| Name: | Aultman Dental, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Jul 2014 (10 years ago) |
| Entity Number: | 000-314-023 |
| Register Number: | 000314023 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 322 KINGSTON CIRCLEBIRMINGHAM, AL 35211 |
| Principal Address ZIP Code: | 35211 |
Activities
A DENTAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982002150 | 2014-12-19 | 2014-12-19 | 2043 MARTIN ST S, PELL CITY, AL, 351282329, US | 2043 MARTIN ST S, PELL CITY, AL, 351282329, US | |||||||||||||||||||
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| Phone | +1 205-812-2005 |
| Fax | 2058122007 |
Authorized person
| Name | JAMES ALAN AULTMAN |
| Role | DENTIST/OWNER |
| Phone | 2058122005 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 6085 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AULTMAN DENTAL 401(K) PROFIT SHARING PLAN | 2023 | 471371252 | 2024-07-01 | AULTMAN DENTAL | 18 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-01 |
| Name of individual signing | JAMES AULTMAN |
| Role | Employer/plan sponsor |
| Date | 2024-07-01 |
| Name of individual signing | JAMES AULTMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2055686320 |
| Plan sponsor’s address | 2503 STEMLEY BRIDGE RD., PELL CITY, AL, 35128 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-14 |
| Name of individual signing | JAMES AULTMAN |
| Role | Employer/plan sponsor |
| Date | 2023-08-14 |
| Name of individual signing | JAMES AULTMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2055311843 |
| Plan sponsor’s address | 3616 DUNBARTON DRIVE, BIRMINGHAM, AL, 35223 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-14 |
| Name of individual signing | JAMES AULTMAN |
| Role | Employer/plan sponsor |
| Date | 2022-10-14 |
| Name of individual signing | JAMES AULTMAN |
| Name | Role | Address |
|---|---|---|
| AULTMAN, JAMES A | Agent | 322 KINGSTON CIRCLEBIRMINGHAM, AL 35211 |
| Name | Role | Address |
|---|---|---|
| AULTMAN, JAMES ALLEN | Organizer | 322 KINGSTON CIRCLEBIRMINGHAM, AL 35211 |
| HASTY, WILLIAM D JR | Organizer | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
