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Deerfoot Internal Medicine, P.C.

Details

Name: Deerfoot Internal Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 15 Jun 2001 (23 years ago)
Entity Number: 000-217-235
Register Number: 000217235
County: Jefferson
Place of Formation: Jefferson County
Principal Address: PINSON, AL
Registered Office Street Address: 6725 DEERFOOT PARKWAYPINSON, AL 35126
Registered Office Street Address ZIP Code: 35126
Authorized Capital: $1,000

Activities PRACTICE INTERNAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528122702 2006-12-21 2022-02-08 6725 DEERFOOT PKWY, PINSON, AL, 351263093, US 6725 DEERFOOT PKWY, PINSON, AL, 351263093, US

Contacts
Phone +1 205-680-9898
Fax 2056803300

Authorized person
Name DR. GREGORY MORGAN FLIPPO
Role PRESIDENT
Phone 2056876384

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 07005477
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIM 401(K) AND PROFIT SHARING PLAN 2017 631275978 2018-03-08 DEERFOOT INTERNAL MEDICINE, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 35126

Signature of
Role Plan administrator
Date 2018-03-08
Name of individual signing PAMELA CHAMPION
Role Employer/plan sponsor
Date 2018-03-08
Name of individual signing PAMELA CHAMPION
DIM 401(K) AND PROFIT SHARING PLAN 2016 631275978 2017-02-16 DEERFOOT INTERNAL MEDICINE, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 35126

Signature of
Role Plan administrator
Date 2017-02-16
Name of individual signing PAM CHAMPION
Role Employer/plan sponsor
Date 2017-02-16
Name of individual signing PAM CHAMPION
DIM 401(K) AND PROFIT SHARING PLAN 2015 631275978 2016-03-08 DEERFOOT INTERNAL MEDICINE, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093

Signature of
Role Plan administrator
Date 2016-03-08
Name of individual signing PAM CHAMPION
Role Employer/plan sponsor
Date 2016-03-08
Name of individual signing PAM CHAMPION
DIM 401(K) AND PROFIT SHARING PLAN 2014 631275978 2015-04-23 DEERFOOT INTERNAL MEDICINE, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093

Signature of
Role Plan administrator
Date 2015-04-23
Name of individual signing PAM CHAMPION
Role Employer/plan sponsor
Date 2015-04-23
Name of individual signing PAM CHAMPION
DIM 401(K) AND PROFIT SHARING PLAN 2013 631275978 2014-03-27 DEERFOOT INTERNAL MEDICINE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093

Signature of
Role Plan administrator
Date 2014-03-27
Name of individual signing DAWN HAWKINS
Role Employer/plan sponsor
Date 2014-03-27
Name of individual signing DAWN HAWKINS
DIM 401(K) AND PROFIT SHARING PLAN 2012 631275978 2013-07-03 DEERFOOT INTERNAL MEDICINE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093

Signature of
Role Plan administrator
Date 2013-07-03
Name of individual signing GREG FLIPPO
Role Employer/plan sponsor
Date 2013-07-03
Name of individual signing GREG FLIPPO
DIM 401(K) AND PROFIT SHARING PLAN 2011 631275978 2012-06-11 DEERFOOT INTERNAL MEDICINE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093

Plan administrator’s name and address
Administrator’s EIN 631275978
Plan administrator’s name DEERFOOT INTERNAL MEDICINE, P.C.
Plan administrator’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093
Administrator’s telephone number 2056809898

Signature of
Role Plan administrator
Date 2012-06-11
Name of individual signing GREG FLIPPO
Role Employer/plan sponsor
Date 2012-06-11
Name of individual signing GREG FLIPPO
DIM 401(K) AND PROFIT SHARING PLAN 2010 631275978 2011-03-02 DEERFOOT INTERNAL MEDICINE, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093

Plan administrator’s name and address
Administrator’s EIN 631275978
Plan administrator’s name DEERFOOT INTERNAL MEDICINE, P.C.
Plan administrator’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093
Administrator’s telephone number 2056809898

Signature of
Role Plan administrator
Date 2011-03-02
Name of individual signing GREGORY FLIPPO
Role Employer/plan sponsor
Date 2011-03-02
Name of individual signing GREGORY FLIPPO
DIM 401(K) AND PROFIT SHARING PLAN 2009 631275978 2010-07-13 DEERFOOT INTERNAL MEDICINE, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621111
Sponsor’s telephone number 2056809898
Plan sponsor’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093

Plan administrator’s name and address
Administrator’s EIN 631275978
Plan administrator’s name DEERFOOT INTERNAL MEDICINE, P.C.
Plan administrator’s address 6725 DEERFOOT PKWY, PINSON, AL, 351263093
Administrator’s telephone number 2056809898

Signature of
Role Plan administrator
Date 2010-07-13
Name of individual signing BARBARA BOLEN
Role Employer/plan sponsor
Date 2010-07-13
Name of individual signing BARBARA BOLEN

Agent

Name Role
FLIPPO, GREGORY M Agent

Incorporator

Name Role
FLIPPO, GREGORY M Incorporator

Related by officers

FLIPPO, GREGORY M

Flippo Enterprises, LLC

Related by address

PINSON, AL

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6725 DEERFOOT PARKWAYPINSON, AL 35126

Prelipcean Investments, LLC

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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