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Tennessee Valley Pediatric Associates, Inc.

Details

Name: Tennessee Valley Pediatric Associates, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 17 Jun 2004 (20 years ago) (Companies founded in June 2004)
Entity Number: 000-235-856
Register Number: 000235856
ZIP code: 35660 (Companies in Colbert, 35660)
County: Colbert
Place of Formation: Colbert County
Principal Address: SHEFFIELD, AL
Registered Office Street Address: 1120 S JACKSON HWYSHEFFIELD, AL 35660
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401(K) P 2015 201262917 2016-09-15 TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-30
Business code 621111
Sponsor’s telephone number 2563816963
Plan sponsor’s address 234 KELLER PARK BLVD, TUSCUMBIA, AL, 356741417

Signature of

Role Plan administrator
Date 2016-09-15
Name of individual signing CHARLES WAYNE MELVIN
Role Employer/plan sponsor
Date 2016-09-15
Name of individual signing CHARLES WAYNE MELVIN
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401K PLAN 2014 201262917 2015-07-20 TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-30
Business code 621111
Sponsor’s telephone number 2563816963
Plan sponsor’s address 234 KELLER PARK BLVD, TUSCUMBIA, AL, 356741417

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing KARMEN SOMERS
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing KARMEN SOMERS
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401K PLAN 2013 201262917 2014-07-07 TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-30
Business code 621111
Sponsor’s telephone number 2563816963
Plan sponsor’s address 234 KELLER PARK BLVD, TUSCUMBIA, AL, 356741417

Signature of

Role Plan administrator
Date 2014-07-07
Name of individual signing KARMEN SOMERS
Role Employer/plan sponsor
Date 2014-07-07
Name of individual signing KARMEN SOMERS
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401K PLAN 2012 201262917 2013-06-10 TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-30
Business code 621111
Sponsor’s telephone number 2563816963
Plan sponsor’s address 234 KELLER PARK BLVD, TUSCUMBIA, AL, 356741417

Signature of

Role Plan administrator
Date 2013-06-10
Name of individual signing KARMEN SOMERS
Role Employer/plan sponsor
Date 2013-06-10
Name of individual signing KARMEN SOMERS
TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 401K PLAN 2011 201262917 2012-06-11 TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-30
Business code 621111
Sponsor’s telephone number 2563816963
Plan sponsor’s address 1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773

Plan administrator’s name and address

Administrator’s EIN 201262917
Plan administrator’s name TENNESSEE VALLEY PEDIATRIC ASSOCIATES,INC
Plan administrator’s address 1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773
Administrator’s telephone number 2563816963

Signature of

Role Plan administrator
Date 2012-06-11
Name of individual signing KARMEN SOMERS
Role Employer/plan sponsor
Date 2012-06-11
Name of individual signing KARMEN SOMERS
TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC 401K PLAN 2010 201262917 2011-07-19 TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-06-30
Business code 621111
Sponsor’s telephone number 2563816963
Plan sponsor’s address 1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773

Plan administrator’s name and address

Administrator’s EIN 201262917
Plan administrator’s name TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC
Plan administrator’s address 1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773
Administrator’s telephone number 2563816963

Signature of

Role Plan administrator
Date 2011-07-19
Name of individual signing KARMEN SOMERS
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing KARMEN SOMERS
TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC 401K PLAN 2010 201262917 2011-07-18 TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC 10
Three-digit plan number (PN) 001
Effective date of plan 2004-06-30
Business code 621111
Sponsor’s telephone number 2563816963
Plan sponsor’s address 1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773

Plan administrator’s name and address

Administrator’s EIN 201262917
Plan administrator’s name TENNESSEE VALLEY PEDIATRIC ASSOCIATES, INC
Plan administrator’s address 1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773
Administrator’s telephone number 2563816963

Signature of

Role Plan administrator
Date 2011-07-18
Name of individual signing KARMEN SOMERS
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing KARMEN SOMERS

Incorporator

Name Role
SOMERS, KARMEN Incorporator
MELVIN, WAYNE Incorporator

Agent

Name Role
MELVIN, WAYNE Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State