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Surgical Associates of Marshall County, P.C.

Details

Name: Surgical Associates of Marshall County, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 24 Jan 2002 (23 years ago) (Companies founded in January 2002)
Entity Number: 000-220-787
Register Number: 000220787
Historical Names: John R. Groves, M.D., P.C.
ZIP code: 35957 (Companies in Marshall, 35957)
County: Marshall
Place of Formation: Marshall County
Principal Address: BOAZ, AL
Registered Office Street Address: 2525 HIGHWAY 431 NORTH STE 104BOAZ, AL 35957
Authorized Capital: $5,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760425482 2006-06-13 2012-06-21 133 WALL ST., ALBERTVILLE, AL, 35951, US 133 WALL ST., ALBERTVILLE, AL, 35951, US

Contacts

Phone +1 256-840-5547
Fax 2568405547

Authorized person

Name AMYE W GROVES
Role NURSE PRACTITIONER
Phone 2568405547

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2016 631286724 2017-07-19 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s address 133 WALL STREET, ALBERTVILLE, AL, 35951

Signature of

Role Plan administrator
Date 2017-07-19
Name of individual signing STEPHEN BRITT
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2015 631286724 2016-07-05 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s address 133 WALL STREET, ALBERTVILLE, AL, 35951

Signature of

Role Plan administrator
Date 2016-07-05
Name of individual signing STEPHEN BRITT
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2014 631286724 2015-09-03 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s address 133 WALL STREET, ALBERTVILLE, AL, 35951

Signature of

Role Plan administrator
Date 2015-09-03
Name of individual signing STEPHEN BRITT
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2013 631286724 2014-09-28 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s address 133 WALL STREET, ALBERTVILLE, AL, 35951

Signature of

Role Plan administrator
Date 2014-09-28
Name of individual signing STEPHEN BRITT
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2012 631286724 2013-10-11 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s address 133 WALL STREET, ALBERTVILLE, AL, 35951

Signature of

Role Plan administrator
Date 2013-10-11
Name of individual signing AMYE GROVES
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing AMYE GROVES
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2011 631286724 2012-10-10 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s address 133 WALL STREET, ALBERTVILLE, AL, 35951

Plan administrator’s name and address

Administrator’s EIN 631286724
Plan administrator’s name SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C.
Plan administrator’s address 133 WALL STREET, ALBERTVILLE, AL, 35951
Administrator’s telephone number 2568405547

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing AMYE GROVES
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2010 631286724 2011-10-14 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s address 133 WALL STREET, ALBERTVILLE, AL, 35951

Plan administrator’s name and address

Administrator’s EIN 631286724
Plan administrator’s name SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C.
Plan administrator’s address 133 WALL STREET, ALBERTVILLE, AL, 35951
Administrator’s telephone number 2568405547

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing AMYE GROVES
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2009 631286724 2010-12-03 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s mailing address 133 WALL STEEET, ALBERTVILLE, AL, 35951
Plan sponsor’s address 133 WALL STEEET, ALBERTVILLE, AL, 35951

Plan administrator’s name and address

Administrator’s EIN 631286724
Plan administrator’s name SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C.
Plan administrator’s address 133 WALL STEEET, ALBERTVILLE, AL, 35951
Administrator’s telephone number 2568405547

Number of participants as of the end of the plan year

Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-12-03
Name of individual signing AMYE GROVES
Valid signature Filed with authorized/valid electronic signature
SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. CASH BALANCE PENSION PLAN 2009 631286724 2010-10-15 SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2568405547
Plan sponsor’s address 133 WALL STREET, ALBERTVILLE, AL, 35951

Plan administrator’s name and address

Administrator’s EIN 631286724
Plan administrator’s name SURGICAL ASSOCIATES OF MARSHALL COUNTY, P.C.
Plan administrator’s address 133 WALL STREET, ALBERTVILLE, AL, 35951
Administrator’s telephone number 2568405547

Signature of

Role Plan administrator
Date 2010-10-15
Name of individual signing AMYE GROVES

Agent

Name Role
GROVES, JOHN R Agent

Incorporator

Name Role
GROVES, JOHN R Incorporator

Events

Event Date Event Type Old Value New Value
2004-07-26 Name Change John R. Groves, M.D., P.C. Surgical Associates of Marshall County, P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State