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Rapha Healthcare, Inc.

Details

Name: Rapha Healthcare, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 28 Feb 2002 (23 years ago)
Date of dissolution: 06 Dec 2017
Entity Number: 000-221-441
Register Number: 000221441
County: Saint Clair
Place of Formation: Saint Clair County
Principal Address: SPRINGVILLE, AL
Registered Office Street Address: 480 WALKER DRSPRINGVILLE, AL 35146
Registered Office Street Address ZIP Code: 35146
Authorized Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134307648 2008-02-06 2008-02-06 PO BOX 529, SPRINGVILLE, AL, 351460529, US 35717 U S HWY 231, ASHVILLE, AL, 35953, US

Contacts
Phone +1 205-467-6919
Fax 2054677088
Phone +1 205-594-7949
Fax 2055944118

Authorized person
Name DR. GEORGE M HARRIS
Role OWNER
Phone 2055947949

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 13393
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2017 943423214 2019-11-08 RAPHA HEALTHCARE, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Signature of
Role Plan administrator
Date 2019-11-08
Name of individual signing GEORGE HARRIS
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2016 943423214 2017-04-26 RAPHA HEALTHCARE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Signature of
Role Plan administrator
Date 2017-04-26
Name of individual signing GEORGE HARRIS
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2015 943423214 2016-06-17 RAPHA HEALTHCARE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing GEORGE HARRIS
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2014 943423214 2015-07-20 RAPHA HEALTHCARE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing GEORGE HARRIS
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2013 943423214 2014-03-31 RAPHA HEALTHCARE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Signature of
Role Plan administrator
Date 2014-03-31
Name of individual signing GEORGE HARRIS
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2012 943423214 2013-06-03 RAPHA HEALTHCARE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Signature of
Role Plan administrator
Date 2013-06-03
Name of individual signing GEORGE HARRIS
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2011 943423214 2012-07-20 RAPHA HEALTHCARE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Plan administrator’s name and address
Administrator’s EIN 943423214
Plan administrator’s name RAPHA HEALTHCARE, INC.
Plan administrator’s address P O BOX 529, SPRINGVILLE, AL, 35146
Administrator’s telephone number 2059021288

Signature of
Role Plan administrator
Date 2012-07-20
Name of individual signing GEORGE HARRIS
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2010 943423214 2011-04-01 RAPHA HEALTHCARE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Plan administrator’s name and address
Administrator’s EIN 943423214
Plan administrator’s name RAPHA HEALTHCARE, INC.
Plan administrator’s address P O BOX 529, SPRINGVILLE, AL, 35146
Administrator’s telephone number 2059021288

Signature of
Role Plan administrator
Date 2011-04-01
Name of individual signing GEORGE HARRIS
RAPHA HEALTHCARE, INC. 401(K) PROFIT SHARING PLAN 2009 943423214 2010-05-14 RAPHA HEALTHCARE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2059021288
Plan sponsor’s address P O BOX 529, SPRINGVILLE, AL, 35146

Plan administrator’s name and address
Administrator’s EIN 943423214
Plan administrator’s name RAPHA HEALTHCARE, INC.
Plan administrator’s address P O BOX 529, SPRINGVILLE, AL, 35146
Administrator’s telephone number 2059021288

Signature of
Role Plan administrator
Date 2010-05-14
Name of individual signing GEORGE HARRIS
Role Employer/plan sponsor
Date 2010-05-14
Name of individual signing GEORGE HARRIS

Incorporator

Name Role
HARRIS, GEORGE M Incorporator

Agent

Name Role
HARRIS, GEORGE M Agent

Related by officers

No related officers

Related by address

SPRINGVILLE, AL

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480 WALKER DRSPRINGVILLE, AL 35146

Brenda M. Harris, L.L.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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