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Jean Sansaricq, M.D., P.C.

Details

Name: Jean Sansaricq, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 25 Mar 2002 (23 years ago)
Date of dissolution: 19 Dec 2019
Entity Number: 000-221-934
Register Number: 000221934
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 524 STANTON RDMOBILE, AL 36617
Registered Office Street Address ZIP Code: 36617
Authorized Capital: $5,000

Activities PRACTICE MEDICINE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEAN SANSARICQ, M. D. , P. C. PROFIT SHARING PLAN 2019 060363060 2020-07-23 JEAN SANSARICQ, M.D., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2019 043630600 2020-07-23 JEAN SANSARICQ, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2018 043630600 2019-10-14 JEAN SANSARICQ, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2017 043630600 2018-09-19 JEAN SANSARICQ, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617

Signature of

Role Plan administrator
Date 2018-09-19
Name of individual signing JEAN SANSARICQ
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2016 043630600 2017-07-19 JEAN SANSARICQ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617

Signature of

Role Plan administrator
Date 2017-07-17
Name of individual signing JEAN SANSARICQ
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2015 043630600 2016-04-19 JEAN SANSARICQ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617

Signature of

Role Plan administrator
Date 2016-04-18
Name of individual signing JEAN SANSARICQ
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2014 043630600 2015-09-28 JEAN SANSARICQ, M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617

Signature of

Role Plan administrator
Date 2015-09-27
Name of individual signing JEAN SANSARICQ
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2013 043630600 2014-10-13 JEAN SANSARICQ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617

Signature of

Role Plan administrator
Date 2014-10-12
Name of individual signing JEAN SANSARICQ
Role Employer/plan sponsor
Date 2014-10-12
Name of individual signing JEAN SANSARICQ
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2012 043630600 2014-10-14 JEAN SANSARICQ, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617

Signature of

Role Plan administrator
Date 2014-10-13
Name of individual signing JEAN SANSARICQ
Role Employer/plan sponsor
Date 2014-10-13
Name of individual signing JEAN SANSARICQ
JEAN SANSARICQ, M.D., P.C. PROFIT SHARING PLAN 2012 043630600 2013-06-18 JEAN SANSARICQ, M.D., P.C. 8
Three-digit plan number (PN) 001
Effective date of plan 2002-04-01
Business code 621111
Sponsor’s telephone number 2514790058
Plan sponsor’s address 524 STANTON ROAD, MOBILE, AL, 36617

Signature of

Role Plan administrator
Date 2013-06-17
Name of individual signing JEAN SANSARICQ
Role Employer/plan sponsor
Date 2013-06-13
Name of individual signing JEAN SANSARICQ

Agent

Name Role
SANSARICQ, JEAN Agent

Incorporator

Name Role
HALL, W PERRY Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State