| Name: | Eastern Shore Anesthesia, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Jan 2000 (25 years ago) |
| Entity Number: | 000-207-847 |
| Register Number: | 000207847 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FAIRHOPE, AL |
| Registered Office Street Address: | 27180 POLLARD ROADDAPHNE, AL 36526 |
| Registered Office Mailing Address: | POST OFFICE BOX 2925DAPHNE, AL 36526 |
| Authorized Capital: | $1,000 |
Activities
ANESTHESIOLOGY MEDICAL PRACTICE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EASTERN SHORE ANESTHESIA, P.C. PROFIT SHARING PLAN | 2011 | 631240317 | 2012-07-20 | EASTERN SHORE ANESTHESIA, P.C. | 23 | |||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 631240317 |
| Plan administrator’s name | EASTERN SHORE ANESTHESIA, P.C. |
| Plan administrator’s address | P O BOX 1025, FAIRHOPE, AL, 36533 |
| Administrator’s telephone number | 2519901109 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-20 |
| Name of individual signing | TIMOTHY W. HOUSEMAN, M.D. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-02-07 |
| Business code | 621111 |
| Sponsor’s telephone number | 2519901109 |
| Plan sponsor’s address | P O BOX 1025, FAIRHOPE, AL, 36533 |
Plan administrator’s name and address
| Administrator’s EIN | 631240317 |
| Plan administrator’s name | EASTERN SHORE ANESTHESIA, P.C. |
| Plan administrator’s address | P O BOX 1025, FAIRHOPE, AL, 36533 |
| Administrator’s telephone number | 2519901109 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-29 |
| Name of individual signing | TIMOTHY W. HOUSEMAN, M.D. |
| Role | Employer/plan sponsor |
| Date | 2011-08-29 |
| Name of individual signing | TIMOTHY W. HOUSEMAN, M.D. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2000-02-07 |
| Business code | 621111 |
| Sponsor’s telephone number | 2519901109 |
| Plan sponsor’s address | P O BOX 1025, FAIRHOPE, AL, 36533 |
Plan administrator’s name and address
| Administrator’s EIN | 631240317 |
| Plan administrator’s name | EASTERN SHORE ANESTHESIA, P.C. |
| Plan administrator’s address | P O BOX 1025, FAIRHOPE, AL, 36533 |
| Administrator’s telephone number | 2519901109 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-17 |
| Name of individual signing | TIMOTHY W. HOUSEMAN, M.D. |
| Role | Employer/plan sponsor |
| Date | 2010-08-17 |
| Name of individual signing | TIMOTHY W. HOUSEMAN, M.D. |
| Name | Role |
|---|---|
| RICHARD E. DAVIS | Agent |
| Name | Role | Address |
|---|---|---|
| DAVIS, RICHARD E | Incorporator | 27180 POLLARD ROADDAHNE, AL 36526 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
