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Oral & Facial Surgery of Alabama, P.C.

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Entity Number 000-225-798

Register Number000225798

Status Exists

NameOral & Facial Surgery of Alabama, P.C.

CountyJefferson

Date of registration 28 Oct 2002 (22 years ago)

Legal typeDomestic Professional Corporation

Principal Address BIRMINGHAM, AL

Registered Office Street Address 1500 S 19TH STBIRMINGHAM, AL 35205

Registered Office Street Address ZIP code 35205

Authorized Capital $1,000

Activities ORAL/MAXILLOFACIAL SURGERY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

ORAL & FACIAL SURGERY OF ALABAMA, P.C. 401(K) PLAN

2020

020633639

2021-01-12

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

35

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Three-digit plan number (PN)001
Effective date of plan1984-11-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

ORAL & FACIAL SURGERY OF ALABAMA, P.C. 401(K) PLAN

2019

020633639

2020-03-09

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

37

View Page

Three-digit plan number (PN)001
Effective date of plan1984-11-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

Signature of

RolePlan administrator
Date2020-03-09
Name of individual signingMARK CLARK

ORAL & FACIAL SURGERY OF ALABAMA, P.C. CASH BALANCE PLAN

2019

020633639

2020-03-09

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

17

View Page

Three-digit plan number (PN)002
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

Signature of

RolePlan administrator
Date2020-03-09
Name of individual signingMARK CLARK

ORAL & FACIAL SURGERY OF ALABAMA, P.C. 401(K) PLAN

2019

020633639

2021-01-08

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

35

Three-digit plan number (PN)001
Effective date of plan1984-11-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

ORAL & FACIAL SURGERY OF ALABAMA, P.C. CASH BALANCE PLAN

2018

020633639

2019-07-29

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

16

View Page

Three-digit plan number (PN)002
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

Signature of

RolePlan administrator
Date2019-07-29
Name of individual signingMARK CLARK

ORAL & FACIAL SURGERY OF ALABAMA, P.C. 401(K) PLAN

2018

020633639

2019-07-29

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

33

View Page

Three-digit plan number (PN)001
Effective date of plan1984-11-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

Signature of

RolePlan administrator
Date2019-07-29
Name of individual signingMARK CLARK

ORAL & FACIAL SURGERY OF ALABAMA, P.C. 401(K) PLAN

2017

020633639

2018-07-23

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

33

View Page

Three-digit plan number (PN)001
Effective date of plan1984-11-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

Signature of

RolePlan administrator
Date2018-07-23
Name of individual signingMARK CLARK

ORAL & FACIAL SURGERY OF ALABAMA, P.C. CASH BALANCE PLAN

2017

020633639

2018-07-23

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

16

View Page

Three-digit plan number (PN)002
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

Signature of

RolePlan administrator
Date2018-07-23
Name of individual signingMARK CLARK

ORAL & FACIAL SURGERY OF ALABAMA, P.C. 401(K) PLAN

2016

020633639

2017-07-25

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

38

View Page

Three-digit plan number (PN)001
Effective date of plan1984-11-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

Signature of

RolePlan administrator
Date2017-07-25
Name of individual signingMARK CLARK

ORAL & FACIAL SURGERY OF ALABAMA, P.C. CASH BALANCE PLAN

2016

020633639

2017-07-25

ORAL & FACIAL SURGERY OF ALABAMA, P.C.

16

View Page

Three-digit plan number (PN)002
Effective date of plan2013-01-01
Business code621210
Sponsor’s telephone number2059332773
Plan sponsor’s address1500 SOUTH 19TH STREET, STE 200, BIRMINGHAM, AL, 35205

Signature of

RolePlan administrator
Date2017-07-25
Name of individual signingMARK CLARK

Agent

Name Role Address

CLARK, MARK

Agent

12917 HWY 56 WESTCHATOM, AL 36518

Incorporator

Name Role Address

CLARK, MARK

Incorporator

12917 HWY 56 WESTCHATOM, AL 36518

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State