Urgent Care of Alabama, LLC

Contacts

Phone	+1 205-515-0538
Phone	+1 205-655-1016
Fax	2056551148

Authorized person

Name	BRIAN LASKER
Role	OWNER
Phone	2055150538

Taxonomy

Taxonomy Code	332900000X - Non-Pharmacy Dispensing Site
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	1355 MOUNTAIN LANE, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2024-04-30
Name of individual signing	BRIAN LASKER
Role	Employer/plan sponsor
Date	2024-04-30
Name of individual signing	BRIAN LASKER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	1355 MOUNTAIN LANE, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2023-05-01
Name of individual signing	BRIAN LASKER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	1355 MOUNTAIN LANE, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2022-05-06
Name of individual signing	BRIAN LASKER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	1355 MOUNTAIN LANE, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2021-04-30
Name of individual signing	BRIAN LASKER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	1355 MOUNTAIN LANE, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2020-05-18
Name of individual signing	BRIAN LASKER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	210 FIELDSTOWN ROAD, SUITE 124, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2019-07-06
Name of individual signing	BRIAN LASKER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	210 FIELDSTOWN ROAD, SUITE 124, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2018-10-10
Name of individual signing	BRIAN LASKER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	210 FIELDSTOWN ROAD, SUITE 124, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2017-10-13
Name of individual signing	BRIAN LASKER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	2052858252
Plan sponsor’s address	210 FIELDSTOWN ROAD, SUITE 124, GARDENDALE, AL, 35071

Signature of

Role	Plan administrator
Date	2016-09-12
Name of individual signing	BRIAN LASKER