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John H. Payne, IV, DMD, PC

Details

Name: John H. Payne, IV, DMD, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Aug 1999 (25 years ago)
Entity Number: 000-204-690
Register Number: 000204690
Historical Names: Montgomery Pediatric Dentistry, P.C.
Montgomery Pediatric Dentistry & Orthodontics, P.C.
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2600 BELL ROADMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117
Authorized Capital: $5,000

Activities PRACTICE OF DENTISTRY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTGOMERY PEDIATRIC DENTISTRY & ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2014 631231503 2015-09-14 MONTGOMERY PEDIATRIC DENTISTRY & ORTHODONTICS, P.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2015-09-14
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2015-09-14
Name of individual signing J. DAVID STANLEY
MONTGOMERY PEDIATRIC DENTISTRY & ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2013 631231503 2014-08-27 MONTGOMERY PEDIATRIC DENTISTRY & ORTHODONTICS, P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2014-08-15
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2014-08-15
Name of individual signing J. DAVID STANLEY
MONTGOMERY PEDIATRIC DENTISTRY & ORTHODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2012 631231503 2013-04-15 MONTGOMERY PEDIATRIC DENTISTRY & ORTHODONTICS, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2013-04-15
Name of individual signing J. DAVID STANLEY
Role Employer/plan sponsor
Date 2013-04-15
Name of individual signing J. DAVID STANLEY
MONTGOMERY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2011 631231503 2012-06-19 MONTGOMERY PEDIATRIC DENTISTRY, P.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Plan administrator’s name and address

Administrator’s EIN 631231503
Plan administrator’s name MONTGOMERY PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117
Administrator’s telephone number 3342776690

Signature of

Role Plan administrator
Date 2012-06-19
Name of individual signing J. DAVID STANLEY
MONTGOMERY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2010 631231503 2011-06-21 MONTGOMERY PEDIATRIC DENTISTRY, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Plan administrator’s name and address

Administrator’s EIN 631231503
Plan administrator’s name MONTGOMERY PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117
Administrator’s telephone number 3342776690

Signature of

Role Plan administrator
Date 2011-06-21
Name of individual signing JOHN D. STANLEY
MONTGOMERY PEDIATRIC DENTISTRY, P.C. 401(K) PROFIT SHARING PLAN 2009 631231503 2010-10-07 MONTGOMERY PEDIATRIC DENTISTRY, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 3342776690
Plan sponsor’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117

Plan administrator’s name and address

Administrator’s EIN 631231503
Plan administrator’s name MONTGOMERY PEDIATRIC DENTISTRY, P.C.
Plan administrator’s address 2600 BELL ROAD, MONTGOMERY, AL, 36117
Administrator’s telephone number 3342776690

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing J. DAVID STANLEY

Agent

Name Role Address
PAYNE, JOHN H IV Agent 1701 ST ELIZABETH SQUAREMONTGOMERY, AL 36117

Incorporator

Name Role Address
JOHNSON, D KYLE Incorporator 150 S PERRY STMONTGOMERY, AL 36104

Events

Event Date Event Type Old Value New Value
2015-06-29 Name Change Montgomery Pediatric Dentistry & Orthodontics, P.C. John H. Payne, IV, DMD, PC
2006-07-28 Name Change Montgomery Pediatric Dentistry, P.C. Montgomery Pediatric Dentistry & Orthodontics, P.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State