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Horse Creek Family Medicine, Inc.

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Entity Number 000-229-140

Register Number000229140

Status Exists

NameHorse Creek Family Medicine, Inc.

CountyWalker

Date of registration 22 May 2003 (21 years ago)

Legal typeDomestic Corporation

Principal Address SUMITON, AL

Registered Office Street Address 259 PINE VIEW STSUMITON, AL 35148

Registered Office Street Address ZIP code 35148

Authorized Capital $1,000

Activities OPERATE CLINIC/PROVIDE MEDICAL FACILITY FOR MEDICAL PROFESSIONAL

form 5500

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

HORSE CREEK FAMILY MEDICINE INC. 401K PLAN

2011

421590093

2012-06-15

HORSE CREEK FAMILY MEDICINE INC.

10

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621111
Sponsor’s telephone number2054837117
Plan sponsor’s addressPO BOX 366, DORA, AL, 35062

Plan administrator’s name and address

Administrator’s EIN421590093
Plan administrator’s nameHORSE CREEK FAMILY MEDICINE INC.
Plan administrator’s addressPO BOX 366, DORA, AL, 35062
Administrator’s telephone number2054837117

Signature of

RolePlan administrator
Date2012-06-15
Name of individual signingFLOYD BURTON

HORSE CREEK FAMILY MEDICINE INC. 401K PLAN

2010

421590093

2012-01-27

HORSE CREEK FAMILY MEDICINE INC.

14

View Page

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621111
Sponsor’s telephone number2056487887
Plan sponsor’s addressPO BOX 366, DORA, AL, 35062

Plan administrator’s name and address

Administrator’s EIN421590093
Plan administrator’s nameHORSE CREEK FAMILY MEDICINE INC.
Plan administrator’s addressPO BOX 366, DORA, AL, 35062
Administrator’s telephone number2056487887

Signature of

RolePlan administrator
Date2012-01-27
Name of individual signingFLOYD BURTON

HORSE CREEK FAMILY MEDICINE INC. 401K PLAN

2010

421590093

2012-01-19

HORSE CREEK FAMILY MEDICINE INC.

14

Three-digit plan number (PN)001
Effective date of plan2007-01-01
Business code621111
Sponsor’s telephone number2056487887
Plan sponsor’s addressPO BOX 366, DORA, AL, 35062

Plan administrator’s name and address

Administrator’s EIN421590093
Plan administrator’s nameHORSE CREEK FAMILY MEDICINE INC.
Plan administrator’s addressPO BOX 366, DORA, AL, 35062
Administrator’s telephone number2056487887

Signature of

RolePlan administrator
Date2012-01-19
Name of individual signingFLOYD BURTON

Agent

Name Role

BURTON, FLOYD

Agent

Incorporator

Name Role

BURTON, FLOYD

Incorporator

TWILLEY, CAROL

Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State