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Southern Perioperative Services, P.C.

Details

Name: Southern Perioperative Services, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 08 Nov 1999 (25 years ago) (Companies founded in November 1999)
Entity Number: 000-206-308
Register Number: 000206308
ZIP code: 35243 (Companies in Jefferson, 35243)
County: Jefferson
Place of Formation: Shelby County
Principal Address: PELHAM, AL
Registered Office Street Address: 1708 INDIAN CREEK DRIVEBIRMINGHAM, AL 35243
Authorized Capital: $4,000

Activities PRACTICE OF MEDICINE/ANESTHESIOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740233394 2006-05-17 2024-07-31 5336 STADIUM TRACE PKWY STE 104, HOOVER, AL, 352444581, US 1400 MCFARLAND BLVD N, TUSCALOOSA, AL, 354062209, US

Contacts
Phone +1 205-795-3411
Fax 8556479621
Phone +1 205-345-5500

Authorized person
Name JOSEPH E NICHOLSON
Role PRESIDENT
Phone 2058624747

Taxonomy
Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2023 631237023 2024-10-02 SOUTHERN PERIOPERATIVE SERVICES, P.C. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2058861682
Plan sponsor’s address 5336 STADIUM TRACE PKWY., STE. 104, HOOVER, AL, 35244

Plan administrator’s name and address
Administrator’s EIN 630926271
Plan administrator’s name BENETECH ADMINISTRATORS, INC.
Plan administrator’s address P.O. BOX 530967, BIRMINGHAM, AL, 35253
Administrator’s telephone number 2058792824

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing ALAN SPAIN
Valid signature Filed with authorized/valid electronic signature
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2022 631237023 2023-04-21 SOUTHERN PERIOPERATIVE SERVICES, P.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2058861682
Plan sponsor’s address 5336 STADIUM TRACE PKWY., STE. 104, HOOVER, AL, 35244

Plan administrator’s name and address
Administrator’s EIN 630926271
Plan administrator’s name BENETECH ADMINISTRATORS, INC.
Plan administrator’s address P.O. BOX 530967, BIRMINGHAM, AL, 35253
Administrator’s telephone number 2058792824

Signature of
Role Plan administrator
Date 2023-04-21
Name of individual signing ALAN SPAIN
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2021 631237023 2022-10-10 SOUTHERN PERIOPERATIVE SERVICES, P.C. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2058861682
Plan sponsor’s address 5336 STADIUM TRACE PKWY., STE. 104, HOOVER, AL, 35244

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing RICK JUDSON
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2020 631237028 2021-08-06 SOUTHERN PERIOPERATIVE SERVICES, P.C. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2058861682
Plan sponsor’s address 5336 STADIUM TRACE PARKWAY, SUITE 104, HOOVER, AL, 35244

Signature of
Role Plan administrator
Date 2021-08-06
Name of individual signing RUSSELL PEAKE
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2019 631237028 2020-10-18 SOUTHERN PERIOPERATIVE SERVICES, P.C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2058861682
Plan sponsor’s address 5336 STADIUM TRACE PARKWAY, SUITE 104, HOOVER, AL, 35244

Signature of
Role Plan administrator
Date 2020-10-18
Name of individual signing RUSSELL PEAKE
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2018 631237023 2019-10-14 SOUTHERN PERIOPERATIVE SERVICES, P. C. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2055026817
Plan sponsor’s address 5314 MOUNTAIN PARK CIRCLE, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing RUSSELL PEAKE
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2017 631237023 2018-10-10 SOUTHERN PERIOPERATIVE SERVICES, P. C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2055026817
Plan sponsor’s address 5314 MOUNTAIN PARK CIRCLE, PELHAM, AL, 35124

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing RUSSELL PEAKE
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2016 631237023 2018-10-10 SOUTHERN PERIOPERATIVE SERVICES, P. C. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2055026817
Plan sponsor’s address 5314 MOUNTAIN PARK CIRCLE, PELHAM, AL, 35124

Plan administrator’s name and address
Administrator’s EIN 631237028
Plan administrator’s name SOUTHERN PERIOPERATIVE SERVICES, P. C.
Plan administrator’s address 5314 MOUNTAIN PARK CIRCLE, PELHAM, AL, 35124
Administrator’s telephone number 2055026817

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing RUSSELL PEAKE
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2016 631237023 2017-10-09 SOUTHERN PERIOPERATIVE SERVICES, P. C. 54
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2055026817
Plan sponsor’s address 5314 MOUNTAIN PARK CIRCLE, PELHAM, AL, 35124

Plan administrator’s name and address
Administrator’s EIN 631237028
Plan administrator’s name SOUTHERN PERIOPERATIVE SERVICES, P. C.
Plan administrator’s address 5314 MOUNTAIN PARK CIRCLE, PELHAM, AL, 35124
Administrator’s telephone number 2055026817

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing RUSSELL PEAKE
SOUTHERN PERIOPERATIVE SERVICES, PC 401(K) PROFIT SHARING 2015 631237023 2016-10-05 SOUTHERN PERIOPERATIVE SERVICES, P. C. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 2055026817
Plan sponsor’s address 5314 MOUNTAIN PARK CIRCLE, PELHAM, AL, 35124

Plan administrator’s name and address
Administrator’s EIN 631237028
Plan administrator’s name SOUTHERN PERIOPERATIVE SERVICES, P. C.
Plan administrator’s address 5314 MOUNTAIN PARK CIRCLE, PELHAM, AL, 35124
Administrator’s telephone number 2055026817

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing RUSSELL PEAKE

Incorporator

Name Role Address
WILLIAMS, MARK S Incorporator 5314 MOUNTIAN PARK CIRINDIAN SPRINGS, AL 35124

Agent

Name Role
NICHOLSON, JOSEPH Agent

Events

Event Date Event Type Old Value New Value
2002-08-01 Capital Change $1,000 Authorized --- Paid In $4,000 Authorized undefined Paid In

Related by officers

WILLIAMS, MARK S

Tempting Treats of Alabama LLC J.J.M. Associates, P.C. Advanced Medical Management, Inc. ORConcepts, Inc. J.J.M. Associates. P.C. Dads' Aviation, LLC SCW Associates, LLC JM Real Estate, LLC Southern Land Partners, L.L.C. Southeastern Recreational Properties, L.L.C.

NICHOLSON, JOSEPH

JM Real Estate, LLC Southern Land Partners, L.L.C. Southeastern Recreational Properties, L.L.C.

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1708 INDIAN CREEK DRIVEBIRMINGHAM, AL 35243

Med-West Anesthesia, P.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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