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Alabama Hearing Associates, Inc.

Details

Name: Alabama Hearing Associates, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 31 Aug 2001 (23 years ago)
Entity Number: 000-218-582
Register Number: 000218582
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 1706 WOODFERN CIRCLEHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982771507 2006-11-29 2020-08-22 8075 MADISON BLVD, SUITE 105, MADISON, AL, 357582041, US 8075 MADISON BLVD, SUITE 105, MADISON, AL, 357582041, US

Contacts
Phone +1 256-319-4327
Fax 2563193277

Authorized person
Name DR. JAN C LILES
Role AUDIOLOGIST, BUSINESS OWNER
Phone 2563194327

Taxonomy
Taxonomy Code 231HA2500X - Assistive Technology Supplier Audiologist
License Number 695A
State AL
Is Primary Yes

Other Provider Identifiers
Issuer SUSAN GRIGSBY AETNA
Number 7313336
State AL
Issuer JAN LILES AETNA
Number 7279365
State AL
Issuer SUSAN GRIGSBY BCBS
Number 51506303SHE
State AL
Issuer JAN LILES BCBS
Number 51506305LIL
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA HEARING ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2023 631282654 2024-07-10 ALABAMA HEARING ASSOCIATES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 2563194327
Plan sponsor’s address 8075 MADISON BLVD STE 108, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing SUSAN SHEEHY
ALABAMA HEARING ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2022 631282654 2023-07-13 ALABAMA HEARING ASSOCIATES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 2563194327
Plan sponsor’s address 8075 MADISON BLVD STE 108, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing SUSAN SHEEHY
ALABAMA HEARING ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2021 631282654 2022-06-16 ALABAMA HEARING ASSOCIATES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 2567747809
Plan sponsor’s address 8075 MADISON BLVD STE 108, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2022-06-16
Name of individual signing JAN LILES
ALABAMA HEARING ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2020 631282654 2021-07-23 ALABAMA HEARING ASSOCIATES 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 2563194327
Plan sponsor’s address 8075 MADISON BLVD STE 108, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing JAN LILES
ALABAMA HEARING ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST 2019 631282654 2020-04-28 ALABAMA HEARING ASSOCIATES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 2567747809
Plan sponsor’s address 8075 MADISON BLVD STE 108, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing SUSAN SHEEHY
ALABAMA HEARING ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2018 631282654 2019-06-18 ALABAMA HEARING ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 2567747809
Plan sponsor’s address 8075 MADISON BLVD STE 108, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing SUSAN SHEEHY
ALABAMA HEARING ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2017 631282654 2018-07-12 ALABAMA HEARING ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 2567747809
Plan sponsor’s address 8075 MADISON BLVD STE 108, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2018-07-12
Name of individual signing SUSAN SHEEHY
ALABAMA HEARING ASSOCIATES 401 K PROFIT SHARING PLAN TRUST 2016 631282654 2017-07-07 ALABAMA HEARING ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 812990
Sponsor’s telephone number 2563194327
Plan sponsor’s address 8075 MADISON BLVD STE 108, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2017-07-07
Name of individual signing JAN LILES

Agent

Name Role
GRIGSBY, SUSAN Agent

Incorporator

Name Role
GRIGSBY, SUSAN Incorporator
LILES, JAN C Incorporator

Related by officers

LILES, JAN C

Honeybelle Properties, LLC

Related by address

HUNTSVILLE, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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