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Anniston Pediatrics, Inc.

Details

Name: Anniston Pediatrics, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 03 Jun 2005 (19 years ago) (Companies founded in June 2005)
Entity Number: 000-241-750
Register Number: 000241750
ZIP code: 36207 (Companies in Calhoun, 36207)
County: Calhoun
Place of Formation: Calhoun County
Principal Address: ANNISTON, AL
Registered Office Street Address: 1001 LEIGHTON AVENUEANNISTON, AL 36207
Authorized Capital: $1,000

Activities OPERATE MEDICAL CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801130497 2012-11-20 2012-11-20 1001 LEIGHTON AVE, ANNISTON, AL, 362075701, US 1001 LEIGHTON AVE, ANNISTON, AL, 362075701, US

Contacts
Phone +1 256-237-1618
Fax 2562372661

Authorized person
Name DR. LEWIS CARPENTER DOGGETT III
Role OWNER/MD
Phone 2562371618

Taxonomy
Taxonomy Code 101Y00000X - Counselor
License Number C1851A
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2023 202833406 2024-09-19 ANNISTON PEDIATRICS, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing LEWIS DOGGETT
Valid signature Filed with authorized/valid electronic signature
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2022 202833406 2023-10-05 ANNISTON PEDIATRICS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing LEWIS DOGGETT
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2021 202833406 2022-08-17 ANNISTON PEDIATRICS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2022-08-17
Name of individual signing LEWIS DOGGETT
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2020 202833406 2021-07-27 ANNISTON PEDIATRICS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2019 202833406 2020-07-29 ANNISTON PEDIATRICS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing LEWIS C. DOGGETT, M.D.
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2018 202833406 2019-06-28 ANNISTON PEDIATRICS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2019-06-28
Name of individual signing LEWIS C. DOGGETT, M.D.
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2017 202833406 2018-06-06 ANNISTON PEDIATRICS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing LEWIS C. DOGGETT, M.D.
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2016 202833406 2017-04-27 ANNISTON PEDIATRICS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Signature of
Role Plan administrator
Date 2017-04-27
Name of individual signing LEWIS C. DOGGETT, M.D.
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2015 202833406 2016-10-14 ANNISTON PEDIATRICS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 202833406
Plan administrator’s name ANNISTON PEDIATRICS, INC.
Plan administrator’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562371618

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing LEWIS C. DOGGETT, M.D.
ANNISTON PEDIATRICS, INC. 401(K) RETIREMENT PLAN 2014 202833406 2015-08-12 ANNISTON PEDIATRICS, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-08-01
Business code 621111
Sponsor’s telephone number 2562371618
Plan sponsor’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 202833406
Plan administrator’s name ANNISTON PEDIATRICS, INC.
Plan administrator’s address 1001 LEIGHTON AVENUE, ANNISTON, AL, 36207
Administrator’s telephone number 2562371618

Signature of
Role Plan administrator
Date 2015-08-12
Name of individual signing DR. LEWIS DOGGETT

Agent

Name Role
DOGGETT, LEWIS C Agent

Incorporator

Name Role
DOGGETT, LEWIS C Incorporator

Related by officers

No related officers

Related by address

ANNISTON, AL

Abel Land & Development Company, Inc. Acme Sales Company of Anniston, Inc. Air Control Corporation Alabama Coca-Cola Bottling Company Alabama Parts Warehouse, Inc. Alabama Roofing and Sheet Metal Company, Inc. Alabama Throwing Company, Inc. John T. Davis Oil Company, Inc. Anniston Business Machines, Inc. Anniston Concrete Company, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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