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Jeffrey B. Fairchild, D.M.D., P.C.

Details

Name: Jeffrey B. Fairchild, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 05 Jan 2004 (21 years ago) (Companies founded in January 2004)
Date of dissolution: 15 May 2018
Entity Number: 000-232-816
Register Number: 000232816
ZIP code: 35901 (Companies in Etowah, 35901)
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 104 CHERRY STGADSDEN, AL 35901
Authorized Capital: $1,000

Activities ENDODONTICS PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY B. FAIRCHILD, D.M.D., P.C. 2016 200518934 2017-08-29 JEFFREY B. FAIRCHILD, D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
JEFFREY B. FAIRCHILD, D.M.D. RETIREMENT PLAN 2016 200518934 2017-06-15 JEFFREY B. FAIRCHILD, D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235

Plan administrator’s name and address

Administrator’s EIN 200518934
Plan administrator’s name JEFFREY B. FAIRCHILD, D.M.D. P.C.
Plan administrator’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
Administrator’s telephone number 2565473195
JEFFREY B. FAIRCHILD, D.M.D. RETIREMENT PLAN 2015 200518934 2016-07-07 JEFFREY B. FAIRCHILD, D.M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235

Plan administrator’s name and address

Administrator’s EIN 200518934
Plan administrator’s name JEFFREY B. FAIRCHILD, D.M.D. P.C.
Plan administrator’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
Administrator’s telephone number 2565473195
JEFFREY B. FAIRCHILD, D.M.D. RETIREMENT PLAN 2014 200518934 2015-07-28 JEFFREY B. FAIRCHILD, D.M.D. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235

Plan administrator’s name and address

Administrator’s EIN 200518934
Plan administrator’s name JEFFREY B. FAIRCHILD, D.M.D.
Plan administrator’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
Administrator’s telephone number 2565473195

Signature of

Role Plan administrator
Date 2015-07-28
Name of individual signing JEFFREY B. FAIRCHILD
JEFFREY B. FAIRCHILD, D.M.D. RETIREMENT PLAN 2013 200518934 2014-07-31 JEFFREY B. FAIRCHILD, D.M.D. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235

Plan administrator’s name and address

Administrator’s EIN 200518934
Plan administrator’s name JEFFREY B. FAIRCHILD, D.M.D.
Plan administrator’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
Administrator’s telephone number 2565473195

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing JEFFREY B. FAIRCHILD
JEFFREY B. FAIRCHILD, D.M.D. RETIREMENT PLAN 2012 200518934 2013-05-21 JEFFREY B. FAIRCHILD, D.M.D. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235

Plan administrator’s name and address

Administrator’s EIN 200518934
Plan administrator’s name JEFFREY B. FAIRCHILD, D.M.D.
Plan administrator’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
Administrator’s telephone number 2565473195

Signature of

Role Plan administrator
Date 2013-05-21
Name of individual signing JEFFREY B. FAIRCHILD
JEFFREY B. FAIRCHILD, D.M.D. RETIREMENT PLAN 2011 200518934 2012-08-27 JEFFREY B. FAIRCHILD, D.M.D. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235

Plan administrator’s name and address

Administrator’s EIN 200518934
Plan administrator’s name JEFFREY B. FAIRCHILD, D.M.D.
Plan administrator’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
Administrator’s telephone number 2565473195

Signature of

Role Plan administrator
Date 2012-08-27
Name of individual signing JEFFREY B. FAIRCHILD
JEFFREY B. FAIRCHILD, D.M.D. RETIREMENT PLAN 2010 200518934 2011-08-30 JEFFREY B. FAIRCHILD, D.M.D. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235

Plan administrator’s name and address

Administrator’s EIN 200518934
Plan administrator’s name JEFFREY B. FAIRCHILD, D.M.D.
Plan administrator’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
Administrator’s telephone number 2565473195

Signature of

Role Plan administrator
Date 2011-08-30
Name of individual signing JEFFREY B. FAIRCHILD
JEFFREY B. FAIRCHILD, D.M.D. RETIREMENT PLAN 2009 200518934 2010-09-14 JEFFREY B. FAIRCHILD, D.M.D. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621210
Sponsor’s telephone number 2565473195
Plan sponsor’s address 104 CHERRY STREET, GADSDEN, AL, 359015235

Plan administrator’s name and address

Administrator’s EIN 200518934
Plan administrator’s name JEFFREY B. FAIRCHILD, D.M.D.
Plan administrator’s address 104 CHERRY STREET, GADSDEN, AL, 359015235
Administrator’s telephone number 2565473195

Signature of

Role Plan administrator
Date 2010-09-14
Name of individual signing JEFFREY B. FAIRCHILD

Agent

Name Role
FAIRCHILD, JEFFREY B Agent

Incorporator

Name Role
FAIRCHILD, JEFFREY B Incorporator
FAIRCHILD, MISTI D Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State