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Valley Neurosurgery, Inc.

Details

Name: Valley Neurosurgery, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 16 Mar 2005 (20 years ago)
Entity Number: 000-240-312
Register Number: 000240312
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: 426 E Dr Hicks BlvdFlorence, AL 35630
Principal Address ZIP Code: 35630
Registered Office Street Address: 526 EAST DR HICKS BLVDFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities OWN/OPERATE MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437162633 2006-08-15 2020-08-22 426 EAST DOCTOR HICKS BOULEVARD, FLORENCE, AL, 35630, US 426 EAST DOCTOR HICKS BOULEVARD, FLORENCE, AL, 356305763, US

Contacts
Phone +1 256-764-7721
Fax 2567648589

Authorized person
Name MRS. LAURITA W NESMITH
Role OFFICE MANAGER
Phone 2567647721

Taxonomy
Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2023 202596785 2024-09-06 VALLEY NEUROSURGERY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BOULEVARD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2024-09-06
Name of individual signing LAURA ADDERHOLT
Valid signature Filed with authorized/valid electronic signature
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2022 202596785 2023-09-14 VALLEY NEUROSURGERY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BOULEVARD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing LAURA ADDERHOLT
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2021 202596785 2022-08-08 VALLEY NEUROSURGERY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BOULEVARD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2022-08-08
Name of individual signing LAURA ADDERHOLT
Role Employer/plan sponsor
Date 2022-08-08
Name of individual signing LAURA ADDERHOLT
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2020 202596785 2021-06-24 VALLEY NEUROSURGERY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BOULEVARD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing LAURA ADDERHOLT
Role Employer/plan sponsor
Date 2021-06-24
Name of individual signing LAURA ADDERHOLT
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2019 202596785 2020-07-17 VALLEY NEUROSURGERY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BOULEVARD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing JERRY G ADDERHOLT JR MD
Role Employer/plan sponsor
Date 2020-07-13
Name of individual signing JERRY G ADDERHOLT JR MD
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2018 202596785 2019-06-25 VALLEY NEUROSURGERY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BOULEVARD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing JERRY ADDERHOLT
Role Employer/plan sponsor
Date 2019-06-18
Name of individual signing JERRY ADDERHOLT
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2017 202596785 2018-05-21 VALLEY NEUROSURGERY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BOULEVARD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing LAURITA NESMITH
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing LAURITA NESMITH
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2016 202596785 2017-06-07 VALLEY NEUROSURGERY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BOULEVARD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing JERRY ADDERHOLT
Role Employer/plan sponsor
Date 2017-06-07
Name of individual signing LAURITA NESMITH
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2015 202596785 2016-06-03 VALLEY NEUROSURGERY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BLVD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing JERRY G. ADDERHOLT
VALLEY NEUROSURGERY, INC. PROFIT SHARING PLAN 2014 202596785 2015-05-29 VALLEY NEUROSURGERY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 621111
Sponsor’s telephone number 2567647721
Plan sponsor’s address 426 EAST DR. HICKS BLVD, FLORENCE, AL, 35630

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing JERRY G. ADDERHOLT

Agent

Name Role
ADDERHOLT, JERRY GREGORY JR Agent

Director

Name Role Address
Laura Adderholt Director 426 E Dr Hicks BlvdFlorence, AL 35630

Incorporator

Name Role
ADDERHOLT, JERRY GREGORY JR Incorporator
RAY, ROGER ALLEN Incorporator

Related by officers

ADDERHOLT, JERRY GREGORY JR

Neurosurgery Property Associates, L.L.C.

Related by address

No related companies by address

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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