| Name: | ENT & Allergy Institute of North Alabama, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 10 Jun 2002 (22 years ago) |
| Date of dissolution: | 04 Dec 2012 |
| Entity Number: | 000-223-363 |
| Register Number: | 000223363 |
| County: | Colbert |
| Place of Formation: | Colbert County |
| Principal Address: | SHEFFIELD, AL |
| Registered Office Street Address: | 1120 SOUTH JACKSON HIGHWAY STE 201SHEFFIELD, AL 35660 |
| Registered Office Street Address ZIP Code: | 35660 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $100 |
Activities
MEDICAL PRACTICE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ENT & ALLERGY INSTITUTE OF NORTH ALABAMA, P.C. 401(K) PLAN | 2011 | 470873524 | 2012-10-11 | ENT & ALLERGY INSTITUTE OF NORTH ALABAMA, P.C. | 6 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 470873524 |
| Plan administrator’s name | ENT & ALLERGY INSTITUTE OF NORTH ALABAMA, P.C. |
| Plan administrator’s address | 1106 NORTH CAVE STREET, TUSCUMBIA, AL, 356741358 |
| Administrator’s telephone number | 2563146673 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-11 |
| Name of individual signing | JASON P. LOCKETTE, M.D. |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2563146673 |
| Plan sponsor’s address | 1106 NORTH CAVE STREET, TUSCUMBIA, AL, 356741358 |
Plan administrator’s name and address
| Administrator’s EIN | 470873524 |
| Plan administrator’s name | ENT & ALLERGY INSTITUTE OF NORTH ALABAMA, P.C. |
| Plan administrator’s address | 1106 NORTH CAVE STREET, TUSCUMBIA, AL, 356741358 |
| Administrator’s telephone number | 2563146673 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-30 |
| Name of individual signing | JASON P. LOCKETTE, M.D. |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2563146673 |
| Plan sponsor’s address | 1106 NORTH CAVE STREET, TUSCUMBIA, AL, 356741358 |
Plan administrator’s name and address
| Administrator’s EIN | 470873524 |
| Plan administrator’s name | ENT & ALLERGY INSTITUTE OF NORTH ALABAMA, P.C. |
| Plan administrator’s address | 1106 NORTH CAVE STREET, TUSCUMBIA, AL, 356741358 |
| Administrator’s telephone number | 2563146673 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | JASON P. LOCKETTE, M.D. |
| Name | Role |
|---|---|
| LOCKETTE, JASON P | Agent |
| Name | Role |
|---|---|
| LOCKETTE, JASON P | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
