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ST. ANNE'S HOME, INC.

Details

Name: ST. ANNE'S HOME, INC.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Merged
Date of registration: 13 May 1964 (61 years ago) (Companies founded in May 1964)
Entity Number: 000-379-984
Register Number: 000379984
Place of Formation: Jefferson County
Registered Office Street Address: 200 WEST LINWOOD DRIVEBIRMINGHAM, AL

Activities CHARITABLE
HELP PERSONS
WITH PHYSICAL
MENTAL&SPIRITUAL DISORDERS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043478043 2008-05-27 2008-05-27 2772 HANOVER CIR S, BIRMINGHAM, AL, 352051706, US 2772 HANOVER CIR S, BIRMINGHAM, AL, 352051706, US

Contacts
Phone +1 205-933-2402
Fax 2059332479

Authorized person
Name MS. JACQUELINE L. DEAN
Role EXECUTIVE DIRECTOR
Phone 2059332402

Taxonomy
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
License Number CERTIFIED
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. ANNE'S HOME, INC. DEFERRED ANNUITY PLAN 2015 630481277 2016-05-25 ST. ANNE'S HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624200
Sponsor’s telephone number 2059332402
Plan sponsor’s address 2772 HANOVER CIR S, BIRMINGHAM, AL, 352051706

Plan administrator’s name and address
Administrator’s EIN 630481277
Plan administrator’s name ST. ANNE'S HOME, INC.
Plan administrator’s address 2772 HANOVER CIR S, BIRMINGHAM, AL, 352051706
Administrator’s telephone number 2059332402

Signature of
Role Plan administrator
Date 2016-05-25
Name of individual signing MARY PARTIN
ST. ANNE'S HOME, INC. TAX DEFERRED ANNUITY 2014 630481277 2015-05-11 ST. ANNE'S HOME, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-12-31
Business code 624200
Sponsor’s telephone number 2059332402
Plan sponsor’s address 2772 HANOVER CIRCLE S, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2015-05-11
Name of individual signing MARY PARTIN
ST. ANNE'S HOME, INC., TAX DEFERRED ANNUITY 2013 630481277 2014-06-23 ST. ANNE'S HOME, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 624200
Sponsor’s telephone number 2059332402
Plan sponsor’s address 2772 HANOVER CIRCLE S., BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2014-06-23
Name of individual signing MARY PARTIN
Role Employer/plan sponsor
Date 2014-06-23
Name of individual signing MARY PARTIN
ST. ANNE'S HOME, INC. TAX DEFERRED ANNUITY 2012 630481277 2013-06-12 ST. ANNE'S HOME, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624200
Plan sponsor’s address 2772 HANOVER CIRCLE S., BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2013-06-12
Name of individual signing MARY PARTIN
Role Employer/plan sponsor
Date 2013-06-12
Name of individual signing MARY PARTIN
ST. ANNE'S HOME, INC. TAX DEFERRED ANNUITY 2011 630481277 2012-11-12 ST. ANNE'S HOME, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624200
Plan sponsor’s address 2772 HANOVER CIRCLE S, BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 630481277
Plan administrator’s name ST. ANNE'S HOME, INC.
Plan administrator’s address 2772 HANOVER CIRCLE S, BIRMINGHAM, AL, 35205

Signature of
Role Plan administrator
Date 2012-11-12
Name of individual signing MARY PARTIN
ST. ANNE'S HOME, INC., TAX DEFERRED ANNUITY 2010 630481277 2012-10-26 ST. ANNE'S HOME, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 624200
Sponsor’s telephone number 2059332402
Plan sponsor’s address 2772 HANOVER CIRCLE S., BIRMINGHAM, AL, 35205

Plan administrator’s name and address
Administrator’s EIN 630481277
Plan administrator’s name ST. ANNE'S HOME, INC.
Plan administrator’s address 2772 HANOVER CIRCLE S., BIRMINGHAM, AL, 35205
Administrator’s telephone number 2059332402

Signature of
Role Plan administrator
Date 2012-10-26
Name of individual signing MARY PARTIN

Agent

Name Role Address
SPARKS, W C Agent 200 WEST LINWOOD DRIVEBIRMINGHAM, AL

Director

Name Role Address
DONOVAN, HELEN Director 53 PINE CREST ROADBIRMINGHAM 13, AL
LILES, HERMALYNE Director 3645 SHAMLEY DRIVEBIRMINGHAM 13, AL
SPEARMAN, TOMMYE Director 2320 ROCKY RIDGE ROADBIRMINGHAM 16, AL
LONGINO, FRANCES Director 1133 COLUMBIANA ROADBIRMINGHAM 9, AL
MONTGOMERY, HUGH Director 15 NORMAN DRIVEBIRMINGHAM 13, AL
SPEARMAN, THURSTON Director 2320 ROCKY RIDGE ROADBIRMINGHAM 16, AL
SESSIONS, PERCY Director 1515 SOMERSET DRIVEBIRMINGHAM 9, AL
BRAY, THOMAS L Director 452 CREST DRIVEBIRMINGHAM 9, AL
BARTON, HENRY C Director 456 CREST DRIVEBIRMINGHAM 9, AL
SPARKS, W CHESTER Director 200 WEST LINWOOD DRIVEBIRMINGHAM 9, AL

Incorporator

Name Role Address
KIEFFER, CHARLOTTE R Incorporator 4200 WARREN ROADBIRMINGHAM, AL
SPARKS, W C Incorporator 200 WEST LINWOOD DRIVEBIRMINGHAM, AL
SCHULER, ROBERT E Incorporator 3019 BRIARCLIFF ROADBIRMINGHAM, AL

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SPARKS, CAROLINE

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Related by address

No related companies by address

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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