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Pediatric Gastroenterology Associates, P.C.

Details

Name: Pediatric Gastroenterology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 25 Jun 2003 (21 years ago)
Entity Number: 000-229-741
Register Number: 000229741
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 303 WILLIAMS AVE STE 1021HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407969371 2006-08-16 2020-08-22 303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL, 35801, US 303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL, 35801, US

Contacts
Phone +1 256-536-3832
Fax 2565368829

Authorized person
Name DONALD WAYNE LANEY JR.
Role PRESIDENT
Phone 2565363832

Taxonomy
Taxonomy Code 2080P0206X - Pediatric Gastroenterology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC GASTROENTEROLOGY ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2023 680554471 2024-05-30 PEDIATRIC GASTROENTEROLOGY ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2565363832
Plan sponsor’s address 303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2024-05-30
Name of individual signing WAYNE LANEY
PEDIATRIC GASTROENTEROLOGY ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2022 680554471 2023-09-28 PEDIATRIC GASTROENTEROLOGY ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2565363832
Plan sponsor’s address 303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing WAYNE LANEY
PEDIATRIC GASTROENTEROLOGY ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2021 680554471 2022-10-17 PEDIATRIC GASTROENTEROLOGY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2565363832
Plan sponsor’s address 303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing WAYNE LANEY
PEDIATRIC GASTROENTEROLOGY ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2020 680554471 2021-11-03 PEDIATRIC GASTROENTEROLOGY ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2565363832
Plan sponsor’s address 303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2021-11-03
Name of individual signing WAYNE LANEY
PEDIATRIC GASTROENTEROLOGY ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2019 680554471 2020-10-15 PEDIATRIC GASTROENTEROLOGY ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2565363832
Plan sponsor’s address 303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing DONALD LANEY

Agent

Name Role
LANEY, D WAYNE JR Agent

Incorporator

Name Role
MCCLELLAN, RANDALL D Incorporator

Related by officers

LANEY, D WAYNE JR

L & M, LLC

MCCLELLAN, RANDALL D

L & M, LLC

Related by address

HUNTSVILLE, AL

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303 WILLIAMS AVE STE 1021HUNTSVILLE, AL 35801

Gilbert Engineering Company

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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