Taz Bham, LLC

Details

Name:	Taz Bham, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Exists
Date of registration:	30 Jan 2017 (8 years ago)
Entity Number:	000-382-136
Register Number:	000382136
County:	Jefferson
Place of Formation:	Jefferson County
Registered Office Street Address:	3009 PUMP HOUSE RD., STE 200BIRMINGHAM, AL 35243
Registered Office Street Address ZIP Code:	35243

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

TAZ BHAM LLC (WELFARE PLAN)

2023

901943476

2024-07-31

TAZ BHAM, LLC

7

File	View Page
Three-digit plan number (PN)	951
Effective date of plan	2021-01-01
Business code	722511
Sponsor’s telephone number	2055473626
Plan sponsor’s address	430 FIELDSTOWN RD, GARDENDALE, AL, 35071

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	2024-07-31
Name of individual signing	W. HAL SHEPHERD

Role	Employer/plan sponsor
Date	2024-07-31
Name of individual signing	W. HAL SHEPHERD

TAZ BHAM LLC (WELFARE PLAN)

2022

901943476

2023-07-28

TAZ BHAM, LLC

7

File	View Page
Three-digit plan number (PN)	951
Effective date of plan	2021-01-01
Business code	722511
Sponsor’s telephone number	2055473626
Plan sponsor’s address	430 FIELDSTOWN RD, GARDENDALE, AL, 35071

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	2023-07-28
Name of individual signing	W. HAL SHEPHERD

Role	Employer/plan sponsor
Date	2023-07-28
Name of individual signing	W. HAL SHEPHERD

TAZ BHAM LLC (WELFARE PLAN)

2021

901943476

2022-07-29

TAZ BHAM, 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	2055473626
Plan sponsor’s address	430 FIELDSTOWN RD, GARDENDALE, AL, 35071

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
BODNAR, JOHN MICHAEL	Agent	4150 CAMP COLEMAN ROADBIRMINGHAM, AL 35173

Organizer

Name	Role	Address
BODNAR, JOHN MICHAEL	Organizer	4150 CAMP COLEMAN ROADBIRMINGHAM, AL 35173

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State