Search icon

Hospice of Montgomery, Inc.

Print

Details

Entity Number 000-368-854

Register Number000368854

Status Exists

NameHospice of Montgomery, Inc.

CountyMontgomery

Date of registration 18 Apr 1979 (45 years ago)

Legal typeDomestic Non-Profit Corporation

Principal Address 1111 HOLLOWAY PARKMONTGOMERY, AL 36117

Principal Address ZIP code 36117

Activities EXCLUSIVELY FOR RELIGIOUS
CHARITABLE
LITERARY AND EDUCATIONAL PURPOSES

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

403 (B) THRIFT PLAN - HOSPICE OF MONTGOMERY, INC

2022

630768381

2024-03-28

HOSPICE OF MONTGOMERY, INC

10

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code621610
Plan sponsor’s mailing address1111 HOLLOWAY PARK, MONTGOMERY, AL, 36117
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 36117

Number of participants as of the end of the plan year

Active participants0
Retired or separated participants receiving benefits0
Other retired or separated participants entitled to future benefits9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Number of participants with account balances as of the end of the plan year9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Signature of

RolePlan administrator
Date2024-03-28
Name of individual signingMELISSA WOODRUFF
Valid signatureFiled with authorized/valid electronic signature

403(B) THRIFT PLAN OF HOSPICE OF MONTGOMERY, INC.

2021

630768381

2022-04-25

HOSPICE OF MONTGOMERY, INC.

12

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code622000
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 361171902

Signature of

RolePlan administrator
Date2022-04-25
Name of individual signingMELISSA WOODRUFF

403(B) THRIFT PLAN OF HOSPICE OF MONTGOMERY, INC.

2020

630768381

2021-03-18

HOSPICE OF MONTGOMERY, INC.

16

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code622000
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 361171902

Signature of

RolePlan administrator
Date2021-03-18
Name of individual signingMELISSA WOODRUFF

403(B) THRIFT PLAN OF HOSPICE OF MONTGOMERY, INC.

2020

630768381

2022-04-25

HOSPICE OF MONTGOMERY, INC.

13

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code622000
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 361171902

Signature of

RolePlan administrator
Date2022-04-25
Name of individual signingMELISSA WOODRUFF

403 (B) THRIFT PLAN OF HOSPICE OF MONTGOMERY, INC

2018

630768381

2020-03-25

HOSPICE OF MONTGOMERY, INC

16

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code622000
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 36117

Signature of

RolePlan administrator
Date2020-03-25
Name of individual signingMELISSA WOODRUFF
RoleEmployer/plan sponsor
Date2020-03-25
Name of individual signingMELISSA WOODRUFF

403 (B) THRIFT PLAN OF HOSPICE OF MONTGOMERY, INC

2017

630768381

2019-02-26

HOSPICE OF MONTGOMERY, INC

12

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code621610
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 361171902

Signature of

RolePlan administrator
Date2019-02-26
Name of individual signingMELISSA WOODRUFF

403(B) THRIFT PLAN OF HOSPICE OF MONTGOMERY, INC.

2016

630768381

2018-04-27

HOSPICE OF MONTGOMERY, INC.

12

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code621610
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 36117

Signature of

RolePlan administrator
Date2018-04-27
Name of individual signingMELISSA WOODRUFF
RoleEmployer/plan sponsor
Date2018-04-27
Name of individual signingMELISSA WOODRUFF

403(B) THRIFT PLAN OF HOSPICE OF MONTGOMERY, INC.

2015

630768381

2017-04-26

HOSPICE OF MONTGOMERY, INC.

15

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code621610
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 36117

Signature of

RolePlan administrator
Date2017-04-26
Name of individual signingMELISSA WOODRUFF

403(B) THRIFT PLAN OF HOSPICE OF MONTGOMERY INC

2015

630768381

2017-04-25

HOSPICE OF MONTGOMERY INC

15

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code621610
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 361171902

Plan administrator’s name and address

Administrator’s EIN630768381
Plan administrator’s nameMELISSA WOODRUFF
Plan administrator’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 361171902
Administrator’s telephone number3342796677

Signature of

RolePlan administrator
Date2017-04-25
Name of individual signingMELISSA WOODRUFF

403(B) THRIFT PLAN OF HOSPICE OF MONTGOMERY, INC.

2014

630768381

2016-04-04

HOSPICE OF MONTGOMERY, INC.

15

View Page

Three-digit plan number (PN)001
Effective date of plan1996-01-01
Business code621610
Sponsor’s telephone number3342796677
Plan sponsor’s address1111 HOLLOWAY PARK, MONTGOMERY, AL, 36117

Signature of

RolePlan administrator
Date2016-04-04
Name of individual signingMELISSA WOODRUFF

Agent

Name Role

WOODRUFF, MELISSA

Agent

Director

Name Role Address

FORREST NEELY

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

FRANK HAWTHORNE

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

LEE SIMS

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

DR. ARTHUR MAZYCK

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

JASON BRYANT

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

JOE B RILEY, RN, FACHE

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

DR GLEN YATES

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

DR. KATHY WINDHAM

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

DR WILLIAM SALISKE

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

DR. LEENA BHASIN

Director

111 HOLLOWAY PARKMONTGOMERY, AL 36117

Incorporator

Name Role Address

SPARKS, T C

Incorporator

ROUTE 2 BOX 624MILLBROOK, AL 36054

ABRAHAM, JOHN

Incorporator

BLOCH, KENNETH

Incorporator

POTEET, JAMES

Incorporator

3980 GOVERNORS DRIVEMONTGOMERY, AL 36111

GILL, JOEL

Incorporator

ROUTE 4-7012 TIFTON AVEMONTGOMERY, AL 36116

HAWKINS, GEORGE

Incorporator

450 BOWLING GREEN DRIVEMONTGOMERY, AL 36109

RUFFIN, WANDA

Incorporator

3821 PINEY CURVEMONTGOMERY, AL 36111

HASLAM, DOCIA L

Incorporator

428 SOUTH LAWRENCE STREETMONGOMERY, AL 36104

CARMICHAEL, MALCOLM N

Incorporator

PO BOX 429MONTGOMERY, AL 36101

GORDON, EVE

Incorporator

5713 WORCHESTER DRIVEMONTGOMERY, AL 36116

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State