| Name: | Helena Family Dentistry, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 02 Jul 2002 (22 years ago) |
| Entity Number: | 000-223-958 |
| Register Number: | 000223958 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | HELENA, AL |
| Registered Office Street Address: | 1001 ASHLEY BROOK LANEHELENA, AL 35080 |
| Registered Office Street Address ZIP Code: | 35080 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316720899 | 2023-08-17 | 2023-08-17 | 1001 ASHLEY BROOK LN, HELENA, AL, 350803344, US | 1001 ASHLEY BROOK LN, HELENA, AL, 350803344, US | |||||||||||||||
|
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| Phone | +1 205-621-3100 |
| Fax | 2056213900 |
Authorized person
| Name | DR. STACEY L DEFRANCO |
| Role | OWNER |
| Phone | 2056213100 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HELENA FAMILY DENTISTRY 401(K) PLAN | 2010 | 030443494 | 2011-01-27 | HELENA FAMILY DENTISTRY | 6 | |||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 030443494 |
| Plan administrator’s name | HELENA FAMILY DENTISTRY |
| Plan administrator’s address | 1001 ASHLEY BROOK LANE, HELENA, AL, 35080 |
| Administrator’s telephone number | 2057336669 |
Signature of
| Role | Plan administrator |
| Date | 2011-01-27 |
| Name of individual signing | STACEY DEFRANCO |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2056213100 |
| Plan sponsor’s address | 1001 ASHLEY BROOK LANE, HELENA, AL, 35080 |
Plan administrator’s name and address
| Administrator’s EIN | 030443494 |
| Plan administrator’s name | HELENA FAMILY DENTISTRY |
| Plan administrator’s address | 1001 ASHLEY BROOK LANE, HELENA, AL, 35080 |
| Administrator’s telephone number | 2056213100 |
Signature of
| Role | Plan administrator |
| Date | 2010-11-01 |
| Name of individual signing | STACEY L. DEFRANCO |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2056213100 |
| Plan sponsor’s address | 1001 ASHLEY BROOK LANE, HELENA, AL, 35080 |
Plan administrator’s name and address
| Administrator’s EIN | 030443494 |
| Plan administrator’s name | HELENA FAMILY DENTISTRY |
| Plan administrator’s address | 1001 ASHLEY BROOK LANE, HELENA, AL, 35080 |
| Administrator’s telephone number | 2056213100 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-03 |
| Name of individual signing | STACEY L. DEFRANCO |
| Role | Employer/plan sponsor |
| Date | 2010-08-03 |
| Name of individual signing | STACEY L. DEFRANCO |
| Name | Role |
|---|---|
| DEFRANCO, STACEY L | Incorporator |
| Name | Role |
|---|---|
| DEFRANCO, STACEY L | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
