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Gadsden Foot Clinic, P.C.

Details

Name: Gadsden Foot Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 21 Aug 1998 (26 years ago) (Companies founded in August 1998)
Entity Number: 000-197-438
Register Number: 000197438
ZIP code: 35901 (Companies in Etowah, 35901)
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 306 SOUTH 4TH STREETGADSDEN, AL 35901
Authorized Capital: $5,000

Activities PODIATRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710043856 2006-12-30 2013-09-18 306 S 4TH ST, GADSDEN, AL, 359015213, US 306 S 4TH ST, GADSDEN, AL, 359015213, US

Contacts

Phone +1 256-547-1631
Fax 2565471632

Authorized person

Name DONNA CHATHAM WAGGONER
Role OFFICE MANAGER
Phone 2565471631

Taxonomy

Taxonomy Code 213ES0131X - Foot Surgery Podiatrist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2022 631205213 2024-04-08 GADSDEN FOOT CLINIC, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901

Signature of

Role Plan administrator
Date 2024-04-08
Name of individual signing BROOKE GORHAM
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2021 631205213 2023-04-04 GADSDEN FOOT CLINIC, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2020 631205213 2022-07-13 GADSDEN FOOT CLINIC, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2019 631205213 2021-06-25 GADSDEN FOOT CLINIC, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901

Signature of

Role Plan administrator
Date 2021-06-25
Name of individual signing BROOKE GORHAM
Role Employer/plan sponsor
Date 2021-06-25
Name of individual signing BROOKE GORHAM
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2018 631205213 2020-04-23 GADSDEN FOOT CLINIC, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901

Signature of

Role Plan administrator
Date 2020-04-23
Name of individual signing BROOKE GORHAM
Role Employer/plan sponsor
Date 2020-04-23
Name of individual signing BROOKE GORHAM
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2017 631205213 2019-04-29 GADSDEN FOOT CLINIC, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901

Signature of

Role Plan administrator
Date 2019-04-29
Name of individual signing BROOKE GORHAM
Role Employer/plan sponsor
Date 2019-04-29
Name of individual signing BROOKE GORHAM
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2016 631205213 2018-07-16 GADSDEN FOOT CLINIC, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901

Signature of

Role Plan administrator
Date 2018-07-16
Name of individual signing JOHN VANORE
Role Employer/plan sponsor
Date 2018-07-16
Name of individual signing JOHN VANORE
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2015 631205213 2017-06-19 GADSDEN FOOT CLINIC, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901

Signature of

Role Plan administrator
Date 2017-06-19
Name of individual signing JOHN VANORE
Role Employer/plan sponsor
Date 2017-06-19
Name of individual signing JOHN VANORE
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2014 631205213 2016-01-07 GADSDEN FOOT CLINIC, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901

Signature of

Role Plan administrator
Date 2016-01-07
Name of individual signing JOHN VANORE
Role Employer/plan sponsor
Date 2016-01-07
Name of individual signing JOHN VANORE
GADSDEN FOOT CLINIC, P.C. PROFIT SHARING PLAN 2013 631205213 2015-04-28 GADSDEN FOOT CLINIC, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-10-01
Business code 621391
Sponsor’s telephone number 2565471631
Plan sponsor’s address 306 SOUTH 4TH STREET, GADSDEN, AL, 35901

Signature of

Role Plan administrator
Date 2015-04-28
Name of individual signing JOHN VANORE
Role Employer/plan sponsor
Date 2015-04-28
Name of individual signing JOHN VANORE

Agent

Name Role
GORHAM, BROOKE Agent

Incorporator

Name Role
VANORE, JOHN V Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State