Thomas J. Smitherman III, M.D., P.C.

Details

Name:	Thomas J. Smitherman III, M.D., P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Dissolved
Date of registration:	12 Feb 2015 (10 years ago)
Date of dissolution:	25 Jan 2021
Entity Number:	000-328-907
Register Number:	000328907
County:	Shelby
Place of Formation:	Shelby County
Registered Office Street Address:	30 RACQUET CLUB PARKWAYPELHAM, AL 35124
Registered Office Street Address ZIP Code:	35124
Authorized Capital:	100 @ $1.00 PV

Activities PRACTICE OF MEDICINE AND SERVICES ANCILLARY THERETO

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

THOMAS J. SMITHERMAN III M. D. , P. C. 401(K) PLAN

2020

473130841

2021-11-10

THOMAS J. SMITHERMAN, III M.D., P.C

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2056640880
Plan sponsor’s address	120 BROOKSHIRE LANE, PELHAM, AL, 35124

THOMAS J. SMITHERMAN III M. D. , P. C. 401(K) PLAN

2020

473130841

2021-10-11

THOMAS J. SMITHERMAN, III M.D., P.C

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2056640880
Plan sponsor’s address	120 BROOKSHIRE LANE, PELHAM, AL, 35124

THOMAS J. SMITHERMAN III M. D. , P. C. 401(K) PLAN

2019

473130841

2020-06-29

THOMAS J. SMITHERMAN, III M.D., P.C

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2056640880
Plan sponsor’s address	120 BROOKSHIRE LANE, PELHAM, AL, 35124

THOMAS J. SMITHERMAN III M. D. , P. C. 401(K) PLAN

2018

473130841

2019-07-30

THOMAS J. SMITHERMAN, III M.D., P.C

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2056640880
Plan sponsor’s address	30 RACQUET CLUB PARKWAY, PELHAM, AL, 35124

THOMAS J. SMITHERMAN III M. D. , P. C. 401(K) PLAN

2017

473130841

2018-04-05

THOMAS J. SMITHERMAN, III M.D., P.C

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2056640880
Plan sponsor’s address	30 RACQUET CLUB PARKWAY, PELHAM, AL, 35124

THOMAS J. SMITHERMAN III M. D. , P. C. 401(K) PLAN

2016

473130841

2017-10-16

THOMAS J. SMITHERMAN, III M.D., P.C

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2056640880
Plan sponsor’s address	30 RACQUET CLUB PARKWAY, PELHAM, AL, 35124

Agent

Name	Role	Address
SMITHERMAN, THOMAS J III	Agent	30 RACQUET CLUB PARKWAYPELHAM, AL 35124

Director

Name	Role	Address
SMITHERMAN, THOMAS J III	Director	30 RACQUET CLUB PARKWAYPELHAM, AL 35124

Incorporator

Name	Role	Address
BOGARD, HOWARD E	Incorporator	420 NO 20TH ST STE 3400BIRMINGHAM, AL 35203

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State