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Robert N. Kinsaul, D.M.D., P.C.

Details

Name: Robert N. Kinsaul, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 15 Jun 2004 (20 years ago) (Companies founded in June 2004)
Entity Number: 000-235-808
Register Number: 000235808
ZIP code: 36867 (Companies in Russell, 36867)
County: Russell
Place of Formation: Russell County
Principal Address: PHENIX CITY, AL
Registered Office Street Address: 2409 SPORTSMAN DRPHENIX CITY, AL 36867
Authorized Capital: 1,000,000

Activities DENTISTRY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST 2018 201275571 2019-08-15 ROBERT N. KINSAUL, D.M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Plan administrator’s name and address
Administrator’s EIN 201275571
Plan administrator’s name ROBERT N. KINSAUL, D.M.D., P.C.
Plan administrator’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
Administrator’s telephone number 3342975890

Signature of
Role Plan administrator
Date 2019-08-15
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST 2017 201275571 2018-07-20 ROBERT N. KINSAUL, D.M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Plan administrator’s name and address
Administrator’s EIN 201275571
Plan administrator’s name ROBERT N. KINSAUL, D.M.D., P.C.
Plan administrator’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
Administrator’s telephone number 3342975890

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST 2016 201275571 2017-06-02 ROBERT N. KINSAUL, D.M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Plan administrator’s name and address
Administrator’s EIN 201275571
Plan administrator’s name ROBERT N. KINSAUL, D.M.D., P.C.
Plan administrator’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
Administrator’s telephone number 3342975890

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST 2015 201275571 2016-06-30 ROBERT N. KINSAUL, D.M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Plan administrator’s name and address
Administrator’s EIN 201275571
Plan administrator’s name ROBERT N. KINSAUL, D.M.D., P.C.
Plan administrator’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
Administrator’s telephone number 3342975890

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST 2014 201275571 2015-10-12 ROBERT N. KINSAUL, D.M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Plan administrator’s name and address
Administrator’s EIN 201275571
Plan administrator’s name ROBERT N. KINSAUL, D.M.D., P.C.
Plan administrator’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
Administrator’s telephone number 3342975890

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, D.M.D., P.C. DEFINED BENEFIT PLAN & TRUST 2013 201275571 2014-09-16 ROBERT N. KINSAUL, D.M.D., P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Signature of
Role Plan administrator
Date 2014-09-16
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST 2013 201275571 2014-10-07 ROBERT N. KINSAUL, D.M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Plan administrator’s name and address
Administrator’s EIN 201275571
Plan administrator’s name ROBERT N. KINSAUL, D.M.D., P.C.
Plan administrator’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
Administrator’s telephone number 3342975890

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, D.M.D., P.C. DEFINED BENEFIT PENSION PLAN & TRUST 2013 201275571 2014-09-16 ROBERT N. KINSAUL, D.M.D., P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Signature of
Role Plan administrator
Date 2014-09-16
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, D.M.D., P.C. DEFINED BENEFIT PLAN & TRUST 2012 201275571 2013-09-12 ROBERT N. KINSAUL, D.M.D., P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Plan administrator’s name and address
Administrator’s EIN 201275571
Plan administrator’s name ROBERT N. KINSAUL, D.M.D., P.C.
Plan administrator’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
Administrator’s telephone number 3342975890

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing ROBERT KINSAUL
ROBERT N. KINSAUL, DMD RETIREMENT PLAN & TRUST 2012 201275571 2013-09-16 ROBERT N. KINSAUL, D.M.D., P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 3342975890
Plan sponsor’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402

Plan administrator’s name and address
Administrator’s EIN 201275571
Plan administrator’s name ROBERT N. KINSAUL, D.M.D., P.C.
Plan administrator’s address 2409 SPORTSMAN DRIVE, PHENIX CITY, AL, 368675402
Administrator’s telephone number 3342975890

Signature of
Role Plan administrator
Date 2013-09-16
Name of individual signing ROBERT KINSAUL

Agent

Name Role
KINSAUL, ROBERT N Agent

Incorporator

Name Role
KINSAUL, ROBERT N Incorporator

Related by officers

KINSAUL, ROBERT N

Script Stat, Inc. Kinsaul Incorporated

Related by address

PHENIX CITY, AL

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2409 SPORTSMAN DRPHENIX CITY, AL 36867

Script Stat, Inc. Kinsaul Incorporated Authentic Dental Restorations, Inc. Jocelyn Galang-Ray, D.D.S., P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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