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PACK Health, LLC

Details

Name: PACK Health, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 25 Oct 2013 (11 years ago) (Companies founded in October 2013)
Entity Number: 000-290-178
Register Number: 000290178
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Jefferson County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

Activities SELL PRODUCTS THAT EMPOWER INDIVIDUALS TO ACHIEVE HEALTHIER LIFE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
M2F2Y9TLDRD4 2024-11-27 110 12TH ST N, BIRMINGHAM, AL, 35203, 1537, USA 110 12TH ST N, BIRMINGHAM, AL, 35203, 1537, USA

Business Information

URL www.packhealth.com
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2023-11-30
Initial Registration Date 2015-05-20
Entity Start Date 2013-10-01
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name ROBERT GINTER
Address 110 12TH STREET NORTH, BIRMINGHAM, AL, 35203, USA
Government Business
Title PRIMARY POC
Name MATTHEW ALLISON
Address 110 12TH ST N, BIRMINGHAM, AL, 35203, USA
Title ALTERNATE POC
Name LAURA JACKSON
Address 110 12 ST N, BIRMINGHAM, AL, 35203, USA
Past Performance
Title PRIMARY POC
Name LAURA ALLEN
Address 110 12TH ST N, BIRMINGHAM, AL, 35203, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710391206 2014-06-12 2024-06-25 110 12TH ST N, BIRMINGHAM, AL, 352031537, US 110 12TH ST N, BIRMINGHAM, AL, 352031537, US

Contacts

Phone +1 855-255-2362

Authorized person

Name LEAH D TIMMERMAN
Role SR VICE PRESIDENT
Phone 8048740505

Taxonomy

Taxonomy Code 171400000X - Health & Wellness Coach
Is Primary Yes
Taxonomy Code 332U00000X - Home Delivered Meals
Is Primary No

Central Index Key

CIK number Mailing Address Business Address Phone
1682379 3613 6TH AVENUE SOUTH, BIRMINGHAM, AL, 35222 3613 6TH AVENUE SOUTH, BIRMINGHAM, AL, 35222 8552552362

Filings since 2016-08-19

Form type D
File number 021-269226
Filing date 2016-08-19
File View File

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7DMH3 Obsolete Non-Manufacturer 2015-06-03 2023-11-30 No data 2024-11-27

Contact Information

POC MATTHEW ALLISON
Phone +1 205-332-4747
Address 110 12TH ST N, BIRMINGHAM, AL, 35203 1537, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PACK HEALTH 401K 2020 464018650 2021-07-22 PACK HEALTH 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 2055278017
Plan sponsor’s address 110 12TH STREET NORTH, BIRMINGHAM, AL, 35203

Signature of

Role Plan administrator
Date 2021-07-22
Name of individual signing ROBERT GINTER
PACK HEALTH 401K 2019 464018650 2020-09-03 PACK HEALTH 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541600
Sponsor’s telephone number 2055278017
Plan sponsor’s address 110 12TH STREET NORTH, BIRMINGHAM, AL, 35203

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing ROBERT GINTER
PACK HEALTH 401K 2018 464018650 2019-06-03 PACK HEALTH 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 2055278017
Plan sponsor’s address 3613 6TH AVENUE SOUTH, BIRMINGHAM, AL, 35222

Signature of

Role Plan administrator
Date 2019-06-03
Name of individual signing ROBERT GINTER
PACK HEALTH 401K 2017 464018650 2018-08-01 PACK HEALTH 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 541700
Sponsor’s telephone number 2055278017
Plan sponsor’s address 3613 6TH AVENUE SOUTH, BIRMINGHAM, AL, 35222

Signature of

Role Plan administrator
Date 2018-08-01
Name of individual signing ROBERT GINTER

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Organizer

Name Role Address
ROMANO, ANTHONY N Organizer 420 NO 20TH ST STE 3400BIRMINGHAM, AL 35203
ABDOLRASULNIA, MAZI Organizer 4478 HERITAGE PARK DRIVEHOOVER, AL 35226
WRIGHT, WILL Organizer 237 MELBRIDGE DRMADISON, AL 35756-5758

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State