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River Region Dermatology & Laser, P.C.

Details

Name: River Region Dermatology & Laser, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 22 Dec 2015 (9 years ago) (Companies founded in December 2015)
Entity Number: 000-353-059
Register Number: 000353059
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2060 BERRYHILL ROADMONTGOMERY, AL 36117
Authorized Capital: 500 @ $1/PV

Activities PRACTICE OF MEDICINE/PARTICULARLY DERMATOLGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699128009 2016-07-20 2016-07-28 1254 LAUREL BROOK LN, MONTGOMERY, AL, 361178965, US 2060 BERRYHILL RD, MONTGOMERY, AL, 361178965, US

Contacts

Phone +1 334-416-8996
Fax 3344168997

Authorized person

Name DR. PORCIA LOVE
Role SOLE MEMBER OWNER
Phone 3344168996

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIVER REGION DERMATOLOGY & LASER 401(K) PLAN 2023 811004894 2024-10-14 RIVER REGION DERMATOLOGY & LASER, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 3346763366
Plan sponsor’s address 2060 BERRYHILL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing DR. PORCIA LOVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-14
Name of individual signing DR. PORCIA LOVE
Valid signature Filed with authorized/valid electronic signature
RIVER REGION DERMATOLOGY & LASER 401(K) PLAN 2022 811004894 2023-10-10 RIVER REGION DERMATOLOGY & LASER, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 3346763366
Plan sponsor’s address 2060 BERRYHILL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing DR. PORCIA LOVE
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing DR. PORCIA LOVE
RIVER REGION DERMATOLOGY & LASER 401(K) PLAN 2021 811004894 2022-09-07 RIVER REGION DERMATOLOGY & LASER, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 3346763366
Plan sponsor’s address 2060 BERRYHILL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2022-09-07
Name of individual signing DR. PORCIA LOVE
Role Employer/plan sponsor
Date 2022-09-07
Name of individual signing DR. PORCIA LOVE
RIVER REGION DERMATOLOGY & LASER 401(K) PLAN 2020 811004894 2021-09-28 RIVER REGION DERMATOLOGY & LASER, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 3346763366
Plan sponsor’s address 2060 BERRYHILL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2021-09-28
Name of individual signing DR. PORCIA LOVE
Role Employer/plan sponsor
Date 2021-09-28
Name of individual signing DR. PORCIA LOVE
RIVER REGION DERMATOLOGY & LASER 401(K) PLAN 2019 811004894 2020-07-20 RIVER REGION DERMATOLOGY & LASER, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 3346763366
Plan sponsor’s address 2060 BERRYHILL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2020-07-20
Name of individual signing DR. PORCIA LOVE
Role Employer/plan sponsor
Date 2020-07-20
Name of individual signing DR. PORCIA LOVE
RIVER REGION DERMATOLOGY & LASER 401(K) PLAN 2018 811004894 2019-09-24 RIVER REGION DERMATOLOGY & LASER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 3346763366
Plan sponsor’s address 2060 BERRYHILL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing DR. PORCIA LOVE
Role Employer/plan sponsor
Date 2019-09-24
Name of individual signing DR. PORCIA LOVE
RIVER REGION DERMATOLOGY & LASER 401(K) PLAN 2017 811004894 2018-10-10 RIVER REGION DERMATOLOGY & LASER, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621399
Sponsor’s telephone number 3346763366
Plan sponsor’s address 2060 BERRYHILL ROAD, MONTGOMERY, AL, 36117

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing DR. PORCIA LOVE
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing DR. PORCIA LOVE

Incorporator

Name Role
LOVE, J C III Incorporator

Director

Name Role Address
LOVE, PORTIA BRADFORD Director 2060 BERRYHILL ROADMONTGOMERY, AL 36117

Agent

Name Role
LOVE, PORTIA B Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State