| Name: | Poplar Head Surgical, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 27 Aug 2013 (11 years ago) |
| Date of dissolution: | 03 May 2016 |
| Entity Number: | 000-285-989 |
| Register Number: | 000285989 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | 112 HAVEN DRIVEDOTHAN, AL 36301 |
| Principal Address ZIP Code: | 36301 |
Activities
MEDICAL SERVICES
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| POPLAR HEAD SURGICAL, LLC PROFIT SHARING PLAN | 2015 | 371740559 | 2016-10-17 | POPLAR HEAD SURGICAL, LLC | 7 | |||||||||||||||||||||
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| POPLAR HEAD SURGICAL, LLC PROFIT SHARING PLAN | 2015 | 371740559 | 2016-10-17 | POPLAR HEAD SURGICAL, LLC | 1 | |||||||||||||||||||||
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| POPLAR HEAD SURGICAL, LLC PROFIT SHARING PLAN | 2014 | 371740559 | 2015-07-30 | POPLAR HEAD SURGICAL, LLC | 0 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-07-30 |
| Name of individual signing | ROSS P. DAVIS, M.D. |
| Name | Role |
|---|---|
| DAVIS, ROSS P | Agent |
| Name | Role | Address |
|---|---|---|
| WHITEHURST GENERAL SURGERY,PC | Organizer | 112 HAVEN DRIVEDOTHAN, AL 36301 |
| WIREGRASS VASCULAR PC | Organizer | 112 HAVEN DRIVEDOTHAN, AL 36301 |
| DAVIS, ROSS P MD | Organizer | 112 HAVEN DRIVEDOTHAN, AL 36301 |
| SHIMODA, NICK Y | Organizer | PO BOX 1765DOTHAN, AL 36302 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
