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Basel Refai, M.D., P.C.

Details

Name: Basel Refai, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 11 Dec 2000 (24 years ago)
Entity Number: 000-213-617
Register Number: 000213617
County: Tallapoosa
Place of Formation: Tallapoosa County
Principal Address: ALEXANDER CITY, AL
Registered Office Street Address: 1120 AIRPORT DR STE 102ALEXANDER CITY, AL 35010
Registered Office Street Address ZIP Code: 35010
Authorized Capital: 1,000
Paid Share Capital: $1,000

Activities PRACTICE OF MEDICINE WITH A SPECIALTY IN INTERNAL MEDICINE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MGTLU592UPS4 2022-04-27 1120 AIRPORT DR STE 102, ALEXANDER CITY, AL, 35010, 3444, USA 1120 AIRPORT DRIVE STE 102, ALEXANDER CITY, AL, 35010, USA

Business Information
Doing Business As LAKE MARTIN VASCULAR
Division Name LAKE MARTIN VASCULAR CLINIC
Division Number LAKE MARTI
Congressional District 03
State/Country of Incorporation AL, USA
Activation Date 2021-04-28
Initial Registration Date 2020-06-11
Entity Start Date 2000-12-11
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TINA DEAN
Role OFFICE MANAGER
Address 1120 AIRPORT DRIVE STE 102, ALEXANDER CITY, AL, 35010, USA
Government Business
Title PRIMARY POC
Name TINA DEAN
Role OFFICE MANAGER
Address 1120 AIRPORT DRIVE STE 102, ALEXANDER CITY, AL, 35010, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BASEL REFAI, M.D., P.C. CASH BALANCE PLAN 2023 631263961 2024-09-03 BASEL REFAI, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010
BASEL REFAI, M.D., P.C. CASH BALANCE PLAN 2022 631263961 2023-09-29 BASEL REFAI, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010
BASEL REFAI, M.D., P.C. CASH BALANCE PLAN 2021 631263961 2022-10-11 BASEL REFAI, M.D., P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010
BASEL REFAI, M.D., P.C. NEW COMPARABILITY 401(K) PSP 2021 631263961 2022-08-12 BASEL REFAI, M.D., P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-31
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010

Signature of
Role Plan administrator
Date 2022-08-10
Name of individual signing BASEL REFAI M.D.
BASEL REFAI, M.D., P.C. NEW COMPARABILITY 401(K) PSP 2020 631263961 2021-10-11 BASEL REFAI, M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-31
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing BASEL REFAI M.D.
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing BASEL REFAI M.D.
BASEL REFAI, M.D., P.C. CASH BALANCE PLAN 2020 631263961 2021-09-20 BASEL REFAI, M.D., P.C. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010
BASEL REFAI, M.D., P.C. NEW COMPARABILITY 401(K) PSP 2019 631263961 2020-10-11 BASEL REFAI, M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-31
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010

Signature of
Role Plan administrator
Date 2020-10-11
Name of individual signing BASEL REFAI, M.D.
BASEL REFAI, M.D., P.C. CASH BALANCE PLAN 2019 631263961 2020-10-12 BASEL REFAI, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010
BASEL REFAI, M.D., P.C. NEW COMPARABILITY 401(K) PSP 2018 631263961 2019-09-12 BASEL REFAI, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-12-31
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010

Signature of
Role Plan administrator
Date 2019-09-12
Name of individual signing BASEL REFAI, M.D.
BASEL REFAI, M.D., P.C. CASH BALANCE PLAN 2018 631263961 2020-10-12 BASEL REFAI, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2562129300
Plan sponsor’s address 1120 AIRPORT DRIVE, SUITE 102, ALEXANDER CITY, AL, 35010

Agent

Name Role
REFAI, BASEL Agent

Incorporator

Name Role
REFAI, BASEL Incorporator

Related by officers

No related officers

Related by address

ALEXANDER CITY, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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