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Ballard Pain & Wellness, Inc.

Details

Name: Ballard Pain & Wellness, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 08 Apr 2015 (10 years ago) (Companies founded in April 2015)
Entity Number: 000-333-374
Register Number: 000333374
ZIP code: 35125 (Companies in Saint Clair, 35125)
County: Saint Clair
Place of Formation: Saint Clair County
Principal Address: 7063 VETERANS PARKWAY SUITE 210PELL CITY, AL 35125
Authorized Capital: 1000 @ $1.00 PV

Activities MEDICAL SERVICES
ANY LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508253550 2015-04-16 2020-04-13 7067 VETERANS PKWY STE 210, PELL CITY, AL, 351255128, US 7067 VETERANS PKWY STE 210, PELL CITY, AL, 351255128, US

Contacts
Phone +1 205-405-7348
Fax 2053380550

Authorized person
Name DR. GAYLYN M HORNE
Role OWNER/PRESIDENT
Phone 2054057348

Taxonomy
Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BALLARD PAIN & WELLNESS 401(K) PLAN 2023 473508095 2024-05-08 BALLARD PAIN & WELLNESS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2054057348
Plan sponsor’s address 7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL, 35125

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing GAYLYN HORNE
BALLARD PAIN & WELLNESS 401(K) PLAN 2022 473508095 2023-09-22 BALLARD PAIN & WELLNESS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2054057348
Plan sponsor’s address 7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL, 35125

Signature of
Role Plan administrator
Date 2023-09-22
Name of individual signing GAYLYN HORNE
BALLARD PAIN & WELLNESS 401(K) PLAN 2021 473508095 2022-06-01 BALLARD PAIN & WELLNESS, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2054057348
Plan sponsor’s address 7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL, 35125

Signature of
Role Plan administrator
Date 2022-06-01
Name of individual signing GAYLYN HORNE
BALLARD PAIN & WELLNESS 401(K) PLAN 2020 473508095 2021-10-11 BALLARD PAIN & WELLNESS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2054057348
Plan sponsor’s address 7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL, 35125

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing GAYLYN HORNE
BALLARD PAIN & WELLNESS 401(K) PLAN 2019 473508095 2020-09-11 BALLARD PAIN & WELLNESS, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2054057348
Plan sponsor’s address 7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL, 35125

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing GAYLYN HORNE
BALLARD PAIN & WELLNESS, INC. 401(K) PLAN 2018 473508095 2019-05-20 BALLARD PAIN & WELLNESS, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2054057348
Plan sponsor’s address 7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL, 35125
BALLARD PAIN & WELLNESS, INC. 401(K) PLAN 2017 473508095 2018-09-06 BALLARD PAIN & WELLNESS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2054057348
Plan sponsor’s address 7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL, 35125
BALLARD PAIN & WELLNESS, INC. 401(K) PLAN 2016 473508095 2017-09-07 BALLARD PAIN & WELLNESS, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2054057348
Plan sponsor’s address 7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL, 35125

Agent

Name Role Address
HORNE-BALLARD, GAYLYN Agent 7063 VETERANS PARKWAY SUITE 210PELL CITY, AL 35125

Director

Name Role Address
HORNE-BALLARD, GAYLYN Director 7063 VETERANS PARKWAY SUITE 210PELL CITY, AL 35125

Incorporator

Name Role Address
GILMORE, JASON E Incorporator 600 UNIVERSITY PARK PLACE, SUITE 100BIRMINGHAM, AL 35209-1112

Related by officers

GILMORE, JASON E

Ken Taylor24, LLC DLH Acquisitions, LLC Red Mountain Administrative Services, LLC Alabama Pain Physicians, LLC A & J Restaurants, Inc. Andress Equipment Associates, Inc. Richard Joseph Redmont Group, Inc. Specialty Wellness, Inc. Bessemer Medical Real Estate, LLC Sing Properties, LLC

Related by address

No related companies by address

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State

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