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Eagle Rehab, Inc.

Details

Name: Eagle Rehab, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 21 Oct 2005 (19 years ago) (Companies founded in October 2005)
Date of dissolution: 06 Oct 2017
Entity Number: 000-243-919
Register Number: 000243919
ZIP code: 35756 (Companies in Limestone, 35756)
County: Limestone
Place of Formation: Madison County
Registered Office Street Address: 107 BRICKSTONE PLACEMADISON, AL 35756
Principal Address: MADISON, AL
Authorized Capital: $100
Paid Share Capital: $100

Activities PHYSICAL THERAPY SERVICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAGLE REHAB INC 401K PLAN 2017 841691513 2018-02-14 EAGLE REHAB INC. 3
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s DBA name EAGLE REHAB INC.
Plan sponsor’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046

Plan administrator’s name and address
Administrator’s EIN 841691315
Plan administrator’s name STEPHANIE PRUITT
Plan administrator’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046

Signature of
Role Plan administrator
Date 2018-02-14
Name of individual signing STEPHANIE PRUITT
EAGLE REHAB INC 401K PLAN 2017 841691513 2018-10-10 EAGLE REHAB INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046

Plan administrator’s name and address
Administrator’s EIN 841691513
Plan administrator’s name STEPHANIE PRUITT
Plan administrator’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046
Administrator’s telephone number 2563255400

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing STEPHANIE JOHNSON
EAGLE REHAB INC 401(K) PLAN 2016 841691513 2017-07-10 EAGLE REHAB INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing STEPHANIE JOHNSON
EAGLE REHAB INC 401(K) PLAN 2015 841691513 2016-06-15 EAGLE REHAB INC 5
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing STEPHANIE PRUITT
Role Employer/plan sponsor
Date 2016-06-15
Name of individual signing STEPHANIE PRUITT
EAGLE REHAB INC 401(K) PLAN 2015 841691513 2016-06-15 EAGLE REHAB INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing STEPHANIE PRUITT
Role Employer/plan sponsor
Date 2016-06-15
Name of individual signing STEPHANIE PRUITT
EAGLE REHAB INC 401(K) PLAN 2015 841691513 2016-06-15 EAGLE REHAB INC 5
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing STEPHANIE PRUITT
Role Employer/plan sponsor
Date 2016-06-15
Name of individual signing STEPHANIE PRUITT
EAGLE REHAB INC 401K PLAN 2014 841691513 2015-06-23 EAGLE REHAB INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 1050, MADISON, AL, 357583046

Signature of
Role Plan administrator
Date 2015-06-23
Name of individual signing STEPHANIE PRUITT
Role Employer/plan sponsor
Date 2015-06-23
Name of individual signing STEPHANIE PRUITT
EAGLE REHAB INC 401K PLAN 2013 841691513 2014-06-04 EAGLE REHAB INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 1050, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing STEPHANIE PRUITT
Role Employer/plan sponsor
Date 2014-06-04
Name of individual signing STEPHANIE PRUITT
EAGLE REHAB INC 401K PLAN 2012 841691513 2013-05-17 EAGLE REHAB INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 2400, MADISON, AL, 357583038

Signature of
Role Plan administrator
Date 2013-05-17
Name of individual signing STEPHANIE PRUITT
Role Employer/plan sponsor
Date 2013-05-17
Name of individual signing STEPHANIE PRUITT
EAGLE REHAB INC 401K PLAN 2011 841691513 2012-07-25 EAGLE REHAB INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621340
Sponsor’s telephone number 2563255400
Plan sponsor’s address 44 HUGHES RD STE 2400, MADISON, AL, 357583038

Plan administrator’s name and address
Administrator’s EIN 841691513
Plan administrator’s name EAGLE REHAB INC
Plan administrator’s address 44 HUGHES RD STE 2400, MADISON, AL, 357583038
Administrator’s telephone number 2563255400

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing SCOTT PRUITT
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing SCOTT PRUITT

Agent

Name Role Address
JOHNSON, STEPHANIE Agent 107 FERN VALLEY CTMADISON, AL 35757

Incorporator

Name Role
PRUITT, TOMMY SCOTT Incorporator

Related by officers

JOHNSON, STEPHANIE

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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