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Prestige Supervised Community Living, Inc.

Details

Name: Prestige Supervised Community Living, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 30 Jan 2008 (17 years ago) (Companies founded in January 2008)
Entity Number: 000-255-975
Register Number: 000255975
ZIP code: 36618 (Companies in Mobile, 36618)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 1725 NORTHVIEW DRMOBILE, AL 36618
Authorized Capital: $1,000

Activities OWN/OPERATE LIVING CARE FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477975936 2014-01-16 2014-01-16 1725 NORTHVIEW DR, MOBILE, AL, 366181801, US 1725 NORTHVIEW DR, MOBILE, AL, 366181801, US

Contacts

Phone +1 251-370-3403
Fax 2513439322

Authorized person

Name MR. ROBERT BROWN
Role CEO
Phone 2513703403

Taxonomy

Taxonomy Code 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2022 680669621 2023-11-15 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address 1725 NORTHVIEW DR, MOBILE, AL, 36618
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2022 680669621 2023-07-24 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address 1725 NORTHVIEW DR, MOBILE, AL, 36618

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing ROBERT BROWN
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2021 680669621 2022-05-26 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address 1725 NORTHVIEW DR, MOBILE, AL, 36618

Signature of

Role Plan administrator
Date 2022-05-26
Name of individual signing ROBERT BROWN
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2020 680669621 2021-07-13 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address P. O. BOX 180517, MOBILE, AL, 36618

Signature of

Role Plan administrator
Date 2021-07-13
Name of individual signing ROBERT BROWN
Role Employer/plan sponsor
Date 2021-07-13
Name of individual signing ROBERT BROWN
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2019 680669621 2020-06-10 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address P. O. BOX 180517, MOBILE, AL, 36618

Signature of

Role Plan administrator
Date 2020-06-10
Name of individual signing ROBERT BROWN
Role Employer/plan sponsor
Date 2020-06-10
Name of individual signing ROBERT BROWN
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2018 680669621 2019-05-09 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address P. O. BOX 180517, MOBILE, AL, 36618

Signature of

Role Plan administrator
Date 2019-05-09
Name of individual signing ROBERT BROWN
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2017 680669621 2018-05-14 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address P. O. BOX 180517, MOBILE, AL, 36618

Signature of

Role Plan administrator
Date 2018-05-14
Name of individual signing ROBERT BROWN
Role Employer/plan sponsor
Date 2018-05-14
Name of individual signing ROBERT BROWN
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2016 680669621 2017-09-19 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address P. O. BOX 180517, MOBILE, AL, 36618

Signature of

Role Plan administrator
Date 2017-09-19
Name of individual signing ROBERT BROWN
Role Employer/plan sponsor
Date 2017-09-19
Name of individual signing ROBERT BROWN
PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 401(K) 2015 680669621 2016-09-28 PRESTIGE SUPERVISED COMMUNITY LIVING, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 623000
Sponsor’s telephone number 2513163191
Plan sponsor’s address P. O. BOX 180517, MOBILE, AL, 36618

Signature of

Role Plan administrator
Date 2016-09-27
Name of individual signing ROBERT BROWN
Role Employer/plan sponsor
Date 2016-09-27
Name of individual signing ROBERT BROWN

Agent

Name Role Address
BROWN, ROBERT Agent 817 LINBARD LANEVESTAVIA, AL 35226-3109

Incorporator

Name Role Address
BROWN, ROBERT Incorporator 817 LINBARD LANEVESTAVIA, AL 35226-3109

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State