Taz Dothan, LLC

Details

Name:	Taz Dothan, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Dissolved
Date of registration:	16 Sep 2016 (8 years ago)
Date of dissolution:	08 Jan 2024
Entity Number:	000-371-961
Register Number:	000371961
County:	Lee
Place of Formation:	Lee County
Registered Office Street Address:	339 S COLLEGE STAUBURN, AL 36830
Registered Office Street Address ZIP Code:	36830

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

TAZ DOTHAN, LLC (WELFARE PLAN)

2023

901943612

2024-07-18

TAZ DOTHAN, LLC

1

File	View Page
Three-digit plan number (PN)	951
Effective date of plan	2021-01-01
Business code	722511
Sponsor’s telephone number	2056127901
Plan sponsor’s address	4700 W MAIN ST, DOTHAN, AL, 36305

Plan administrator’s name and address

Administrator’s EIN	472506773
Plan administrator’s name	KENNION & CO, LLC
Plan administrator’s address	2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number	8669665457

Signature of

Role	Plan administrator
Date	2024-06-19
Name of individual signing	W. HAL SHEPHERD

Role	Employer/plan sponsor
Date	2024-06-19
Name of individual signing	W. HAL SHEPHERD

TAZ DOTHAN, LLC (WELFARE PLAN)

2022

901943612

2023-07-27

TAZ DOTHAN, LLC

1

File	View Page
Three-digit plan number (PN)	951
Effective date of plan	2021-01-01
Business code	722511
Sponsor’s telephone number	2056127901
Plan sponsor’s address	4700 W MAIN ST, DOTHAN, AL, 36305

Plan administrator’s name and address

Administrator’s EIN	472506773
Plan administrator’s name	KENNION & CO, LLC
Plan administrator’s address	2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number	8669665457

Signature of

Role	Plan administrator
Date	2023-07-20
Name of individual signing	W. HAL SHEPHERD

Role	Employer/plan sponsor
Date	2023-07-20
Name of individual signing	W. HAL SHEPHERD

TAZ DOTHAN, LLC (WELFARE PLAN)

2021

901943612

2022-07-29

TAZ DOTHAN, LLC

0

File	View Page
Three-digit plan number (PN)	951
Effective date of plan	2021-01-01
Business code	722511
Sponsor’s telephone number	2056127901
Plan sponsor’s address	4700 W MAIN ST, DOTHAN, AL, 36305

Plan administrator’s name and address

Administrator’s EIN	472506773
Plan administrator’s name	KENNION & CO, LLC
Plan administrator’s address	2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243
Administrator’s telephone number	8669665457

Signature of

Role	Plan administrator
Date	2022-07-28
Name of individual signing	W. HAL SHEPHERD

Role	Employer/plan sponsor
Date	2022-07-28
Name of individual signing	W. HAL SHEPHERD

Agent

Name	Role	Address
PARKMAN, JASON D	Agent	18 GAYWOOD CIRCLEMOUNTAIN BROOK, AL 35213

Organizer

Name	Role	Address
PARKMAN, JASON D	Organizer	18 GAYWOOD CIRCLEMOUNTAIN BROOK, AL 35213

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State