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Heart South Cardiovascular Group, P.C.

Details

Name: Heart South Cardiovascular Group, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 23 Aug 2002 (22 years ago) (Companies founded in August 2002)
Entity Number: 000-224-779
Register Number: 000224779
ZIP code: 35007 (Companies in Shelby, 35007)
County: Shelby
Place of Formation: Shelby County
Principal Address: ALABASTER, AL
Registered Office Street Address: 1022 N. 1ST ST., SUITE 500ALABASTER, AL 35007
Authorized Capital: $10,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588641005 2005-12-27 2007-08-31 1022 1ST ST N, SUITE 500, ALABASTER, AL, 350078706, US 1022 1ST ST N, SUITE 500, ALABASTER, AL, 350078706, US

Contacts

Phone +1 205-663-5775
Fax 2056642112

Authorized person

Name JOHN DAVID MCBRAYER
Role PRESIDENT
Phone 2056635775

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2023 470885243 2024-08-27 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 131
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2057392018
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007

Signature of

Role Plan administrator
Date 2024-08-27
Name of individual signing ANDREW METZLER
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2022 470885243 2024-03-19 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2057392018
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007

Signature of

Role Plan administrator
Date 2024-03-19
Name of individual signing ANDREW METZLER
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2022 470885243 2023-06-07 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 120
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2057392018
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007

Signature of

Role Plan administrator
Date 2023-06-07
Name of individual signing ANDREW METZLER
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2021 470885243 2022-10-07 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2056635775
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing CLIFTON VANCE
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2020 470885243 2021-07-20 HEART SOUTH CARDIOVASCULAR GROUP P.C. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2056635775
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2019 470885243 2020-07-15 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2056635775
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2018 470885243 2019-06-29 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 94
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2056635775
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2018 470885243 2020-07-15 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2056635775
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2017 470885243 2018-07-30 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2056635775
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007
HEART SOUTH CARDIOVASCULAR GROUP, P.C. 401(K) PROFIT SHARING PLAN 2016 470885243 2017-07-25 HEART SOUTH CARDIOVASCULAR GROUP, P.C. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-02-01
Business code 621111
Sponsor’s telephone number 2056635775
Plan sponsor’s address 1022 N. 1ST STREET, SUITE 500, ALABASTER, AL, 35007

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing JOHN MCBRAYER

Agent

Name Role
CLIFTON VANCE Agent

Incorporator

Name Role Address
SMITH, RALPH H II Incorporator 1819 5TH AVENUE NORTH SUITE 1100BIRMINGHAM, AL 35203

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State