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Wilmer Medical Clinic, LLC

Details

Name: Wilmer Medical Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Aug 2014 (10 years ago)
Entity Number: 000-315-799
Register Number: 000315799
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 8535 GATEWOODMOBILE, AL 36619
Registered Office Street Address ZIP Code: 36619

Activities INVEST IN
MANAGE & OPERATE A RURAL HEALTH CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649667577 2015-04-17 2015-10-26 10075 GRAND BAY WILMER RD S, GRAND BAY, AL, 365415003, US 6353 2ND STREET, WILMER, AL, 36587, US

Contacts
Phone +1 251-865-1852

Authorized person
Name LLOYD S STOKES
Role MANAGING PARTNER
Phone 2518651852

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILMER MEDICAL CLINIC (WELFARE PLAN) 2023 471527789 2024-07-18 WILMER MEDICAL CLINIC, LLC 4
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 2517534008
Plan sponsor’s address 6353 2ND STREET, WILMER, AL, 36587

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2024-06-19
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2024-06-19
Name of individual signing W. HAL SHEPHERD
WILMER MEDICAL CLINIC 401(K) PLAN 2022 471527789 2023-10-13 WILMER MEDICAL CLINIC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-15
Business code 621111
Sponsor’s telephone number 2512900159
Plan sponsor’s address 6353 2ND ST, WILMER, AL, 365874453

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing ROBERT SUBEL
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing ROBERT SUBEL
WILMER MEDICAL CLINIC (WELFARE PLAN) 2022 471527789 2023-07-27 WILMER MEDICAL CLINIC, LLC 7
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 2517534008
Plan sponsor’s address 6353 2ND STREET, WILMER, AL, 36587

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2023-07-20
Name of individual signing W. HAL SHEPHERD
WILMER MEDICAL CLINIC 401(K) PLAN 2021 471527789 2022-10-17 WILMER MEDICAL CLINIC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-15
Business code 621111
Sponsor’s telephone number 2512900159
Plan sponsor’s address 6353 2ND ST, WILMER, AL, 365874453

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing CHERRI BEDWELL
WILMER MEDICAL CLINIC (WELFARE PLAN) 2021 471527789 2022-07-29 WILMER MEDICAL CLINIC, LLC 7
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 2517534008
Plan sponsor’s address 6353 2ND STREET, WILMER, AL, 36587

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2022-07-21
Name of individual signing W. HAL SHEPHERD
WILMER MEDICAL CLINIC (WELFARE PLAN) 2020 471527789 2021-07-25 WILMER MEDICAL CLINIC, LLC 5
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 2517534008
Plan sponsor’s address 6353 2ND STREET, WILMER, AL, 36587

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2021-07-20
Name of individual signing W. HAL SHEPHERD
WILMER MEDICAL CLINIC 401(K) PLAN 2020 471527789 2021-10-01 WILMER MEDICAL CLINIC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-15
Business code 621111
Sponsor’s telephone number 2512900159
Plan sponsor’s address 6353 2ND ST, WILMER, AL, 365874453

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing CHERRI BEDWELL
WILMER MEDICAL CLINIC 401(K) PLAN 2019 471527789 2020-07-31 WILMER MEDICAL CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-15
Business code 621111
Sponsor’s telephone number 2512900159
Plan sponsor’s address 6353 2ND ST, WILMER, AL, 365874453

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing CHERRI BEDWELL
Role Employer/plan sponsor
Date 2020-07-31
Name of individual signing CHERRI BEDWELL
WILMER MEDICAL CLINIC (WELFARE PLAN) 2019 471527789 2020-07-30 WILMER MEDICAL CLINIC, LLC 5
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2018-09-01
Business code 621111
Sponsor’s telephone number 2517534008
Plan sponsor’s address 6353 2ND STREET, WILMER, AL, 36587

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 800 CORPORATE PKWY, STE 100, BIRMINGHAM, AL, 35242
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing W. HAL SHEPHERD
WILMER MEDICAL CLINIC (WELFARE PLAN) 2018 471527789 2019-07-29 WILMER MEDICAL CLINIC, LLC 0
File View Page
Three-digit plan number (PN) 951
Effective date of plan 2018-10-01
Business code 621111
Sponsor’s telephone number 2517534008
Plan sponsor’s address 6353 2ND STREET, WILMER, AL, 36587

Plan administrator’s name and address
Administrator’s EIN 472506773
Plan administrator’s name KENNION & CO, LLC
Plan administrator’s address 800 CORPORATE PKWY, STE 100, BIRMINGHAM, AL, 35242
Administrator’s telephone number 8669665457

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing W. HAL SHEPHERD
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing W. HAL SHEPHERD

Agent

Name Role Address
STOKES, SEAN Agent 8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619

Organizer

Name Role Address
STOKES, SEAN Organizer 8535 GATEWOOD DRIVE NORTHMOBILE, AL 36619
PEARSON, STEVEN C Organizer P O BOX 290MOBILE, AL 36601

Related by officers

STOKES, SEAN

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PEARSON, STEVEN C

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Related by address

No related companies by address

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State

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