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Premier Medical, P.C.

Details

Name: Premier Medical, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 25 Aug 2000 (24 years ago) (Companies founded in August 2000)
Date of dissolution: 21 Nov 2022
Entity Number: 000-211-776
Register Number: 000211776
ZIP code: 35242 (Companies in Shelby, 35242)
County: Shelby
Place of Formation: Jefferson County
Principal Address: BIRMINGAM, AL
Registered Office Street Address: 111 VILLAGE ST STE 104BIRMINGHAM, AL 35242
Authorized Capital: $2,000

Activities RENDER PROFESSIONAL MEDICAL SERVICES TO THE PUBLIC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER MEDICAL, P.C. CASH BALANCE PLAN 2014 631257475 2015-10-14 PREMIER MEDICAL, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing JENNIFER WOOD
PREMIER MEDICAL P.C. PROFIT SHARING PLAN 2014 631257475 2015-05-21 PREMIER MEDICAL, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRL STE 112, BIRMINGHAM, AL, 352422235

Signature of

Role Plan administrator
Date 2015-05-21
Name of individual signing SHERRI S. HICKMAN
PREMIER MEDICAL, P.C. CASH BALANCE PLAN 2013 631257475 2014-10-14 PREMIER MEDICAL, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing SHERRI HICKMAN
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing SHERRI HICKMAN
PREMIER MEDICAL P.C. PROFIT SHARING PLAN 2013 631257475 2014-05-06 PREMIER MEDICAL, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRL STE 112, BIRMINGHAM, AL, 352422235

Signature of

Role Plan administrator
Date 2014-05-06
Name of individual signing SHERRI S. HICKMAN
PREMIER MEDICAL, P.C. CASH BALANCE PLAN 2012 631257475 2013-10-01 PREMIER MEDICAL, P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing SHERRI HICKMAN
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing PREMIER MEDICAL, P.C.
PREMIER MEDICAL P.C. PROFIT SHARING PLAN 2012 631257475 2013-06-19 PREMIER MEDICAL, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRL STE 112, BIRMINGHAM, AL, 352422235

Signature of

Role Plan administrator
Date 2013-06-17
Name of individual signing SHERRI S. HICKMAN
PREMIER MEDICAL P.C. PROFIT SHARING PLAN 2011 631257475 2012-05-02 PREMIER MEDICAL, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621112
Sponsor’s telephone number 2059819533
Plan sponsor’s address 2016 STONEGATE TRL STE 112, BIRMINGHAM, AL, 352422235

Plan administrator’s name and address

Administrator’s EIN 631257475
Plan administrator’s name PREMIER MEDICAL, P.C.
Plan administrator’s address 2016 STONEGATE TRL STE 112, BIRMINGHAM, AL, 352422235
Administrator’s telephone number 2059819533

Signature of

Role Plan administrator
Date 2012-05-02
Name of individual signing C. RANDY HAMMOND
PREMIER MEDICAL, P.C. CASH BALANCE PLAN 2011 631257475 2012-10-04 PREMIER MEDICAL, P.C. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 631257475
Plan administrator’s name PREMIER MEDICAL, P.C.
Plan administrator’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242
Administrator’s telephone number 2059819583

Signature of

Role Plan administrator
Date 2012-10-04
Name of individual signing SHERRI HICKMAN
PREMIER MEDICAL, P.C. CASH BALANCE PLAN 2010 631257475 2011-10-11 PREMIER MEDICAL, P.C. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 631257475
Plan administrator’s name PREMIER MEDICAL, P.C.
Plan administrator’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242
Administrator’s telephone number 2059819583

Signature of

Role Plan administrator
Date 2011-10-11
Name of individual signing RANDY HAMMOND
PREMIER MEDICAL, P.C. CASH BALANCE PLAN 2009 631257475 2010-10-08 PREMIER MEDICAL, P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2059819583
Plan sponsor’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242

Plan administrator’s name and address

Administrator’s EIN 631257475
Plan administrator’s name PREMIER MEDICAL, P.C.
Plan administrator’s address 2016 STONEGATE TRAIL, SUITE 112, VESTAVIA HILLS, AL, 35242
Administrator’s telephone number 2059819583

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing RANDY HAMMOND
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing GEORGE E. TURNLEY, M.D.

Agent

Name Role
JOE, GEORGE L Agent

Incorporator

Name Role Address
SIEGAL, F DON Incorporator 1015 FIRST ALABAMA BANK BUILDINGBIRMINGHAM, AL 35203

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State