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Family Care Associates, PC

Details

Name: Family Care Associates, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 06 Jul 2015 (9 years ago)
Entity Number: 000-339-647
Register Number: 000339647
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 9224 MARSTON WAYMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code: 36117
Authorized Capital: 1000 @ $1 PV

Activities PERFORM ANY AND ALL LAWFUL OPERATIONS AND ACTIVITIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770969834 2015-07-30 2023-08-11 9224 MARSTON WAY, MONTGOMERY, AL, 361178414, US 1855 HALCYON BLVD, MONTGOMERY, AL, 361178044, US

Contacts

Phone +1 334-549-1847

Authorized person

Name TIFFANY LEE IVEY
Role PRACTICE MANAGER
Phone 3345491847

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY CARE ASSOCIATES 401(K) SAVINGS PLAN 2023 474464169 2024-07-01 FAMILY CARE ASSOCIATES 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621111
Sponsor’s telephone number 3343805301
Plan sponsor’s address 1855 HALCYON BLVD., MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2024-07-01
Name of individual signing VERNISHIA HILL GRAHAM
FAMILY CARE ASSOCIATES 401(K) SAVINGS PLAN 2022 474464169 2023-07-31 FAMILY CARE ASSOCIATES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621111
Sponsor’s telephone number 3343805301
Plan sponsor’s address 1855 HALCYON BLVD., MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2023-07-31
Name of individual signing VERNISHA HILL GRAHAM
FAMILY CARE ASSOCIATES 401(K) SAVINGS PLAN 2021 474464169 2022-07-11 FAMILY CARE ASSOCIATES 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621111
Sponsor’s telephone number 3343805301
Plan sponsor’s address 1855 HALCYON BLVD., MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2022-07-11
Name of individual signing TIFFANY L IVEY
FAMILY CARE ASSOCIATES 401(K) SAVINGS PLAN 2020 474464169 2021-07-08 FAMILY CARE ASSOCIATES 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621111
Sponsor’s telephone number 3343805301
Plan sponsor’s address 1855 HALCYON BLVD., MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2021-07-08
Name of individual signing VERNISHIA HILL GRAHAM
Role Employer/plan sponsor
Date 2021-07-08
Name of individual signing VERNISHIA HILL GRAHAM
FAMILY CARE ASSOCIATES 401(K) SAVINGS PLAN 2019 474464169 2020-06-11 FAMILY CARE ASSOCIATES 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621111
Sponsor’s telephone number 3343805301
Plan sponsor’s address 1855 HALCYON BLVD., MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2020-06-11
Name of individual signing VERNISHIA HILL GRAHAM
Role Employer/plan sponsor
Date 2020-06-11
Name of individual signing VERNISHIA HILL GRAHAM
FAMILY CARE ASSOCIATES 401(K) SAVINGS PLAN 2018 474464169 2019-06-24 FAMILY CARE ASSOCIATES 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621111
Sponsor’s telephone number 3343805301
Plan sponsor’s address 1855 HALCYON BLVD., MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2019-06-24
Name of individual signing VERNISHIA HILL GRAHAM
FAMILY CARE ASSOCIATES 401(K) SAVINGS PLAN 2017 474464169 2018-06-27 FAMILY CARE ASSOCIATES 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-05-01
Business code 621111
Sponsor’s telephone number 3343805301
Plan sponsor’s address 1855 HALCYON BLVD., MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2018-06-27
Name of individual signing VERNISHIA HILL GRAHAM

Agent

Name Role
GRAHAM, VERNISHIA H Agent

Incorporator

Name Role Address
WEISS, JOHN W Incorporator 2660 EASTCHASE LANE SUITE 300MONTGOMERY, AL 36117

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State