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S. A. Cassidy, M.D., P.C.

Details

Name: S. A. Cassidy, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 17 Jul 2003 (21 years ago)
Entity Number: 000-229-993
Register Number: 000229993
County: Tallapoosa
Place of Formation: Tallapoosa County
Registered Office Street Address: 207 MEDICAL PARK PROFESSIONAL BLDGALEXANDER CITY, AL 35010
Registered Office Street Address ZIP Code: 35010
Authorized Capital: 100 NPV
Paid Share Capital: $1,000

Activities MEDICINE PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN 2023 200083846 2024-06-28 S.A. CASSIDY M.D. P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2564962576
Plan sponsor’s address 1369 RIVER OAKS DR, JACKSONS GAP, AL, 36861

Signature of

Role Plan administrator
Date 2024-06-28
Name of individual signing SCOTT CASSIDY
Role Employer/plan sponsor
Date 2024-06-28
Name of individual signing SCOTT CASSIDY
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN 2016 200083846 2017-06-02 S.A. CASSIDY, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2564962576
Plan sponsor’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address

Administrator’s EIN 200083846
Plan administrator’s name S.A. CASSIDY, M.D., P.C.
Plan administrator’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2564962576

Signature of

Role Plan administrator
Date 2017-05-26
Name of individual signing SCOTT CASSIDY
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN 2015 200083846 2016-10-16 S.A. CASSIDY, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2564962576
Plan sponsor’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address

Administrator’s EIN 200083846
Plan administrator’s name S.A. CASSIDY, M.D., P.C.
Plan administrator’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2564962576

Signature of

Role Plan administrator
Date 2016-10-16
Name of individual signing SCOTT CASSIDY
SCOTT A CASSIDY MD PC 401K PROFIT SHARING PLAN 2014 200083846 2015-10-01 S.A. CASSIDY, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2564962576
Plan sponsor’s address 209 WEST SPRING ST, SUITE 205, SYLACAUGA, AL, 35150

Plan administrator’s name and address

Administrator’s EIN 200083846
Plan administrator’s name S.A. CASSIDY, M.D., P.C.
Plan administrator’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2564962576

Signature of

Role Plan administrator
Date 2015-10-01
Name of individual signing SCOTT CASSIDY
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN 2013 200083846 2014-07-25 S.A. CASSIDY, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2564962576
Plan sponsor’s address 209 WEST SPRING ST, SUITE 205, SYLACAUGA, AL, 35150

Plan administrator’s name and address

Administrator’s EIN 200083846
Plan administrator’s name S.A. CASSIDY, M.D., P.C.
Plan administrator’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2564962576

Signature of

Role Plan administrator
Date 2014-07-25
Name of individual signing SCOTT CASSIDY
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN 2012 200083846 2013-06-06 S.A. CASSIDY, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2562450358
Plan sponsor’s address 209 WEST SPRING ST, SUITE 205, SYLACAUGA, AL, 35150

Plan administrator’s name and address

Administrator’s EIN 200083846
Plan administrator’s name S.A. CASSIDY, M.D., P.C.
Plan administrator’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2562153490

Signature of

Role Plan administrator
Date 2013-06-06
Name of individual signing SCOTT CASSIDY
SCOTT A CASSIDY MD PC 401(K) PROFIT SHARING PLAN 2011 200083846 2012-06-25 S.A. CASSIDY, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2562153490
Plan sponsor’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address

Administrator’s EIN 200083846
Plan administrator’s name S.A. CASSIDY, M.D., P.C.
Plan administrator’s address P.O. BOX 100, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2562153490

Signature of

Role Plan administrator
Date 2012-05-30
Name of individual signing SCOTT CASSIDY

Agent

Name Role
CASSIDY, SCOTT A Agent

Incorporator

Name Role
CASSIDY, SCOTT A Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State