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Guardian Anesthesia Service, P.C.

Details

Name: Guardian Anesthesia Service, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 18 Feb 1997 (28 years ago)
Date of dissolution: 08 Nov 2019
Entity Number: 000-185-578
Register Number: 000185578
County: Lee
Place of Formation: Lee County
Principal Address: OPELIKA, AL
Registered Office Street Address: 410 THIRD AVEOPELIKA, AL 36801
Registered Office Street Address ZIP Code: 36801
Authorized Capital: $1,000

Activities GENERAL ANESTHESIA BUSINESS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2019 721352184 2020-07-02 GUARDIAN ANESTHESIA SERVICE, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3345282168
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2020-07-02
Name of individual signing MATTHEW MOTLEY
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2018 721352184 2019-08-12 GUARDIAN ANESTHESIA SERVICE, P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3345282168
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2019-08-12
Name of individual signing MATTHEW MOTLEY
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2017 721352184 2018-07-16 GUARDIAN ANESTHESIA SERVICE, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3345282168
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2018-07-16
Name of individual signing GARY HARTZOG
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2016 721352184 2017-07-05 GUARDIAN ANESTHESIA SERVICE, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3345282168
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing GARY HARTZOG
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2015 721352184 2016-09-27 GUARDIAN ANESTHESIA SERVICE, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3347052168
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2016-09-27
Name of individual signing GARY HARTZOG
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2014 721352184 2015-10-15 GUARDIAN ANESTHESIA SERVICE, P.C. 25
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3347502068
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing MARVIN SKINNER
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2014 721352184 2015-12-28 GUARDIAN ANESTHESIA SERVICE, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3347052168
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2015-12-28
Name of individual signing MARVIN SKINNER
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2013 721352184 2014-08-22 GUARDIAN ANESTHESIA SERVICE, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3345282168
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2014-08-22
Name of individual signing MARVIN SKINNER
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2012 721352184 2013-07-12 GUARDIAN ANESTHESIA SERVICE, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3347052168
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Signature of

Role Plan administrator
Date 2013-07-12
Name of individual signing MARVIN SKINNER
GUARDIAN ANESTHESIA SERVICE, P.C. 401(K) PLAN & TRUST 2011 721352184 2012-06-22 GUARDIAN ANESTHESIA SERVICE, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 621399
Sponsor’s telephone number 3347409988
Plan sponsor’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801

Plan administrator’s name and address

Administrator’s EIN 721352184
Plan administrator’s name GUARDIAN ANESTHESIA SERVICE, P.C.
Plan administrator’s address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801
Administrator’s telephone number 3347409988

Signature of

Role Plan administrator
Date 2012-06-22
Name of individual signing MARVIN SKINNER

Incorporator

Name Role Address
POINTER, MILTON E JR Incorporator No data
DRAPER, DANIEL A Incorporator No data
STINSON, JOHN M Incorporator No data
SIMS, HARRY S Incorporator No data
PRICE, ROBIN Incorporator 110 GRAYFOX TRAILHUNTSVILLE, AL 35806
SIKES, RENEE Incorporator 295 UNION ROADGRANT, AL 35747
GIBSON, H P Incorporator No data
SANDERS, DOUG Incorporator 1291 BENEVOLA ROADGORDO, AL 35466
SKINNER, MARVIN Incorporator No data

Agent

Name Role
POINTER, MILTON E JR Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State