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Shane Roberts Family Dentistry, Inc.

Details

Name: Shane Roberts Family Dentistry, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 08 Jul 2010 (14 years ago) (Companies founded in July 2010)
Entity Number: 000-264-661
Register Number: 000264661
ZIP code: 35043 (Companies in Shelby, 35043)
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 497 OLD OAK COVECHELSEA, AL 35043
Authorized Capital: $1,000

Activities DENTAL PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2023 273330263 2024-06-06 SHANE ROBERTS FAMILY DENTISTRY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 497 OLD OAK COVE, CHELSEA, AL, 35043

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing LAURIE ROBERTS
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2022 273330263 2023-08-06 SHANE ROBERTS FAMILY DENTISTRY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET, PLEASANT GROVE, AL, 35127

Signature of
Role Plan administrator
Date 2023-08-06
Name of individual signing LAURIE ROBERTS
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2021 273330263 2022-06-27 SHANE ROBERTS FAMILY DENTISTRY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET, PLEASANT GROVE, AL, 35127

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing LAURIE ROBERTS
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2020 273330263 2021-08-07 SHANE ROBERTS FAMILY DENTISTRY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET, PLEASANT GROVE, AL, 35127

Signature of
Role Plan administrator
Date 2021-08-07
Name of individual signing LAURIE ROBERTS
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2019 273330263 2020-10-12 SHANE ROBERTS FAMILY DENTISTRY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET, PLEASANT GROVE, AL, 35127

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing J. SHANE ROBERTS, DMD
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2018 273330263 2020-10-12 SHANE ROBERTS FAMILY DENTISTRY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET, PLEASANT GROVE, AL, 35127

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing J. SHANE ROBERTS, DMD
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2018 273330263 2019-10-15 SHANE ROBERTS FAMILY DENTISTRY, INC. 9
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET, PLEASANT GROVE, AL, 35127
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2017 273330263 2018-10-03 SHANE ROBERTS FAMILY DENTISTRY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET, PLEASANT GROVE, AL, 35127

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing J. SHANE ROBERTS, DMD
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2016 273330263 2017-10-13 SHANE ROBERTS FAMILY DENTISTRY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET P O BOX 445, PLEASANT GROVE, AL, 35127

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing J. SHANE ROBERTS, DMD
SHANE ROBERTS FAMILY DENTISTRY, INC. RETIREMENT PLAN 2015 273330263 2016-10-09 SHANE ROBERTS FAMILY DENTISTRY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621210
Sponsor’s telephone number 2057444258
Plan sponsor’s address 904 4TH STREET P O BOX 445, PLEASANT GROVE, AL, 35127

Signature of
Role Plan administrator
Date 2016-10-09
Name of individual signing J. SHANE ROBERTS, DMD

Agent

Name Role
ROBERTS, JERRY SHANE Agent

Incorporator

Name Role
ROBERTS, JERRY SHANE Incorporator

Related by officers

No related officers

Related by address

497 OLD OAK COVECHELSEA, AL 35043

LDR, LLC PALS Investments, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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