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Deep South Home Medical Equipment, Inc.

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Entity Number 000-227-124

Register Number000227124

Status Exists

NameDeep South Home Medical Equipment, Inc.

CountyHouston

Date of registration 24 Jan 2003 (22 years ago)

Legal typeDomestic Corporation

Registered Office Street Address 2403 CAMPBELLTON HWYDOTHAN, AL 36301

Registered Office Street Address ZIP code 36301

Authorized Capital 1600 @ $1 PV

Activities SELL/SERVICE HOME MEDICAL EQUIPMENT

form 5500

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

DEEP SOUTH HOME MEDICAL EQUIPMENT 401(K) PLAN

2023

450495549

2024-03-14

DEEP SOUTH HOME MEDICAL EQUIPMENT, INC.

12

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Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number3346719484
Plan sponsor’s address229 SUNRISE LANE, SLOCOMB, AL, 36375

Signature of

RolePlan administrator
Date2024-03-13
Name of individual signingTIMOTHY OTT
RoleEmployer/plan sponsor
Date2024-03-13
Name of individual signingTIMOTHY OTT

DEEP SOUTH HOME MEDICAL EQUIPMENT 401(K) PLAN

2022

450495549

2023-03-20

DEEP SOUTH HOME MEDICAL EQUIPMENT, INC.

11

View Page

Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number3346719484
Plan sponsor’s address229 SUNRISE LANE, SLOCOMB, AL, 36375

Signature of

RolePlan administrator
Date2023-03-20
Name of individual signingR. TODD FLOURNOY

DEEP SOUTH HOME MEDICAL EQUIPMENT 401(K) PLAN

2021

450495549

2022-03-15

DEEP SOUTH HOME MEDICAL EQUIPMENT, INC.

10

View Page

Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number3346719484
Plan sponsor’s address229 SUNRISE LANE, SLOCOMB, AL, 36375

Signature of

RolePlan administrator
Date2022-03-14
Name of individual signingR. TODD FLOURNOY
RoleEmployer/plan sponsor
Date2022-03-14
Name of individual signingR. TODD FLOURNOY

DEEP SOUTH HOME MEDICAL EQUIPMENT 401(K) PLAN

2020

450495549

2021-02-24

DEEP SOUTH HOME MEDICAL EQUIPMENT, INC.

12

View Page

Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number3346719484
Plan sponsor’s address229 SUNRISE LANE, MALVERN, AL, 36349

Signature of

RolePlan administrator
Date2021-02-24
Name of individual signingRICKY T. FLOURNOY
RoleEmployer/plan sponsor
Date2021-02-24
Name of individual signingRICKY T. FLOURNOY

DEEP SOUTH HOME MEDICAL EQUIPMENT 401(K) PLAN

2019

450495549

2020-03-11

DEEP SOUTH HOME MEDICAL EQUIPMENT, INC.

10

View Page

Three-digit plan number (PN)001
Effective date of plan2019-01-01
Business code446190
Sponsor’s telephone number3346719484
Plan sponsor’s address229 SUNRISE LANE, MALVERN, AL, 36349

Signature of

RolePlan administrator
Date2020-03-11
Name of individual signingRICKY T. FLOURNOY
RoleEmployer/plan sponsor
Date2020-03-11
Name of individual signingRICKY T. FLOURNOY

Agent

Name Role

OTT, TIMOTHY

Agent

Incorporator

Name Role

FLOURNOY, RICKY TODD

Incorporator

Events

Event Date Event Type Old Value New Value

2012-11-15

Capital Change

$1,200 Authorized --- Paid In

1600 @ $1 PV Authorized undefined Paid In

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State