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Shannon R. Thomas, D.M.D., P.C.

Details

Name: Shannon R. Thomas, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 30 Sep 2008 (16 years ago)
Entity Number: 000-258-825
Register Number: 000258825
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 420 MEADOWBROOK LANEBIRMINGHAM, AL 35213
Registered Office Street Address ZIP Code: 35213
Authorized Capital: 10,000

Activities DENTISTRY PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2019 263207094 2020-07-06 SHANNON R. THOMAS, D.M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 2832 BALMORAL ROAD, BIRMINGHAM, AL, 35213

Signature of

Role Plan administrator
Date 2020-07-06
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2018 263207094 2019-07-18 SHANNON R. THOMAS, D.M.D., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 2832 BALMORAL ROAD, BIRMINGHAM, AL, 35213

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2017 263207094 2018-10-12 SHANNON R. THOMAS, D.M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 1715 GOLDEN SPRINGS ROAD, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2016 263207094 2017-06-23 SHANNON R. THOMAS, D.M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 1715 GOLDEN SPRINGS ROAD, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2017-06-23
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2015 263207094 2016-06-01 SHANNON R. THOMAS, D.M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 1715 GOLDEN SPRINGS ROAD, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2016-06-01
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2014 263207094 2015-04-26 SHANNON R. THOMAS, D.M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 420 MEADOWBROOK LANE, BIRMINGHAM, AL, 35213

Signature of

Role Plan administrator
Date 2015-04-26
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2013 263207094 2014-07-07 SHANNON R. THOMAS, D.M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 711 B EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2014-07-07
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2012 263207094 2013-06-17 SHANNON R. THOMAS, D.M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 711 B EAST 10TH STREET, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2013-06-17
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2011 263207094 2012-05-25 SHANNON R. THOMAS, D.M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Plan sponsor’s address 711 B EAST 10TH STREET, ANNISTON, AL, 36207

Plan administrator’s name and address

Administrator’s EIN 263207094
Plan administrator’s name SHANNON R. THOMAS, D.M.D., P.C.
Plan administrator’s address 711 B EAST 10TH STREET, ANNISTON, AL, 36207
Administrator’s telephone number 2562310077

Signature of

Role Plan administrator
Date 2012-05-25
Name of individual signing SHANNON R. THOMAS, D.M.D.
SHANNON R. THOMAS, D.M.D., P.C. RETIREMENT PLAN & TRUST 2010 263207094 2011-07-06 SHANNON R. THOMAS, D.M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2562310077
Plan sponsor’s address 711 B EAST 10TH STREET, ANNISTON, AL, 36207

Plan administrator’s name and address

Administrator’s EIN 263207094
Plan administrator’s name SHANNON R. THOMAS, D.M.D., P.C.
Plan administrator’s address 711 B EAST 10TH STREET, ANNISTON, AL, 36207
Administrator’s telephone number 2562310077

Signature of

Role Plan administrator
Date 2011-07-06
Name of individual signing SHANNON R. THOMAS, D.M.D.
Role Employer/plan sponsor
Date 2011-07-06
Name of individual signing SHANNON R. THOMAS, D.M.D.

Agent

Name Role Address
THOMAS, SHANNON R Agent 418 EAST 12TH STREETANNISTON, AL 36207

Incorporator

Name Role Address
THOMAS, SHANNON R Incorporator 418 EAST 12TH STREETANNISTON, AL 36207

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State