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Huntsville Pulmonary Medicine, P.C.

Details

Name: Huntsville Pulmonary Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 28 Jun 2002 (22 years ago)
Date of dissolution: 24 Jul 2017
Entity Number: 000-223-732
Register Number: 000223732
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 930 FRANKLIN ST STE 110HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477599223 2006-06-21 2011-11-16 401 LOWELL DR SE, SUITE 19, HUNTSVILLE, AL, 358013748, US 401 LOWELL DR SE, SUITE 19, HUNTSVILLE, AL, 358013748, US

Contacts
Phone +1 256-533-1528

Authorized person
Name KEITH P YOUNG
Role PRESIDENT
Phone 2565331528

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

Other Provider Identifiers
Issuer DR. KEITH YOUNG INV NPI
Number 1417939414

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUNTSVILLE PULMONARY MEDICINE, P. C. 2017 710895272 2018-10-15 HUNTSVILLE PULMONARY MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2568805883
Plan sponsor’s address 1201 WESTMORELAND AVE SE, HUNTSVILLE, AL, 358012734
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2017 710895272 2018-10-15 HUNTSVILLE PULMONARY MEDICINE, 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 2568805883
Plan sponsor’s address 1201 WESTMORELAND AVE SE, HUNTSVILLE, AL, 358012734
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2016 710895272 2017-07-20 HUNTSVILLE PULMONARY MEDICINE, 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 2568805883
Plan sponsor’s address 250 CHATEAU DRIVE, SUITE 205, HUNTSVILLE, AL, 358013497

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing KEITH P. YOUNG, M.D.
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing KEITH P. YOUNG, M.D.
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2015 710895272 2016-05-31 HUNTSVILLE PULMONARY MEDICINE, 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 2568805883
Plan sponsor’s address 250 CHATEAU DRIVE, SUITE 205, HUNTSVILLE, AL, 358013497

Signature of
Role Plan administrator
Date 2016-05-28
Name of individual signing KEITH P. YOUNG, M.D.
Role Employer/plan sponsor
Date 2016-05-28
Name of individual signing KEITH P. YOUNG, M.D.
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2014 710895272 2015-07-14 HUNTSVILLE PULMONARY MEDICINE, 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 2568805883
Plan sponsor’s address 250 CHATEAU DRIVE, SUITE 205, HUNTSVILLE, AL, 358013497

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing KEITH P. YOUNG, M.D.
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing KEITH P. YOUNG, M.D.
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2013 710895272 2014-07-14 HUNTSVILLE PULMONARY MEDICINE, 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 2568805883
Plan sponsor’s address 250 CHATEAU DRIVE, SUITE 205, HUNTSVILLE, AL, 358013497

Signature of
Role Plan administrator
Date 2014-07-12
Name of individual signing KEITH P. YOUNG, M.D.
Role Employer/plan sponsor
Date 2014-07-12
Name of individual signing KEITH P. YOUNG, M.D.
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2012 710895272 2013-07-15 HUNTSVILLE PULMONARY MEDICINE, 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 2565331528
Plan sponsor’s address 401 LOWELL DRIVE, SUITE 19, HUNTSVILLE, AL, 358013738

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing KEITH P. YOUNG, M.D.
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing KEITH P. YOUNG, M.D.
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2011 710895272 2012-07-16 HUNTSVILLE PULMONARY MEDICINE, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2565331528
Plan sponsor’s address 401 LOWELL DRIVE, SUITE 19, HUNTSVILLE, AL, 358013738

Plan administrator’s name and address
Administrator’s EIN 710895272
Plan administrator’s name HUNTSVILLE PULMONARY MEDICINE, P.C.
Plan administrator’s address 401 LOWELL DRIVE, SUITE 19, HUNTSVILLE, AL, 358013738
Administrator’s telephone number 2565331528

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing KEITH P. YOUNG, M.D.
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing KEITH P. YOUNG, M.D.
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2010 710895272 2011-05-27 HUNTSVILLE PULMONARY MEDICINE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2565331528
Plan sponsor’s address 930 FRANKLIN STREET, SUITE 110, HUNTSVILLE, AL, 358014312

Plan administrator’s name and address
Administrator’s EIN 710895272
Plan administrator’s name HUNTSVILLE PULMONARY MEDICINE, P.C.
Plan administrator’s address 930 FRANKLIN STREET, SUITE 110, HUNTSVILLE, AL, 358014312
Administrator’s telephone number 2565331528

Signature of
Role Plan administrator
Date 2011-05-27
Name of individual signing KEITH P. YOUNG, M.D.
Role Employer/plan sponsor
Date 2011-05-27
Name of individual signing KEITH P. YOUNG, M.D.
HUNTSVILLE PULMONARY MEDICINE, P.C. 401(K) PROFIT SHARING PLAN 2009 710895272 2010-07-08 HUNTSVILLE PULMONARY MEDICINE, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2565331528
Plan sponsor’s address 930 FRANKLIN STREET, SUITE 110, HUNTSVILLE, AL, 358014312

Plan administrator’s name and address
Administrator’s EIN 710895272
Plan administrator’s name HUNTSVILLE PULMONARY MEDICINE, P.C.
Plan administrator’s address 930 FRANKLIN STREET, SUITE 110, HUNTSVILLE, AL, 358014312
Administrator’s telephone number 2565331528

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing KEITH P. YOUNG, M.D.
Role Employer/plan sponsor
Date 2010-07-08
Name of individual signing KEITH P. YOUNG, M.D.

Incorporator

Name Role Address
YOUNG, KEITH Incorporator 2408 METTS DRIVE NMYRTLE BEACH, SC 29583

Agent

Name Role Address
YOUNG, KEITH Agent 2408 METTS DRIVE NMYRTLE BEACH, SC 29583

Related by officers

YOUNG, KEITH

The A.B.A.S./BALDWIN ARCHIVE

Related by address

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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