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Oak Mountain Family Practice Center, P.C.

Details

Name: Oak Mountain Family Practice Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 10 May 2002 (23 years ago)
Date of dissolution: 27 Jul 2012
Entity Number: 000-222-781
Register Number: 000222781
County: Shelby
Place of Formation: Shelby County
Principal Address: PELHAM, AL
Registered Office Street Address: 120 CAHABA VALLEY PARKWAY STE 201PELHAM, AL 35124
Registered Office Street Address ZIP Code: 35124
Authorized Capital: $500

Activities PRACTICE INTERNAL MEDICINE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OAK MOUNTAIN FAMILY PRACTICE CENTER, P.C. 401 K PROFIT SHARING PLAN 2011 450477409 2012-08-23 OAK MOUNTAIN FAMILY PRACTICE CENTER P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2057331130
Plan sponsor’s address 120 CAHABA VALLEY PARKWAY STE 201, PELHAM, AL, 351241188

Plan administrator’s name and address

Administrator’s EIN 450477409
Plan administrator’s name OAK MOUNTAIN FAMILY PRACTICE CENTER P.C.
Plan administrator’s address 120 CAHABA VALLEY PARKWAY STE 201, PELHAM, AL, 351241188
Administrator’s telephone number 2057331130

Signature of

Role Plan administrator
Date 2012-08-23
Name of individual signing ERIC S. SOLOMON, M.D.
OAK MOUNTAIN FAMILY PRACTICE CENTER, P.C. 401 K PROFIT SHARING PLAN 2010 450477409 2011-10-13 OAK MOUNTAIN FAMILY PRACTICE CENTER P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2057331130
Plan sponsor’s address 120 CAHABA VALLEY PARKWAY STE 201, PELHAM, AL, 351241188

Plan administrator’s name and address

Administrator’s EIN 450477409
Plan administrator’s name OAK MOUNTAIN FAMILY PRACTICE CENTER P.C.
Plan administrator’s address 120 CAHABA VALLEY PARKWAY STE 201, PELHAM, AL, 351241188
Administrator’s telephone number 2057331130

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing ERIC S. SOLOMON, M.D.
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing ERIC S. SOLOMON, M.D.
OAK MOUNTAIN FAMILY PRACTICE CENTER, P.C. 401 K PROFIT SHARING PLAN 2009 450477409 2010-05-27 OAK MOUNTAIN FAMILY PRACTICE CENTER P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2057331130
Plan sponsor’s address 120 CAHABA VALLEY PARKWAY STE 201, PELHAM, AL, 351241188

Plan administrator’s name and address

Administrator’s EIN 450477409
Plan administrator’s name OAK MOUNTAIN FAMILY PRACTICE CENTER P.C.
Plan administrator’s address 120 CAHABA VALLEY PARKWAY STE 201, PELHAM, AL, 351241188
Administrator’s telephone number 2057331130

Signature of

Role Plan administrator
Date 2010-05-27
Name of individual signing ERIC S. SOLOMON, M.D.
Role Employer/plan sponsor
Date 2010-05-27
Name of individual signing ERIC S. SOLOMON, M.D.

Incorporator

Name Role
SOLOMON, ERIC STEPHEN Incorporator

Agent

Name Role
SOLOMON, ERIC STEPHEN Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State