILLER
Role Employer/plan sponsor
Date 2014-09-11
Name of individual signing ANDREW HARRELL
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2012 721346438 2013-10-07 SURGICAL SPECIALISTS OF ALABAMA, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing ANDREW HARRELL
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2011 721346438 2013-09-14 SURGICAL SPECIALISTS OF ALABAMA, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Plan administrator’s name and address
Administrator’s EIN 721346438
Plan administrator’s name SURGICAL SPECIALISTS OF ALABAMA, P.C.
Plan administrator’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406
Administrator’s telephone number 2053452211

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing SHANNON MILLER
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing SHANNON MILLER
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2011 721346438 2012-10-11 SURGICAL SPECIALISTS OF ALABAMA, P.C. 24
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Plan administrator’s name and address
Administrator’s EIN 721346438
Plan administrator’s name SURGICAL SPECIALISTS OF ALABAMA, P.C.
Plan administrator’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406
Administrator’s telephone number 2053452211

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing SHANNON MILLER
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing SHANNON MILLER
SURGICAL SPECIALISTS OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2010 721346438 2011-10-11 SURGICAL SPECIALISTS OF ALABAMA, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1991-11-01
Business code 621111
Sponsor’s telephone number 2053452211
Plan sponsor’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406

Plan administrator’s name and address
Administrator’s EIN 721346438
Plan administrator’s name SURGICAL SPECIALISTS OF ALABAMA, P.C.
Plan administrator’s address 1031 FAIRFAX PARK, TUSCALOOSA, AL, 35406
Administrator’s telephone number 2053452211

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing ANDREW HARRELL
Role Employer/plan sponsor
Date 2011-10-11
Name of individual signing ANDREW HARRELL

Incorporator

Name Role Address
WINKLER, TIMOTHY Incorporator 2217 YORKTOWN DRIVETUSCALOOSA, AL 35406
STUHR, RICHARD W Incorporator No data
WALLACE, JOSEPH C Incorporator No data
NUNN, GEORGE W Incorporator No data
WAITS, JOHN O Incorporator 12765 TOM MONTGOMERY ROADNORTHPORT, AL 35475
FALGOUT, HOWARD J Incorporator No data

Agent

Name Role
FALGOUT, HOWARD J Agent

Related by officers

WINKLER, TIMOTHY

Timothy Winkler, LLC Surgery 2010, LLC

FALGOUT, HOWARD J

Surgery Center Partners, LLC P.D.G., L.L.C.

STUHR, RICHARD W

S3 Building Partnership, L.L.P. TASC, L.L.C. TASC96, L.L.C. P.D.G., L.L.C. S6 Building Partnership, L.L.C.

WALLACE, JOSEPH C

S3 Building Partnership, L.L.P. Surgery 2010, LLC P.D.G., L.L.C. S6 Building Partnership, L.L.C.

NUNN, GEORGE W

TASC, Inc. S3 Building Partnership, L.L.P. TASC, L.L.C. TASC96, L.L.C. P.D.G., L.L.C. S6 Building Partnership, L.L.C.

WAITS, JOHN O

Coker Tomato Farm, LLC J & J Family Properties, LLC JOW, LLC Cahaba Medical Care Foundation TASC, L.L.C. TASC96, L.L.C. S6 Building Partnership, L.L.C. Freedom Farm, Inc.

Related by address

TUSCALOOSA, AL

A-1 Welding and Ornamental Iron, Inc. Southern Tube Co., Inc. AAA Moving & Storage Co., Inc. Acker Appliance, Incorporated Adrian's Inc. Alabama Basic Land Enterprises, Incorporated Earth Energy Systems, Inc. Alabama Feed Mills, Inc. Alabama Little Boy Realty Company, Inc. Alabama Protective Services Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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