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Dermatology of North Alabama, Inc.

Details

Name: Dermatology of North Alabama, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 05 May 2010 (15 years ago) (Companies founded in May 2010)
Entity Number: 000-264-129
Register Number: 000264129
ZIP code: 35976 (Companies in Marshall, 35976)
County: Marshall
Place of Formation: Marshall County
Principal Address: GUNTERSVILLE, AL
Registered Office Street Address: 2307 HOMER CLAYTON DRGUNTERSVILLE, AL 35976
Authorized Capital: $10,000

Activities PRACTICE OF DERMATOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689993156 2010-05-24 2010-07-31 2307 HOMER CLAYTON DR, GUNTERSVILLE, AL, 359762205, US 2307 HOMER CLAYTON DR, GUNTERSVILLE, AL, 359762205, US

Contacts

Phone +1 256-571-8770
Phone +1 205-422-1593

Authorized person

Name JOSHUA B. WHARTON
Role OWNER
Phone 2054221593

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2023 272513237 2024-06-25 DERMATOLOGY OF NORTH ALABAMA, INC. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976
DERMATOLOGY OF NORTH ALABAMA, INC. SAFE HARBOR 401(K) PLAN 2023 272513237 2024-02-19 DERMATOLOGY OF NORTH ALABAMA, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976

Signature of

Role Plan administrator
Date 2024-02-19
Name of individual signing JOSHUA WHARTON
DERMATOLOGY OF NORTH ALABAMA, INC. PROFIT SHARING PLAN 2022 272513237 2023-01-11 DERMATOLOGY OF NORTH ALABAMA, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976

Signature of

Role Plan administrator
Date 2023-01-11
Name of individual signing JOSHUA WHARTON
DERMATOLOGY OF NORTH ALABAMA, INC. SAFE HARBOR 401(K) PLAN 2022 272513237 2023-03-28 DERMATOLOGY OF NORTH ALABAMA, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976

Signature of

Role Plan administrator
Date 2023-03-28
Name of individual signing JOSHUA WHARTON
DERMATOLOGY OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2022 272513237 2023-06-01 DERMATOLOGY OF NORTH ALABAMA, INC. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976
DERMATOLOGY OF NORTH ALABAMA, INC. SAFE HARBOR 401(K) PLAN 2021 272513237 2022-04-13 DERMATOLOGY OF NORTH ALABAMA, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976

Signature of

Role Plan administrator
Date 2022-04-13
Name of individual signing JOSHUA WHARTON
DERMATOLOGY OF NORTH ALABAMA, INC. PROFIT SHARING PLAN 2021 272513237 2022-05-16 DERMATOLOGY OF NORTH ALABAMA, INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976

Signature of

Role Plan administrator
Date 2022-05-16
Name of individual signing JOSHUA WHARTON
DERMATOLOGY OF NORTH ALABAMA, INC. CASH BALANCE PLAN 2021 272513237 2022-09-30 DERMATOLOGY OF NORTH ALABAMA, INC. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976
DERMATOLOGY OF NORTH ALABAMA, INC. SAFE HARBOR 401(K) PLAN 2020 272513237 2021-03-19 DERMATOLOGY OF NORTH ALABAMA, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976

Plan administrator’s name and address

Administrator’s EIN 272513237
Plan administrator’s name DERMATOLOGY OF NORTH ALABAMA, INC.
Plan administrator’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976
Administrator’s telephone number 2565718770

Signature of

Role Plan administrator
Date 2021-03-19
Name of individual signing JOSHUA WHARTON
DERMATOLOGY OF NORTH ALABAMA, INC. SAFE HARBOR 401(K) PLAN 2019 272513237 2020-02-24 DERMATOLOGY OF NORTH ALABAMA, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-10-01
Business code 621112
Sponsor’s telephone number 2565718770
Plan sponsor’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976

Plan administrator’s name and address

Administrator’s EIN 272513237
Plan administrator’s name DERMATOLOGY OF NORTH ALABAMA, INC.
Plan administrator’s address 2307 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL, 35976
Administrator’s telephone number 2565718770

Signature of

Role Plan administrator
Date 2020-02-24
Name of individual signing JOSHUA WHARTON

Agent

Name Role Address
WHARTON, JOSHUA BLAKE Agent 5540 GRIST MILL LANEGUNTERSVILLE, AL 35976

Incorporator

Name Role Address
WHARTON, JOSHUA BLAKE Incorporator 5540 GRIST MILL LANEGUNTERSVILLE, AL 35976

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State