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Dermatology & Laser of Alabama, P.C.

Details

Name: Dermatology & Laser of Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 14 Jul 2006 (18 years ago)
Entity Number: 000-248-254
Register Number: 000248254
Historical Names: Dermatology & Laser of Alabama, P.C.
Dermatology & Laser of Alabama, Inc.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 201 OFFICE PARK DRIVE SUITE250BIRMINGHAM, AL 35223
Principal Address ZIP Code: 35223
Registered Office Street Address: 201 OFFICE PARK DR STE 250BIRMINGHAM, AL 35223
Registered Office Street Address ZIP Code: 35223
Authorized Capital: 5000 @ $1 PV

Activities DERMATOLOGY MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003901679 2006-10-03 2019-02-06 201 OFFICE PARK DR STE 350, MOUNTAIN BRK, AL, 352232424, US 201 OFFICE PARK DRIVE, SUITE 250, BIRMINGHAM, AL, 35223, US

Contacts
Phone +1 205-870-3303
Fax 2054221514

Authorized person
Name SARAH BOYCE SAWYER
Role OWNER/PRESIDENT
Phone 2058703303

Taxonomy
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
License Number 00022766
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY & LASER OF ALABAMA, P.C. CASH BALANCE PENSION PLAN 2023 205230073 2024-09-03 DERMATOLOGY & LASER OF ALABAMA, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s address 201 OFFICE PARK DRIVE, SUITE 250, MOUNTAIN BROOK, AL, 35223
DERMATOLOGY & LASER OF ALABAMA 401(K) PLAN 2023 205230073 2024-07-01 DERMATOLOGY & LASER OF ALABAMA, P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-10-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s address 201 OFFICE PARK DRIVE, SUITE 350, MOUNTAIN BROOK, AL, 35223

Signature of
Role Plan administrator
Date 2024-07-01
Name of individual signing SCOTT SAWYER
DERMATOLOGY & LASER OF ALABAMA 401K 2022 205230073 2023-08-29 DERMATOLOGY & LASER OF ALABAMA, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing SARAH SAWYER
DERMATOLOGY & LASER OF ALABAMA, P.C. CASH BALANCE PENSION PLAN 2022 205230073 2023-06-16 DERMATOLOGY & LASER OF ALABAMA, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s address 201 OFFICE PARK DRIVE, SUITE 250, MOUNTAIN BROOK, AL, 35223

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing SARAH SAWYER
DERMATOLOGY & LASER OF ALABAMA 401K 2021 205230073 2022-10-08 DERMATOLOGY & LASER OF ALABAMA, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s mailing address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223
Plan sponsor’s address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223

Number of participants as of the end of the plan year
Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 4
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2022-10-08
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY & LASER OF ALABAMA, P.C. CASH BALANCE PENSION PLAN 2021 205230073 2022-10-03 DERMATOLOGY & LASER OF ALABAMA, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s address 201 OFFICE PARK DRIVE, SUITE 250, MOUNTAIN BROOK, AL, 35223

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing SARAH SAWYER
DERMATOLOGY & LASER OF ALABAMA 401K 2020 205230073 2021-07-07 DERMATOLOGY & LASER OF ALABAMA, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s mailing address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223
Plan sponsor’s address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223

Number of participants as of the end of the plan year
Active participants 21
Other retired or separated participants entitled to future benefits 13
Number of participants with account balances as of the end of the plan year 34

Signature of
Role Plan administrator
Date 2021-04-16
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-16
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY & LASER OF ALABAMA 401K 2019 205230073 2020-09-29 DERMATOLOGY & LASER OF ALABAMA, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s mailing address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223
Plan sponsor’s address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223

Number of participants as of the end of the plan year
Active participants 29
Other retired or separated participants entitled to future benefits 6
Number of participants with account balances as of the end of the plan year 35

Signature of
Role Plan administrator
Date 2020-08-28
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-28
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY & LASER OF ALABAMA 401K 2018 205230073 2019-07-09 DERMATOLOGY & LASER OF ALABAMA, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s mailing address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223
Plan sponsor’s address 201 OFFICE PARK DRIVE, STE 350, MOUNTAIN BROOK, AL, 35223

Number of participants as of the end of the plan year
Active participants 24
Other retired or separated participants entitled to future benefits 9
Number of participants with account balances as of the end of the plan year 33

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-29
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY & LASER OF ALABAMA 401K 2017 205230073 2018-07-06 DERMATOLOGY & LASER OF ALABAMA, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 2058703303
Plan sponsor’s mailing address 201 OFFICE PARK DRIVE, STE 250, MOUNTAIN BROOK, AL, 35223
Plan sponsor’s address 201 OFFICE PARK DRIVE, STE 250, MOUNTAIN BROOK, AL, 35223

Number of participants as of the end of the plan year
Active participants 19
Other retired or separated participants entitled to future benefits 10
Number of participants with account balances as of the end of the plan year 29

Signature of
Role Plan administrator
Date 2018-05-23
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-23
Name of individual signing SARAH SAWYER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SAWYER, SARAH B Agent

Director

Name Role Address
SIMONETTI, D J Director 420 20TH STREET N STE 1400BIRMINGHAM, AL 35203

Incorporator

Name Role Address
SIMONETTI, D J Incorporator 420 20TH STREET N STE 1400BIRMINGHAM, AL 35203

Events

Event Date Event Type Old Value New Value
2015-02-25 Name Change Dermatology & Laser of Alabama, Inc. Dermatology & Laser of Alabama, P.C.
2011-09-30 Name Change Dermatology & Laser of Alabama, P.C. Dermatology & Laser of Alabama, Inc.
2011-09-30 Capital Change $300 @ $1 PV Authorized Paid In 5000 @ $1 PV Authorized undefined Paid In
2011-05-23 Capital Change $600 Authorized --- Paid In $300 @ $1 PV Authorized Paid In

Related by officers

SIMONETTI, D J

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Related by address

No related companies by address

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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