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Sportsmed Orthopaedic Specialists, P.C.

Details

Name: Sportsmed Orthopaedic Specialists, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 15 Nov 2000 (24 years ago)
Entity Number: 000-213-244
Register Number: 000213244
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 4715 WHITESBURG DRHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $8,000

Activities PRACTICE OF SPORTS MEDICINE/ORTHOPEDIC SURGERY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124460480 2013-07-26 2013-07-26 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632, US 1701 MAIN AVE SW, SUITE G, CULLMAN, AL, 350555299, US

Contacts
Phone +1 256-881-5151
Fax 2568803939

Authorized person
Name ERIC JANSSEN
Role PRESIDENT
Phone 2568815151

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number 16457
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2020 631262177 2021-12-27 SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 287
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2567054137
Plan sponsor’s DBA name SPORTSMED ORTHOPAEDIC SPECIALISTS
Plan sponsor’s mailing address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632
Plan sponsor’s address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632

Number of participants as of the end of the plan year
Active participants 225
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 112
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 343
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 19

Signature of
Role Plan administrator
Date 2021-12-27
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-12-27
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2020 631262177 2021-02-11 SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 306
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2568815151
Plan sponsor’s mailing address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632
Plan sponsor’s address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632

Number of participants as of the end of the plan year
Active participants 199
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 114
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 35
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 19

Signature of
Role Plan administrator
Date 2021-02-11
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-11
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2019 631262177 2021-09-13 SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 322
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2568815151
Plan sponsor’s DBA name SPORTSMED
Plan sponsor’s mailing address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632
Plan sponsor’s address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632

Number of participants as of the end of the plan year
Active participants 198
Retired or separated participants receiving benefits 7
Other retired or separated participants entitled to future benefits 82
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 28
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 27

Signature of
Role Plan administrator
Date 2021-09-13
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-13
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2018 631262177 2020-10-27 SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 306
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2568815151
Plan sponsor’s mailing address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632
Plan sponsor’s address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632

Number of participants as of the end of the plan year
Active participants 199
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 114
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 315
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 19

Signature of
Role Plan administrator
Date 2020-10-27
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-27
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2018 631262177 2020-10-27 SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 306
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2568815151
Plan sponsor’s mailing address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632
Plan sponsor’s address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632

Number of participants as of the end of the plan year
Active participants 199
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 114
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 315
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 19

Signature of
Role Plan administrator
Date 2020-10-27
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-27
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2018 631262177 2019-10-15 SPORTSMED ORTHOPAEDIC SPECIALISTS 306
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2568815151
Plan sponsor’s mailing address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632
Plan sponsor’s address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632

Number of participants as of the end of the plan year
Active participants 199
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 114
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 315
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 19

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature
SPORTSMED ORTHOPAEDIC SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2018 631262177 2019-10-14 SPORTSMED ORTHOPAEDIC SPECIALISTS 306
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 2568815151
Plan sponsor’s mailing address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632
Plan sponsor’s address 4715 WHITESBURG DR SE, HUNTSVILLE, AL, 358021632

Number of participants as of the end of the plan year
Active participants 199
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 114
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 315
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 19

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing H COBB ALEXANDER
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
BUCKLEY, STEVEN Incorporator No data
JANSSEN, ERIC W Incorporator No data
LAYTON, TROY A Incorporator 33 ASBURY ROADHUNTSVILLE, AL 35801
MORLEY, R CHARLES JR Incorporator No data
TINDELL, RANDALL J Incorporator 700 COUNTY ROAD 721ENTERPRISE, AL 36330

Agent

Name Role
JANSSEN, ERIC W Agent

Events

Event Date Event Type Old Value New Value
2007-09-26 Capital Change $2,000 Authorized --- Paid In $8,000 Authorized undefined Paid In

Related by officers

BUCKLEY, STEVEN

Childrens Orthopedics, P.C. Seven Cedars, LLC

JANSSEN, ERIC W

North Alabama Orthopaedic & Sports Medicine, Inc. Sports Med, P.C. Executive Support, LLC Tennessee Valley Aviation, LLC SMWB, LLC SMD1, LLC Sportsmed Research Institute Foundation ET Assets, L.L.C. F. J. Development, L.L.C. Seven Cedars, LLC

LAYTON, TROY A

TL, LLC GP Beach Partners I, LLC SportsMed Athens Properties, LLC SMWB, LLC SMD1, LLC ET Assets, L.L.C. F. J. Development, L.L.C. Out Patient Surgery Center, L.L.C. Seven Cedars, LLC

MORLEY, R CHARLES JR

Professional Video Productions, Inc. Great Spirits, Inc. Somerville Properties, L.L.C. Seven Cedars, LLC

TINDELL, RANDALL J

TINDELL ENGINEERING SERVICES, LLC The Solid Waste Disposal Authority of Coffee County Triangle Foods, Inc. Randall J. Tindell, M.D., P.C. The Coffee County Public Building Authority SMWB, LLC SMD1, LLC Somerville Properties, L.L.C. Seven Cedars, LLC

Related by address

HUNTSVILLE, AL

Frank Dawson Realty Co., Inc. AAA Drapery & Interiors, Inc. A & C Termite and Pest Control Co., Inc. Action Alarm Systems of Alabama Acuff, Wilmer & Co., Inc. Alabama Bike Shop, Inc. Alabama Hide & Tallow Company Alabama Homes Distributors, Inc. Alabama Motorcycle Sales, Incorporated The Spencer Companies Incorporated

4715 WHITESBURG DRHUNTSVILLE, AL 35801

Sports Med, P.C. ET Assets, L.L.C. Seven Cedars, LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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